27 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Modesto, CA
2-star overall rating with 2-star inspections with 27 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1611 Scenic Drive, Modesto, CA
(209) 523-5667
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kalesta Healthcare Group
Operator or chain grouping
Approved since
1969-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.48
Registered nurse staffing
LPN hours / resident day
1.24
Licensed practical nurse staffing
Aide hours / resident day
2.57
Nurse aide staffing
Weekend hours
3.92
Weekend nurse staffing
RN turnover
67%
Annual RN turnover
Total nurse turnover
57%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.6% |
98.5%
12.9 pts worse
|
93.4%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.8% |
98.2%
6.4 pts worse
|
95.5%
3.7 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
1.6%
1.7 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
6.8%
5.3 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 7.2% |
4.1%
3.1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.0% |
13.7%
23.3 pts worse
|
19.6%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.6% |
14.2%
2.4 pts worse
|
16.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.5% |
11.0%
9.5 pts better
|
16.3%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
10.7%
6.2 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.0%
0.7 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.2%
1.8 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.6% |
10.9%
0.7 pts worse
|
19.8%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
4.7%
2.6 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.2% |
94.0%
14.8 pts worse
|
81.7%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% |
11.2%
5.3 pts worse
|
12.0%
4.5 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
1.5%
2.6 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.4% |
93.2%
11.8 pts worse
|
79.7%
1.7 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
23.2%
3.7 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (9 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-11
Fire Safety
Use approved construction type or materials.
Corrected 2026-01-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-23
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2026-01-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2026-01-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-23
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2026-01-23
Fire Safety
List the names and contact information of those in the facility.
Corrected 2026-01-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-09-09
Fire Safety
Develop a communication plan.
Corrected 2024-09-09
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-09-09
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-09
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-09
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-09-05
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-09-05
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-09-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-05
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-09-05
Fire Safety
Use approved construction type or materials.
Corrected 2023-09-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-05
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-09-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-05
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2026-01-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-12
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 2026-01-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-12
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 2026-01-12
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-01-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-12
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2026-01-12
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2026-01-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-12
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-12
Health
Provide or obtain dental services for each resident.
Corrected 2026-01-12
Health
Provide enough food/fluids to maintain a resident's health.
Not marked corrected
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Not marked corrected
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Not marked corrected
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Not marked corrected
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Not marked corrected
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-30
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-15
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 2025-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-07
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 2025-05-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-04
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 2024-09-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-04
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-09-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-04
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-04
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-09-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-04
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-04
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-09-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-04
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-04
Health
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 2024-09-04
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-09-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-14
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-18
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-08-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-13
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 2023-08-13
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-13
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-13
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-08-13
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-13
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-08-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-13
Health
Post nurse staffing information every day.
Corrected 2023-08-13
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-08-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-13
Health
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 2023-08-13
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-08-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-07-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-05
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-02-17
Penalties and ownership
Payment Denial · denial start 2024-08-24 · 11 days
11 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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