Total health inspections
10
California average 12.5
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Almond Vista Healthcare
Nursing Home
Almond Vista Healthcare
Nursing Home
Almond Vista Healthcare is one Modesto’s skilled nursing facilities offering skilled nursing and rehabilitative services. They take pride in their quality skilled nursing services, where their residents receive 24/7 care and supervision, medication management, incontinence care, as well as memory care for residents living with Alzheimer’s and other forms of dementia. For residents or patients in their final stages of life, hospice care is also available.
This skilled nursing facility also provides weekly and monthly health monitoring and lab testing. They also provide a dietary program wherein they provide meals that are dietician approved, as well as oral supplements if required.
Harris LaChance serves as the Administrator at Almond Vista Healthcare, leading the community with a focus on providing quality care and support. As the community's Administrator, Harris ensures smooth operations and fosters a welcoming environment for residents and their families.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
175
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.1%
Residents per day (avg)
165
Occupancy rate
88.1%
Residents per day (avg)
165
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
77% of new residents, often for short stays.
Typical stay
20 days
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Proprietary home
Other
Home revenue
$29.9M
Operating loss
-$1.2M
Proprietary home
Other
Home revenue
$29,882,161.00
Operating loss
$-1,194,430.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$31.1M
Walk Score: 76 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Activities, Social Services
Religious Services
Yes
Operating Hours
Visiting hours from 8 am until 8 pm; 24-hour access with prior arrangement.
Types of Care at Almond Vista Healthcare
Nursing Home
Compare Nursing Homes around Modesto
The information below is reported by the California Department of Social Services and Department of Public Health.
English Oaks Convalescent & Rehabilitation Hospital
-45%
+1%
-5%
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Modesto
180
No
-
69
HILL, DEANNA
80.2%
$27,345,654.00
$12,385,632.00
45.3%
161.60
4.2746
-
56
1
-45%+1%-5%
Valley Skilled Nursing
-6%
-20%
-27%
SNF
Nursing Homes 24/7 care needed
Modesto
70
No
A+
65
-
62.2%
$12,300,502.00
$4,932,577.00
40.1%
52.00
3.3816
-
46
-
-6%-20%-27%
Golden Modesto
-33%
+5%
-8%
SNF
Nursing Homes 24/7 care needed
Modesto
120
No
-
74
-
77.7%
$11,357,047.00
$4,482,675.00
39.5%
107.30
4.4216
14
77
10
-33%+5%-8%
Almond Vista Healthcare
-45%
-5%
+4%
SNF
Nursing Homes 24/7 care needed
Modesto
175
No
-
76
-
88.1%
$29,663,379.00
$12,030,877.00
40.6%
164.50
4.0073
6
63
7
-45%-5%+4%
Garden City Healthcare Center
-9%
-8%
+10%
SNF
Nursing Homes 24/7 care needed
Modesto
104
No
A+
63
MORADKHANI, LAWRENCE
92.9%
$24,270,351.00
$7,933,803.00
32.7%
95.20
3.8858
2
60
2
-9%-8%+10%
English Oaks Convalescent & Rehabilitation Hospital
Type of care:
MC
SNF
Community:
Modesto
Bed Count:
180
Pets Allowed:
No
Operator:
HILL, DEANNA
CCN:
555190
Occupancy:
80.2%
Home Revenue:
$27,345,654.00
Payroll Costs:
$12,385,632.00
Payroll %:
45.3%
Avg Residents/Day:
161.60
Overall Rating:
Adj Nurse Hours:
4.2746
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
56
Severe Citations:
1
RN share vs State Avg:
-45%
-45%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
-5%
-5%
Valley Skilled Nursing
Type of care:
SNF
Community:
Modesto
Bed Count:
70
Pets Allowed:
No
CCN:
55869
Occupancy:
62.2%
Home Revenue:
$12,300,502.00
Payroll Costs:
$4,932,577.00
Payroll %:
40.1%
Avg Residents/Day:
52.00
Overall Rating:
Adj Nurse Hours:
3.3816
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
46
RN share vs State Avg:
-6%
-6%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-27%
-27%
Golden Modesto
Type of care:
SNF
Community:
Modesto
Bed Count:
120
Pets Allowed:
No
CCN:
56301
Occupancy:
77.7%
Home Revenue:
$11,357,047.00
Payroll Costs:
$4,482,675.00
Payroll %:
39.5%
Avg Residents/Day:
107.30
Overall Rating:
Adj Nurse Hours:
4.4216
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
14
Citations:
77
Severe Citations:
10
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-8%
-8%
Almond Vista Healthcare
Type of care:
SNF
Community:
Modesto
Bed Count:
175
Pets Allowed:
No
CCN:
555118
Occupancy:
88.1%
Home Revenue:
$29,663,379.00
Payroll Costs:
$12,030,877.00
Payroll %:
40.6%
Avg Residents/Day:
164.50
Overall Rating:
Adj Nurse Hours:
4.0073
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
63
Severe Citations:
7
RN share vs State Avg:
-45%
-45%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+4%
+4%
Garden City Healthcare Center
Type of care:
SNF
Community:
Modesto
Bed Count:
104
Pets Allowed:
No
Operator:
MORADKHANI, LAWRENCE
CCN:
55185
Occupancy:
92.9%
Home Revenue:
$24,270,351.00
Payroll Costs:
$7,933,803.00
Payroll %:
32.7%
Avg Residents/Day:
95.20
Overall Rating:
Adj Nurse Hours:
3.8858
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
60
Severe Citations:
2
RN share vs State Avg:
-9%
-9%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+10%
+10%Places of interest near Almond Vista Healthcare
3.4 miles from city center — 1.7 miles to nearest hospital (Doctors Medical Center: Garcia Bonilla Julio C MD)
2030 Evergreen Ave, Modesto, CA 95350
Calculate Travel Distance to Almond Vista Healthcare
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
256
Total Staff
254
Employees
2
Contractors
75,408
Total Hours (Quarter)
95
Avg Staff/Day
8.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 10 | No |
| Licensed Practical Nurse | 63 | 9.4 | No |
| Certified Nursing Assistant | 128 | 9.2 | No |
Staff by Category
Administration ⓘ
2 staff
5.5hs shift avg
Nursing Staff ⓘ
211 staff
9.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.2hs shift avg
Therapy Services ⓘ
29 staff
6.4hs shift avg
Activities & Recreation ⓘ
2 staff
8.5hs shift avg
Social Services ⓘ
1 staff
4.8hs shift avg
Dietary Services ⓘ
5 staff
8hs shift avg
Other Services ⓘ
2 staff
8.4hs shift avg
Contractor Analysis
0.7%
of total hours from contractors
557 contractor hours this quarter
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 128 | 0 | 128 | 37,203 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 63 | 0 | 63 | 19,395 | 91 | 100% | 9.4 |
| Registered Nurse | 12 | 0 | 12 | 3,529 | 91 | 100% | 10 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,508 | 89 | 98% | 6.9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,034 | 66 | 73% | 7.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,708 | 91 | 100% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,499 | 66 | 73% | 8.3 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,303 | 66 | 73% | 6.5 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 1,142 | 79 | 87% | 6.6 |
| Qualified Activities Professional | 2 | 0 | 2 | 781 | 71 | 78% | 8.5 |
| Physical Therapy Assistant | 7 | 0 | 7 | 775 | 85 | 93% | 4.6 |
| Dental Services Staff | 1 | 0 | 1 | 626 | 74 | 81% | 8.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 460 | 56 | 62% | 8.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 436 | 65 | 71% | 6.7 |
| Qualified Social Worker | 1 | 0 | 1 | 296 | 62 | 68% | 4.8 |
| Medical Director | 0 | 1 | 1 | 121 | 51 | 56% | 2.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 32 | 4 | 4% | 8 |
Health Inspection History
Inspections
Total health citations
63
Citations per inspection
6.3
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
55 of 63 citations resulted from standard inspections; and 8 of 63 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
400% worse than California averageCalifornia average: 0.4
Serious Health citations
5
5
400% worse than California averageCalifornia average: 1
2 critical citations
5 serious citations
56 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
May 06, 2025
Corrected
Infection Control moderate citation
May 06, 2025
Corrected
Infection Control moderate citation
May 06, 2025
Corrected
Nursing Services moderate citation
May 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
159
Total Residents
Medicare
19
(11.9%)
ⓘ
Medicaid
112
(70.4%)
ⓘ
Private Pay/Other
28
(17.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
In line with California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.8
In line with California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.2%
Percent of long-stay residents whose need for help with daily activities has increased
6.2%
44% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.5%
Percent of long-stay residents whose ability to move independently worsened
13.5%
12% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.9%
14% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
85% worse than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
53% worse than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
46% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
6% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
88% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.1%
Percent of long-stay residents who received an antipsychotic medication
9.1%
10% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.60
Number of hospitalizations per 1,000 long-stay resident days.
3.60
60% worse than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
36% worse than California averageCalifornia average: 1.59
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
56% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with California averageCalifornia average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.9%
33% worse than California averageCalifornia average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.3%
54% worse than California averageCalifornia average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
29% better than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
61.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
61.2%
14% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.5%
Rate of successful return to home or community from a skilled nursing facility.
66.5%
32% better than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$34K
38% lower than California averageCalifornia average: $55K
Number of fines
6
154% more fines than California averageCalifornia average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$34K
California average
$55K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 16, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 16, 2025
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024
$3K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 2023
$7K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2023
$2K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Almond Vista Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
88.1%
↑ 6.0pp vs 2022
Net Income
-$1,194,430
↑ ~$179K vs 2022
Total Payroll
$14,357,054
↑ ~$1.6M vs 2022
Profit Margin
-4.0%
↑ 1.5pp vs 2022
Loading trend charts...
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