Adventist Health Sonora - D/P SNF
179 South Fairview Lane · Sonora, CA · 95370 · 2095363779
68 certified beds Non profit - Church related Chain: Adventist Health Hospital-based
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 83 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.97 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D January 23, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · E June 19, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 10, 2025 · Nutrition and Dietary
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Potential for harm · E June 19, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 10, 2025 · Administration
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Potential for harm · E June 19, 2025
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
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Potential for harm · D May 20, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · E May 9, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · E May 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · E May 9, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 7, 2024 · Pharmacy Service
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Potential for harm · E May 9, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 7, 2024 · Pharmacy Service
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Potential for harm · F May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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Potential for harm · D May 9, 2024
Provide or get specialized rehabilitative services as required for a resident.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
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Potential for harm · D March 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 20, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 15, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 15, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 16, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 7, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555209 · certified since October 7, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.