Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555736

Golden Sonora Care Center

90 federal citations on record , and 3 federal enforcement actions totaling $93,308.

Record summary

Federal record · Q1 2026
90
Total citations
89
Last 3 years
2
Actual harm+
3
Federal penalties
$93,308
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning19 Resident Rights17 Medication & Pharmacy14 Nutrition & Dietary9

Most common F-tags at this facility

F6566 F6846 F6895 F6584 F8804

Citation history

90 on record
SurveyF-TagViolationSeveritySource
Dec 9, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Sep 2, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 7, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Aug 7, 2025F881Implement a program that monitors antibiotic use.EStandard
Aug 7, 2025F880Provide and implement an infection prevention and control program.DStandard
Aug 7, 2025F814Dispose of garbage and refuse properly.DStandard
Aug 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 7, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Aug 7, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Aug 7, 2025F761Ensure 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.EStandard
Aug 7, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 7, 2025F688Provide 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.DStandard
Aug 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 7, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 7, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Aug 7, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Aug 7, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Aug 7, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 7, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 11, 2025F687Provide appropriate foot care.DComplaint
Feb 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 19, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Jan 29, 2025F584Honor 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.DComplaint
Oct 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 23, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Jul 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 20, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 20, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jun 20, 2024F761Ensure 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.DStandard
Jun 20, 2024F758Implement 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.DStandard
Jun 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 20, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 20, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jun 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 20, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jun 20, 2024F567Honor the resident's right to manage his or her financial affairs.EStandard
Jun 20, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 20, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 17, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Apr 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Mar 27, 2024F880Provide and implement an infection prevention and control program.EComplaint
Mar 5, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 9, 2024F758Implement 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.DComplaint
Jan 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 11, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 22, 2023F880Provide and implement an infection prevention and control program.EStandard
Jun 22, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jun 22, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 22, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jun 22, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jun 22, 2023F761Ensure 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.DStandard
Jun 22, 2023F760Ensure that residents are free from significant medication errors.EStandard
Jun 22, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 22, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 22, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 22, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Jun 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 22, 2023F688Provide 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.GStandard
Jun 22, 2023F687Provide appropriate foot care.DStandard
Jun 22, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 22, 2023F679Provide activities to meet all resident's needs.DStandard
Jun 22, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jun 22, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 22, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 22, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 22, 2023F584Honor 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.DStandard
Jun 22, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Jun 22, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 22, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 31, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
May 10, 2023F758Implement 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.DComplaint
May 10, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
May 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $93,308 and 1 payment-denial actions spanning 21 days.

DateTypeFinePayment denial
Feb 26, 2024Fine$56,843—
Feb 26, 2024Payment Denial—Mar 29, 2024 · 21 days
Jun 22, 2023Fine$36,465—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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