ElderGrade
B

83.6/100

Above average

Valley Skilled Nursing Center

515 East Orangeburg Avenue, Modesto, CA 95350

CMS 4/5 stars #3 of 17 in Stanislaus County (209) 529-0516
Certified beds
70
Occupancy
75%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

28.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -1.4 for 21 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.87 total nurse hours per resident per day (national median 3.77)
  • 0.55 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 19% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.32 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.55 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.68 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 19.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 48 citations

Last standard health inspection: March 14, 2025 (1 year ago).

D Mar 10, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Mar 10, 2026 F0757 From a complaint

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Jun 13, 2025 F0557 From a complaint

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

No actual harm, potential for more than minimal harm

F May 6, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Apr 9, 2025 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Apr 9, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of KALESTA HEALTHCARE GROUP, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CLAWSON, SCOTT Individual INDIRECT OWNERSHIP INTEREST
TEXAS CAPITAL BANK NA Organization 5% OR GREATER SECURITY INTEREST
FIELDS, DOMONIQUE Individual CORPORATE DIRECTOR
FLAKE, ETHAN Individual CORPORATE DIRECTOR
MODI, ISHANKUMAR Individual CORPORATE DIRECTOR
MOSHER, STEVEN Individual CORPORATE DIRECTOR
MURRAY, JEFFREY Individual CORPORATE DIRECTOR
SOARES, MICHAEL Individual CORPORATE DIRECTOR
CHEN, KAI SHIN Individual CORPORATE OFFICER
CLAWSON, SCOTT Individual CORPORATE OFFICER
JONES, STEVEN Individual CORPORATE OFFICER
WILLIAMS, RYAN Individual CORPORATE OFFICER

What families say

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Common questions about Valley Skilled Nursing Center

What is the ElderGrade for Valley Skilled Nursing Center? +

Valley Skilled Nursing Center holds an ElderGrade of B (83.6 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Valley Skilled Nursing Center? +

Residents receive an average of 4.32 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Valley Skilled Nursing Center been cited for harming residents? +

No. None of the 48 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Valley Skilled Nursing Center accept Medicaid? +

Yes, Valley Skilled Nursing Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.