1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Golden Sonora Care Center, which can be found in serene Sonora, CA, is dedicated to providing a wide range of skilled nursing care and rehabilitation services. With a mission to offer resident-centered care, Golden Sonora Care Center has built a reputation for excellence and compassion in the community. At Golden Sonora Care Center, the focus is on creating a comfortable and nurturing environment where residents receive personalized care tailored to their unique needs. Whether residents require short-term rehabilitation or long-term care, the dedicated team designs individualized care plans to ensure optimal outcomes.
The center offers comprehensive services including 24-hour licensed nursing care, hospice and palliative care, respite care, physical therapy, occupational therapy, and restorative therapy. Golden Sonora Care Center also provides a range of supportive services including prescription and non-prescription drug services, family support services, comfort care, pain management, meals and dining services, beautician services, recreation and activities, housekeeping, laundry, and linen services. Guided by core values of respect, compassion, cooperation, and wisdom, Golden Sonora Care Center aims to be a premier provider of both short-term rehabilitative services and long-term care in California.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 52% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▼ 14% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 30m per day | ▼ 5% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 38m per day | ▼ 11% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 57% State avg: 30m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 12 full-time employees and 7 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
46 total: 43 full-time employees and 3 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
236 total: 102 full-time employees and 134 contractors.
236
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14,340 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 102 | 134 | 236 | 42,175 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 43 | 3 | 46 | 15,255 | 92 | 100% | 9.2 |
| Registered Nurse | 12 | 7 | 19 | 3,399 | 92 | 100% | 8.1 |
| RN Director of Nursing | 10 | 1 | 11 | 2,269 | 74 | 80% | 9.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,491 | 91 | 99% | 7.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,319 | 66 | 72% | 7.8 |
| Dental Services Staff | 3 | 0 | 3 | 1,267 | 74 | 80% | 7.4 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,255 | 67 | 73% | 7.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 777 | 78 | 85% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 509 | 63 | 68% | 8.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 397 | 60 | 65% | 6.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 348 | 71 | 77% | 4.6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 181 | 53 | 58% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 79 | 12 | 13% | 6.6 |
| Qualified Social Worker | 0 | 2 | 2 | 41 | 16 | 17% | 2.6 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
71% higher than State averageState average: $55K
15% fewer fines than State averageState average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than State averageState average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 26, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 26, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.4
132% worse than State averageState average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
135% worse than State averageState average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.8%
151% worse than State averageState average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
28.4%
137% worse than State averageState average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
109% worse than State averageState average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
195% worse than State averageState average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
8.3%
67% worse than State averageState average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.7%
44% better than State averageState average: 1.2%
Percent of long-stay residents who lose too much weight
7.5%
78% worse than State averageState average: 4.2%
Percent of long-stay residents who have depressive symptoms
1.1%
83% better than State averageState average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
20.4%
102% worse than State averageState average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with State averageState average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
In line with State averageState average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
16% better than State averageState average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.77
74% worse than State averageState average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.1%
In line with State averageState average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
8% worse than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.2%
12% worse than State averageState average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.6%
15% worse than State averageState average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.6%
75% worse than State averageState average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
84% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.3%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.1%
7% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
72% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
172Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Golden Sonora Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 02/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #352 / 355Payroll — State benchmarkedThis home is ranked 352nd out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #150 / 355Payroll % — State benchmarkedThis home is ranked 150th out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (72% of admissions), and a typical Medicare stay runs around 12 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.6 miles from city center
Estimated distance in miles from Sonora's city center to Golden Sonora Care Center's address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| Golden Sonora Care Center | NH MC NC RC | Sonora | - | 210 | - | 23 | - |
| Vacaville Memory Care | NH MC RC | Vacaville | - | 75 | A+ | 60 | 1 Bed / 2 Bed |
| Canterbury Woods | NH AL IL | Pacific Grove | - | 190 | A+ | 81 | 1 Bed / 2 Bed |
| Ivy Park at Simi Valley | NH AL MC | Simi Valley (Tradewinds Club) | - | 175 | C | 59 | Studio / Suite / 1 Bed / 2 Bed |
| Oakmont of Burlingame | NH AL MC | Burlingame (Mills Estates) | - | 97 | - | 80 | Studio / 1 Bed / 2 Bed |
Golden Sonora Care Center is in the Sonora neighborhood.
Golden Sonora Care Center has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
Golden Sonora Care Center's occupancy is 49.6%.
Golden Sonora Care Center is registered as a for-profit.
Yes — there are 12 photos of Golden Sonora Care Center in the photo gallery on this page.
Golden Sonora Care Center is located at 19929 Greenley Rd, Sonora, CA 95370.
(209) 533-2500 will put you in contact with the team at Golden Sonora Care Center.
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