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No fines or payment denials in the published 3-year window.
Valley Skilled Nursing Center
515 East Orangeburg Avenue, Modesto, CA 95350 (opens Google Maps) · Stanislaus County · (209) 529-0516· 70 certified beds · avg 53 residents/day · certified since Jul 16, 1969 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: KALESTA HEALTHCARE GROUP (19 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Mar 14, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 48 inspection findings. Open the full record below to read every finding.
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. · from a complaint F-0657
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint F-0757
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. · from a complaint F-0656
View all 48 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 10, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0657 |
| Mar 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757 |
| Feb 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0656 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557 |
| May 6, 2025 | F · Potential for more than minimal harm, widespread | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0656 |
| Mar 14, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Mar 14, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Mar 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Mar 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Mar 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Mar 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Mar 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint · F-0758 |
| Aug 13, 2024 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Aug 13, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0657 |
| Nov 22, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Nov 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Jul 28, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 28, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jul 28, 2023 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| Jul 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Jul 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jul 28, 2023 | B · Potential for minimal harm, pattern | 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. · F-0912 |
| Apr 15, 2022 | F · Potential for more than minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Apr 15, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 15, 2022 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Apr 15, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Apr 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808 |
| Apr 15, 2022 | B · Potential for minimal harm, pattern | 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. · F-0912 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 7).
All citationsSerious citations (G–L)
2022
All citations: 18
Serious citations (G–L): 0
2023
All citations: 11
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 14
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 18 | 0 | F |
| 2023 | 11 | 0 | F |
| 2024 | 2 | 0 | E |
| 2025 | 14 | 0 | F |
| 2026 | 3 | 0 | D |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.87
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.50
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.30
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 4.31 | 3.95 | bottom 32% in California; top 45% in the U.S. |
| Registered Nurse hours | 0.50 | 0.61 | 0.69 | top 47% in California; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.90 | 3.50 | bottom 17% in California; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.51 | 0.48 | top 30% in California; top 32% in the U.S. |
| Total nursing staff turnover (%) | 19.2 | 36.7 | 45.8 | top 6% in California; top 2% in the U.S. |
| RN turnover (%) | 40.0 | 38.1 | 42.9 | bottom 47% in California; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.32, RN 0.55, weekend 3.68.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.32 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Valley Skilled Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clawson, Scott | Individual | 5% or Greater Indirect Ownership Interest | 48% | 10/01/2019 |
| Clawson, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2021 |
| Kalesta Healthcare Group, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2019 |
| Williams, Ryan | Individual | 5% or Greater Indirect Ownership Interest | 48% | 10/01/2019 |
| Blake, Martha | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Cardoso, Eldberto | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2022 |
| Chen, Kai Shin | Individual | Corporate Officer | NOT APPLICABLE | 01/04/2021 |
| Chen, Kai Shin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/04/2021 |
| Clawson, Scott | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2019 |
| Duran, Juana | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/02/2019 |
| Fields, Domonique | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
| Fields, Domonique | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Flake, Ethan | Individual | Corporate Director | NOT APPLICABLE | 10/07/2024 |
| Flake, Ethan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2024 |
| Jones, Steven | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Jones, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Modi, Ishankumar | Individual | Corporate Director | NOT APPLICABLE | 11/04/2019 |
| Modi, Ishankumar | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/04/2019 |
| Mosher, Steven | Individual | Corporate Director | NOT APPLICABLE | 07/08/2024 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Kalesta Healthcare Group — 19 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Saint Helens Post Acute — Saint Helens, OR · overall 2/5abuseSFF
- Willow Creek Post Acute — Madras, OR · overall 3/5
- Bellevue Post Acute — Bellevue, WA · overall 3/5
- Bremerton Trails Post Acute — Bremerton, WA · overall 1/5SFF
- Edmonds Post Acute — Edmonds, WA · overall 1/5
- Olympic View Post Acute — Port Angeles, WA · overall 1/5
- Othello Post Acute — Othello, WA · overall 3/5
- Port Washington Post Acute — Bremerton, WA · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 18 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 19% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 18 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Modesto Post Acute 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 →
Other facilities in the same county
CMS records place this facility in Stanislaus, CA — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Covenant Village Care Center — Turlock, CA · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 055869.