All citations for Adventist Health Sonora - D/P SNF

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Adventist Health Sonora - D/P SNF

Last standard health inspection on record

June 19, 2025

Showing 1 to 19 of 19 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  2. No harm, with potential for more than minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  3. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  4. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  5. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  6. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  7. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  8. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  9. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 15, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2024).

  10. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  11. No harm, with potential for more than minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0568, Resident Rights Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  12. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  13. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  15. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  16. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  17. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  18. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  19. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.