13 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Modesto, CA
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
515 East Orangeburg Avenue, Modesto, CA
(209) 529-0516
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kalesta Healthcare Group
Operator or chain grouping
Approved since
1969-07-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 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
0.32
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.18
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.61
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
0.26
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.25
CMS adjusted RN staffing hours
Adjusted total hours
3.32
CMS adjusted total nurse staffing hours
Case-mix index
1.72
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,779
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.37% · Performance 22.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.61
Baseline 8.81% · Performance 7.25% · Measure score 3.61 · Achievement 1.97 · Improvement 3.61
Total nurse turnover
5.79
Baseline 65.39% · Performance 40.00% · Measure score 5.79 · Achievement 5.79 · Improvement 5.76
Adjusted total nurse staffing
2.12
Baseline 3.58 hours · Performance 3.68 hours · Measure score 2.12 · Achievement 2.12 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.95% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 270 · Observed rate 14.07% · Lower 95% interval 9.65% |
| Discharge to community | 45.41% |
50.57%
5.2 pts worse
|
No Different than the National Rate · Eligible stays 320 · Observed rate 37.81% · Lower 95% interval 40.99% |
| Medicare spending per beneficiary | 1.45 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 224 · Denominator 224 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 224 |
| Discharge self-care score | 84.4% |
53.69%
30.7 pts better
|
Numerator 119 · Denominator 141 |
| Discharge mobility score | 68.79% |
50.94%
17.9 pts better
|
Numerator 97 · Denominator 141 |
| Pressure ulcers or injuries, new or worsened | 0.89% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 224 · Adjusted rate 0.87% |
| Healthcare-associated infections requiring hospitalization | 7.25% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 201 · Observed rate 7.46% · Lower 95% interval 5.26% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 85 |
| Staff flu vaccination coverage | 92.45% |
42%
50.5 pts better
|
Numerator 98 · Denominator 106 |
| Discharge function score | 80.85% |
56.45%
24.4 pts better
|
Numerator 114 · Denominator 141 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 71 · Denominator 71 |
| Transfer of health information to patient | 98.44% |
96.28%
2.2 pts better
|
Numerator 126 · Denominator 128 |
| Resident COVID-19 vaccinations up to date | 3.85% |
25.2%
21.3 pts worse
|
Numerator 4 · Denominator 104 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 3.9 · Expected 3.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.6
1 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.5 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.7% |
6.8%
23.9 pts worse
|
11.4%
19.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 20.8% · Q4 25.0% · 4Q avg 30.7% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.1%
4.1 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
13.7%
8.9 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 24.0% · Q4 19.2% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.7% |
14.2%
6.5 pts better
|
16.7%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.7% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.7% |
11.0%
0.3 pts better
|
16.3%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% |
10.7%
1.9 pts better
|
14.9%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 8.3% · Q4 8.0% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.9% |
1.0%
3.9 pts worse
|
1.0%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 3.1% · Q4 7.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.2%
0.1 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 3.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.8% |
10.9%
4.1 pts better
|
19.8%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 3.9% · Q4 7.4% · 4Q avg 6.8% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.7%
0.9 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 6.6% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
94.0%
5.6 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
11.2%
3.6 pts worse
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 16.7% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.5%
1.3 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.4% · Q3 1.3% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
93.2%
6.2 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
23.2%
0.8 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 28.6% · Expected 30.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Nutrition and Dietary (7 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-28
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-04-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-28
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-03-19
Fire Safety
Develop a communication plan.
Corrected 2025-04-02
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-04-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-02
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-03-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-08
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-19
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-04-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-14
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-14
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-08-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-08-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-14
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-08-14
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-08-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-05-16
Fire Safety
Use approved construction type or materials.
Corrected 2022-05-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-05-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-16
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-05-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-05-16
Inspection history
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-07-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-10
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-10
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 2025-04-10
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-04-10
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 2025-02-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-07
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 2024-10-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-26
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-10-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-26
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 2023-10-26
Health
Dispose of garbage and refuse properly.
Corrected 2023-10-26
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-10-26
Health
Post nurse staffing information every day.
Corrected 2022-05-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-27
Health
Dispose of garbage and refuse properly.
Corrected 2022-05-27
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-27
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 2022-05-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-05-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-05-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-05-27
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-05-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-05-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-05-27
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 2022-05-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-27
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-05-27
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 2022-05-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-05-27
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2022-05-27
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-05-27
Penalties and ownership
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
Nearby options
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