Valley Skilled Nursing Center
515 East Orangeburg Avenue · Modesto, CA · 95350 · 2095290516
70 certified beds For profit - Limited Liability company Chain: Kalesta Healthcare Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.92 | ≈ weekday level |
| Nursing turnover / year | 18% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D March 10, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 10, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 8, 2025 · Resident Rights
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Potential for harm · F May 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 10, 2025 · Nutrition and Dietary
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Potential for harm · E March 14, 2025
Provide and implement an infection prevention and control program.
Corrected April 10, 2025 · Infection Control
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Potential for harm · D January 15, 2025 · found via complaint
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.
Corrected February 15, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 13, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · D November 22, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 8, 2023 · Infection Control
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Potential for harm · D July 28, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 26, 2023 · Resident Rights
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Potential for harm · E July 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 26, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055869 · certified since July 16, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.