Nursing homeActive
Adventist Health Sonora - D/P SNF
179 South Fairview Lane, Sonora, CA 95370209536377968 certified beds · 63 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
39
● 0● 39● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-23
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-19 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-05-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-15 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-03-16 | Standard | 0150 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 555209-20260123-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 555209-20250619-F550
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 555209-20250619-F605
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 555209-20250619-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 555209-20250619-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 555209-20250619-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-27Record 555209-20250520-F658
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F550
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F623
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F655
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F685
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F695
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F757
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F825
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 555209-20240509-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 555209-20240321-F689
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 555209-20240220-F604
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 555209-20231215-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 555209-20231215-F610
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F558
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F567
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F568
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F582
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F656
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F725
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-07Record 555209-20230316-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.11
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.71
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.01
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover28%
Facility
California
National
California 37% · National 46%
Registered nurse turnover23%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.1% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.9% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.1% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.2% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.5% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.5% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Adventist Health System/West Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Freedman, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gabriel, Melody Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Graham, Ricardo Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Heinrich, Kerry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Innocent, Larry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jahn, Andrew Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jahn, Andrew Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Jobe, Meredith Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcculloch, Gregory Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcculloch, Gregory Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Mcculloch, Gregory Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Pedersen, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reiner, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reiner, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reiner, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rippey, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Salazar, Velino Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wagner, Jack Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wing, Billy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wing, Billy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Adventist Health — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Tuolumne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Golden Sonora Care Center Sonora | 1.1 mi | 2026-05-20 | 0631 |
| Golden San Andreas Care Center San Andreas | 21.1 mi | 2026-06-12 | 0726 |
| Oakdale Nursing And Rehabilitation Center Oakdale | 29.8 mi | 2025-03-22 | 1130 |
| Kit Carson Nursing & Rehabilitation Center Jackson | 33.0 mi | 2026-05-08 | 0605 |
| Riverbank Post-Acute Riverbank | 34.8 mi | 2026-04-13 | 1412 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |