★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle11
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$22,580
Beds144
Inspection findings
Inspectors recorded 36 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 20, 2026 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 27, 2026 |
| Aug 20, 2026 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 27, 2026 |
| Aug 20, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 27, 2026 |
| Jul 2, 2026 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | Actual harm to a resident isolated · from a complaint | Corrected: Jul 20, 2026 |
| Jul 2, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 20, 2026 |
| Apr 10, 2026 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm widespread | Corrected: Apr 13, 2026 |
| Apr 10, 2026 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: Apr 13, 2026 |
Earlier inspections (29)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Feb 27, 2026 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 5, 2026 |
| Feb 27, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 5, 2026 |
| Jan 14, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 15, 2026 |
| Dec 24, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 5, 2026 |
| Sep 8, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 16, 2025 |
| Apr 21, 2025 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 2, 2025 |
| Apr 21, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 2, 2025 |
| Jan 23, 2025 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk widespread | Corrected: Jan 29, 2025 |
| Jan 23, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Jan 29, 2025 |
| Jan 23, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Jan 29, 2025 |
| Jan 23, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Jan 29, 2025 |
| Jan 23, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Jan 29, 2025 |
| Jan 14, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 29, 2025 |
| Jan 14, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 29, 2025 |
| Oct 23, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm widespread | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Administration | Hire a qualified full-time social worker in a facility with more than 120 beds. (F0850) | No harm, but a risk of harm widespread · from a complaint | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Food and nutrition | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810) | No harm, but a risk of harm isolated | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident rights | Honor the resident's right to manage his or her financial affairs. (F0567) | No harm, but a risk of harm isolated | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm isolated | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated | Corrected: Dec 21, 2023 |
| Oct 23, 2023 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern | Corrected: Dec 21, 2023 |
Fines and payment denials
Federal fines in the last three years: $22,580 (2). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jul 2, 2026 | Fine | $8,710 |
| Jul 2, 2026 | Fine | $13,870 |
Staffing
| Nurse staff hours per resident per day | 4.05 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.67 | California median: 0.52 |
| Nurse staff hours on weekends | 3.58 | California median: 3.85 |
| Nursing staff who left within a year | 32.8% | California median: 36.0% |
About this home
| Beds | 144 |
| Residents per day, average | 134.8 |
| Ownership | For-profit, corporation |
| Legal business name | Ensign Sonoma LLC |
| Chain | The Ensign Group (347 homes) |
| In Medicare/Medicaid since | Jul 1, 1974 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov