Quick answers
- Where is Valley Skilled Nursing Center?
- 515 East Orangeburg Avenue, Modesto, CA 95350, in Stanislaus County, California.
- What is the phone number of Valley Skilled Nursing Center?
- (209) 529-0516, as listed by Medicare (CMS).
- What is the Medicare star rating of Valley Skilled Nursing Center?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Valley Skilled Nursing Center been fined?
- Medicare lists no fines for Valley Skilled Nursing Center.
- What did inspectors find at Valley Skilled Nursing Center?
- In its last three inspection cycles (April 15, 2022 to March 10, 2026), Medicare lists 48 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 15, 2022 to March 10, 2026), Valley Skilled Nursing Center had 48 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.69 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 14, 2025 — 10 health citations
Inspections in this cycle: March 14, 2025 (standard health inspection); February 12, 2026 (complaint investigation); March 10, 2026 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
Previous cycle: July 28, 2023 — 16 health citations
Inspections in this cycle: July 28, 2023 (standard health inspection); January 15, 2025 (complaint investigation); March 27, 2025 (complaint investigation); April 9, 2025 (complaint investigation); May 6, 2025 (complaint investigation); June 13, 2025 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0842 Level F
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0758 Level D
“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.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
F0814 Level D
“Dispose of garbage and refuse properly.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Earlier cycle: April 15, 2022 — 22 health citations
Inspections in this cycle: April 15, 2022 (standard health inspection); November 22, 2023 (complaint investigation); August 13, 2024 (complaint investigation).
Show 22 citations (levels A to F, no actual harm)
F0732 Level F
“Post nurse staffing information every day.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0814 Level F
“Dispose of garbage and refuse properly.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0802 Level E
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0801 Level D
“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.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0808 Level D
“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.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (35)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0004 Level E
“Develop and maintain an Emergency Preparedness Program (EP).”
E0013 Level E
“Develop Emergency Preparedness policies and procedures.”
E0029 Level E
“Develop a communication plan.”
E0036 Level E
“Establish emergency prep training and testing.”
E0041 Level E
“Implement emergency and standby power systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level D
“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.”
K0342 Level D
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0004 Level E
“Develop and maintain an Emergency Preparedness Program (EP).”
E0015 Level E
“Address subsistence needs for staff and patients.”
E0030 Level E
“List the names and contact information of those in the facility.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
E0039 Level D
“Conduct testing and exercise requirements.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0325 Level D
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0161 Level D
“Use approved construction type or materials.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.62 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.20 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.87 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.69 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.06 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.58 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 25.0% | 36.6% | 45.3% |
| RN turnover (per year) | 60.0% | 37.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 19 nursing homes: Kalesta Healthcare Group.
Legal business name: Hamoa LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | Direct owner | 100% | October 1, 2019 |
| Clawson, Scott | Indirect owner | 48% | October 1, 2019 |
| Williams, Ryan | Indirect owner | 48% | October 1, 2019 |
| Clawson, Scott | Indirect owner | NOT APPLICABLE | March 1, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 70 |
| Average residents per day | 52 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Kalesta Healthcare Group |
| Legal business name | Hamoa LLC |
| First approved by Medicare/Medicaid | 1969-07-16 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 515 East Orangeburg Avenue, Modesto, CA 95350 |
| County | Stanislaus County |
| State | California |
| Phone | (209) 529‑0516 |
| CMS Certification Number | 055869 |
| Name in Medicare records | VALLEY SKILLED NURSING CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Modesto Post Acute Center0.0 mi · Modesto, CA · 5 of 5 stars
- Golden Modesto Care Center0.7 mi · Modesto, CA · 2 of 5 stars
- Garden City Healthcare Center1.1 mi · Modesto, CA · 2 of 5 stars
- Crestwood Manor1.2 mi · Modesto, CA · 5 of 5 stars
- River View Post Acute1.4 mi · Modesto, CA · 1 of 5 stars
Nearest hospital emergency rooms
- Doctors Medical Center0.4 mi · Modesto, CA · Acute Care Hospital
- Memorial Medical Center0.9 mi · Modesto, CA · Acute Care Hospital
- Oak Valley Hospital District9.6 mi · Oakdale, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13