California › Stanislaus County › Modesto
Valley Skilled Nursing Center
515 East Orangeburg Avenue, Modesto, CA 95350
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 70 beds, Valley Skilled Nursing Center serves Modesto in Stanislaus County, California and has taken Medicare and Medicaid residents since 1969.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (10, 18, 20 by cycle, most recent first), none at the actual-harm level. That is 68.6 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 19.2%.
Compared with county, state and nation
| Measure | This facility | Stanislaus Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 42 | 44 | 28.7 |
| Citations per 100 beds | 68.6 | 57.7 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 19.2% | 37.5% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Mar 2025, 28 Jul 2023.
Severity mix: D ×27 E ×13 F ×6 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Apr 2026 |
| 10 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 10 Apr 2026 |
| 12 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Mar 2026 |
| 13 Jun 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 8 Jul 2025 |
| 6 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Complaint investigation | 28 May 2025 |
| 9 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Apr 2025 |
| 9 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Apr 2025 |
| 27 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Apr 2025 |
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Apr 2025 |
| 14 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Apr 2025 |
| 14 Mar 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 10 Apr 2025 |
| 15 Jan 2025 | F0758 | Implement 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. | D | Complaint investigation | 15 Feb 2025 |
| 13 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 Oct 2024 |
| 13 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 Oct 2024 |
| 22 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Dec 2023 |
| 22 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Dec 2023 |
| 28 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0761 | 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. | D | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 26 Oct 2023 |
| 28 Jul 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 26 Oct 2023 |
| 15 Apr 2022 | F0732 | Post nurse staffing information every day. | F | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0584 | 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. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 27 May 2022 |
| 15 Apr 2022 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 27 May 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 19.2%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.9% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.2% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hamoa Llc. Chain: Kalesta Healthcare Group (19 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| Texas Capital Bank Na | 5% or greater security interest | NOT APPLICABLE | 04/17/2025 |
| Ctr Partnership LP | Adp of the snf | NOT APPLICABLE | 10/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Stanislaus County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestwood Manor | Modesto | 194 | 5 | 5 | 4 | 19 | 9.8 | — | 2 May 2025 |
| Modesto Post Acute Center | Modesto | 99 | 5 | 4 | 4 | 29 | 29.3 | — | 20 Mar 2026 |
| Covenant Village Care Center | Turlock | 50 | 4 | 4 | 4 | 18 | 36.0 | — | 27 Jun 2025 |
| North Starr Postacute Care | Turlock | 31 | 4 | 4 | 3 | 23 | 74.2 | — | 8 May 2026 |
| Oakdale Nursing and Rehabilitation Center | Oakdale | 115 | 4 | 3 | 5 | 33 | 28.7 | — | 22 Mar 2025 |
| Ceres Postacute Care | Ceres | 46 | 3 | 3 | 3 | 37 | 80.4 | — | 28 Apr 2026 |
| English Oaks Convalescent & Rehabilitation Hospita | Modesto | 180 | 3 | 3 | 4 | 47 | 26.1 | — | 17 Jun 2026 |
| Main West Postacute Care | Turlock | 99 | 3 | 4 | 1 | 41 | 41.4 | — | 4 Feb 2026 |
All 17 facilities in Stanislaus County
Questions and answers
How many deficiencies has Valley Skilled Nursing Center been cited for?
48 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Valley Skilled Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Valley Skilled Nursing Center compare?
Reported total nurse staffing is 4.3 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Valley Skilled Nursing Center?
It is part of the Kalesta Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kalesta Healthcare Group, LLC. Individual owners and managers are not listed on this site.
When was Valley Skilled Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 10 Mar 2026; the most recent standard health survey was 14 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.