Modesto Post Acute Center
159 E. Orangeburg Avenue, Modesto, CA 95350 · Stanislaus County · 99 certified beds · avg 95 residents/day · certified since Dec 7, 1967
Part of chain: CAMBRIDGE HEALTHCARE SERVICES (32 facilities, chain avg rating 2.5★)
4/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.85
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 12, 2024 · F-0550 · triggered by a complaint
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 7, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 20, 2026 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 20, 2026 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 12, 2024 | ▲ G · Actual harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 1, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Feb 20, 2020 | F · Potential for harm, facility-wide | The facility did not have enough backup water supply for essential areas of the building. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 8 | 0 | F |
| 2024 | 10 | 1 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 10 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.85 | 4.31 | 3.95 | bottom 30% in California; top 46% in the U.S. |
| Registered Nurse hours | 0.77 | 0.61 | 0.69 | top 19% in California; top 30% in the U.S. |
| Weekend total nurse staffing | 3.58 | 3.90 | 3.50 | bottom 37% in California; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.51 | 0.48 | top 35% in California; top 37% in the U.S. |
| Total nursing staff turnover (%) | 36.8 | 36.7 | 45.8 | bottom 48% in California; top 28% in the U.S. |
| RN turnover (%) | 40.9 | 38.1 | 42.9 | bottom 42% in California; top 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.02, RN 0.80, weekend 3.74. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bering Properties LLC | Organization | 5% or Greater Indirect Ownership Interest | 6% | 02/01/2007 |
| BH Alliance | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2006 |
| Crescent Facilities Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/19/2006 |
| Jenmax Enterprises LLC | Organization | 5% or Greater Indirect Ownership Interest | 23% | 02/01/2007 |
| JK-CSH JV LLC | Organization | 5% or Greater Indirect Ownership Interest | 12% | 11/01/2006 |
| Manhattan Five Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | 7% | 11/01/2006 |
| The Jacob Wintner Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2006 |
| The Wintner Living Trust Dated 7/08/1992 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2007 |
| Win Win Enterprises, LLC | Organization | 5% or Greater Indirect Ownership Interest | 35% | 02/01/2007 |
| Wintner, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2007 |
| 159 East Orangeburg LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2006 |
| Bretsch, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/25/2019 |
| Bretsch, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2019 |
| Bretsch, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2019 |
| Butenko, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Butenko, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2023 |
| Cambridge Healthcare Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
| Cambridge Healthcare Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/23/2025 |
| Capela, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Capela, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Valley Skilled Nursing Center | 0.0 mi | Modesto, CA | ★★★★☆ | 4/5 | |
| Golden Modesto Care Center | 0.7 mi | Modesto, CA | ★★☆☆☆ | 2/5 | |
| Garden City Healthcare Center | 1.1 mi | Modesto, CA | ★★☆☆☆ | 2/5 | |
| Crestwood Manor | 1.2 mi | Modesto, CA | ★★★★★ | 5/5 | |
| River View Post Acute | 1.4 mi | Modesto, CA | ★★☆☆☆ | 2/5 | |
| Almond Vista Healthcare | 2.2 mi | Modesto, CA | ★☆☆☆☆ | 1/5 | |
| English Oaks Convalescent & Rehabilitation Hospita | 3.0 mi | Modesto, CA | ★★★☆☆ | 3/5 | |
| Vintage Faire Nursing & Rehabilitation Center | 3.8 mi | Modesto, CA | ★★★☆☆ | 2/5 | |
| Ceres Postacute Care | 4.2 mi | Ceres, CA | ★★★☆☆ | 3/5 | |
| Riverbank Post-Acute | 5.5 mi | Riverbank, CA | ★☆☆☆☆ | 1/5 | |
| Bethany Home Society San Joaquin County | 9.3 mi | Ripon, CA | ★★★★☆ | 4/5 | |
| Oakdale Nursing and Rehabilitation Center | 9.7 mi | Oakdale, CA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055849.