Golden Sonora Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 79 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (27 vs median 13.0)
- High staff turnover (58%)
- High RN turnover (54%)
Bottom 25% in CA · Critically understaffed (RN) · Worst in GOLDEN SNF OPERATIONS chain · $93,308 in fines
What this means for your family
This facility is a strong candidate for families seeking a clean, well-lit environment with a generally compassionate nursing team. However, you should proactively ask about their protocols for responding to call lights and how they monitor the security of residents' personal belongings, as these have been significant pain points for others.
Google Reviews
Google Reviews
79 reviews on Google“Families considering Golden Sonora Care Center will find a facility with a highly praised, compassionate nursing and administrative staff, particularly in the memory care and rehab wings. However, there are significant, recurring reports of slow response times to call lights, inconsistent meal quality, and concerns regarding the security of personal belongings. While many recent reviews suggest the facility is improving under new administration, some families still report issues with staffing levels and communication regarding insurance and care plans.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Clean and well-lit environment
- Effective and helpful administration
- Strong rehabilitation therapy services
Concerns
- Slow response times to call lights (mentioned by 3 reviewers)
- Inconsistent meal quality and timing (mentioned by 3 reviewers)
- Issues with theft or loss of personal property (mentioned by 3 reviewers)
- Staffing shortages or high turnover (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 86 analyzed
How They Respond to Reviews
The owner relies heavily on repetitive templates and canned phrases. While they attempt to personalize some positive reviews by including the reviewer's name, the responses to negative reviews are almost entirely standardized scripts directing users to a phone number.
Questions for Your Tour
- 1We noticed the administration is very active in responding to community feedback; how does the leadership team involve families in addressing concerns about meal timing or food quality?
- 2With the focus on strong rehabilitation services, how do you coordinate therapy schedules to ensure residents are getting the most out of their sessions?
- 3How does the nursing team manage call light response times during the night shifts to ensure residents feel supported?
- 4What specific protocols are in place to ensure the security of residents' personal belongings and prevent any loss of property?
- 5Could you tell us more about the daily activity calendar and how you keep residents engaged with the community?
- 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The clinical, administrative and support staff at Golden Sonora genuinely care for their residents. During my visits - I have seen hand first how much they care for their Community and find joy in caring for patient's that they have come to know as family.”
“The facility is well lit, clean, and organized. The staff are all super friendly, helpful and informative about anything you might have questions about.”
“My father is receiving excellent care at Avalon. Each administrator we have come in contact with have been responsive to our inquiries and usually have followed up promptly with my father regarding his needs.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
10
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows serious concern with frequent family complaints triggering 29 deficiencies and persistent problems across medication management, care planning, and treatment quality. Families have repeatedly reported issues with notification of incidents, medication errors, and inadequate care. While most violations are eventually corrected, the pattern of recurring complaints about the same core care areas—particularly medication safety and proper treatment—suggests ongoing quality control problems that warrant careful consideration before placement.
Mar 12, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 9, 2025Complaint1
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Sep 2, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Aug 7, 2025Routine28
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor 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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Aug 7, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 1, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Feb 26, 2024
$56,843
Payment Denial
Feb 26, 2024
21-day denial
Fine
Jun 22, 2023
$36,465
Ownership & Operations
Who Operates This Facility
Golden Sonora Care Center
for profit
Chain Affiliation
Golden Snf Operations
7 facilities nationwide
Chain avg rating: 2.3/5 · Rank 6 of 7 (Worst)
Ownership & Management
Owners
Sonora Operations Holdings LLC
Owner · Organization
Ch Cafive Holdings LLC
Owner (parent company) · Organization
Cw Cafive Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
79 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.