8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Modesto, CA
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
159 E. Orangeburg Avenue, Modesto, CA
(209) 526-2811
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cambridge Healthcare Services
Operator or chain grouping
Approved since
1967-12-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
32 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.73
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.66
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.98
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
4,397
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.14
Composite VBP score used to determine payment impact.
Payment multiplier
0.9931
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.43
Baseline 19.86% · Performance 20.77% · Measure score 1.43 · Achievement 1.43 · Improvement 0
Healthcare-associated infections
5.51
Baseline 6.25% · Performance 6.19% · Measure score 5.51 · Achievement 5.51 · Improvement 0
Total nurse turnover
5.69
Baseline 45.35% · Performance 40.40% · Measure score 5.69 · Achievement 5.69 · Improvement 1.91
Adjusted total nurse staffing
3.42
Baseline 3.77 hours · Performance 4.05 hours · Measure score 3.42 · Achievement 3.42 · Improvement 0.89
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 124 · Observed rate 7.26% · Lower 95% interval 6.49% |
| Discharge to community | 51.31% |
50.57%
0.7 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 42.64% · Lower 95% interval 40.94% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.6% |
95.27%
5.7 pts worse
|
Numerator 112 · Denominator 125 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 1 · Denominator 125 |
| Discharge self-care score | 40.74% |
53.69%
12.9 pts worse
|
Numerator 33 · Denominator 81 |
| Discharge mobility score | 50.62% |
50.94%
0.3 pts worse
|
Numerator 41 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 0.8% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 125 · Adjusted rate 0.69% |
| Healthcare-associated infections requiring hospitalization | 6.19% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 82 · Observed rate 4.88% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 4.38% |
8.2%
3.8 pts worse
|
Numerator 6 · Denominator 137 |
| Staff flu vaccination coverage | 95.31% |
42%
53.3 pts better
|
Numerator 305 · Denominator 320 |
| Discharge function score | 49.38% |
56.45%
7.1 pts worse
|
Numerator 40 · Denominator 81 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 42 · Denominator 42 |
| Transfer of health information to patient | 94% |
96.28%
2.3 pts worse
|
Numerator 47 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 24.64% |
25.2%
0.6 pts worse
|
Numerator 17 · Denominator 69 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
98.5%
0.2 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.7% · Q3 97.5% · Q4 98.8% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.6% |
98.2%
11.6 pts worse
|
95.5%
8.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
1.6%
0.3 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.3% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
6.8%
2.6 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.9% · Q3 5.5% · Q4 2.7% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
4.1%
1.5 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.4% · Q3 0.0% · Q4 3.0% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.4% |
13.7%
14.7 pts worse
|
19.6%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 30.4% · Q3 26.9% · Q4 26.5% · 4Q avg 28.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
14.2%
1.2 pts worse
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 25.0% · Q3 11.1% · Q4 6.1% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.0% |
11.0%
3 pts worse
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 14.6% · Q3 13.7% · Q4 7.0% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
10.7%
5 pts worse
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 28.1% · Q3 6.7% · Q4 10.0% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.2%
0.9 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.8% |
10.9%
14.9 pts worse
|
19.8%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 30.0% · Q3 21.5% · Q4 28.4% · 4Q avg 25.8% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.7%
3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
94.0%
3.5 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 98.6% · Q3 97.5% · Q4 96.8% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
11.2%
0.1 pts worse
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 13.2% · Expected 13.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.1% |
93.2%
1.9 pts better
|
79.7%
15.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
23.2%
3.9 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 22.0% · Expected 27.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-09-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-09-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-10
Fire Safety
Provide emergency officials' contact information.
Corrected 2020-08-29
Fire Safety
Use approved construction type or materials.
Corrected 2020-08-29
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2020-08-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-08-29
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2020-08-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-02-19
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2019-02-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-02-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-02-19
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-02-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-19
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-02-19
Fire Safety
Use approved construction type or materials.
Corrected 2019-02-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-19
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-07
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-10-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-06
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-09-06
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-09-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-06
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-09-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-27
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2021-01-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-01-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-01-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-01-26
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2021-01-26
Health
Provide and implement an infection prevention and control program.
Corrected 2021-01-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-01-26
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2021-01-26
Health
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.
Corrected 2019-03-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-03-15
Health
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.
Corrected 2019-03-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-03-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-03-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-03-15
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2019-03-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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