Total staff
228
Employees
226
Contractors
2
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Almond Vista Healthcare
Nursing Home · Modesto, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Almond Vista Healthcare
Nursing Home · Modesto, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Almond Vista Healthcare accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 181st out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 181st out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 0m per day
Rank #181 / 346Nurse hours — State benchmarkedThis home is ranked 181st out of 346 homes in California. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 346 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs California avg
-5%
Standout metric
LPN / LVN is +14% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 44% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 23m per day | ▲ 14% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▼ 13% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 51m per day | ▼ 6% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 53% State avg: 30m per day · National avg: 29m per day |
Types of Care at Almond Vista Healthcare
Nursing Home
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.1%
Rank #361 / 1407Occupancy rate — State benchmarkedThis home is ranked 361st out of 1407 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1407. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
65 days
Occupancy rate
88.1%
Rank #361 / 1407Occupancy rate — State benchmarkedThis home is ranked 361st out of 1407 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1407. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
65 days
Walk Score: 76 / 100 Rank #531 / 2096Walk Score — State benchmarkedThis home is ranked 531st out of 2096 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Rehabilitation Services
24-Hour Staffing
Religious ServicesYes
Operating HoursVisiting hours from 8 am until 8 pm; 24-hour access with prior arrangement.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.43:1
21% worse than California average
Avg staff/day
89
Average shift
9.2 hours
19% better than California average
Total staff hours (quarter)
75,132
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
109
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.8%
594 contractor hours this quarter
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 109 | 0 | 109 | 36,961 | 92 | 100% | 9.9 |
| Licensed Practical Nurse | 63 | 0 | 63 | 19,963 | 92 | 100% | 9.7 |
| Registered Nurse | 13 | 0 | 13 | 4,050 | 92 | 100% | 9.6 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,172 | 91 | 99% | 6.7 |
| RN Director of Nursing | 5 | 0 | 5 | 1,916 | 66 | 72% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,710 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,560 | 66 | 72% | 8.1 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 955 | 75 | 82% | 7 |
| Physical Therapy Aide | 3 | 0 | 3 | 794 | 68 | 74% | 6.5 |
| Physical Therapy Assistant | 5 | 0 | 5 | 708 | 84 | 91% | 5 |
| Qualified Activities Professional | 2 | 0 | 2 | 567 | 66 | 72% | 7.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 495 | 62 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 443 | 54 | 59% | 8.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 415 | 66 | 72% | 6.3 |
| Qualified Social Worker | 1 | 0 | 1 | 219 | 55 | 60% | 4 |
| Medical Director | 0 | 1 | 1 | 180 | 67 | 73% | 2.7 |
109 Certified Nursing Assistant
% of Days
100%
63 Licensed Practical Nurse
% of Days
100%
13 Registered Nurse
% of Days
100%
6 Speech Language Pathologist
% of Days
99%
5 RN Director of Nursing
% of Days
72%
4 Other Dietary Services Staff
% of Days
100%
3 Clinical Nurse Specialist
% of Days
72%
6 Respiratory Therapy Technician
% of Days
82%
3 Physical Therapy Aide
% of Days
74%
5 Physical Therapy Assistant
% of Days
91%
2 Qualified Activities Professional
% of Days
72%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
1 Occupational Therapy Aide
% of Days
68%
1 Dietitian
% of Days
67%
1 Mental Health Service Worker
% of Days
63%
1 Dental Services Staff
% of Days
59%
1 Occupational Therapy Assistant
% of Days
72%
1 Qualified Social Worker
% of Days
60%
1 Medical Director
% of Days
73%
Penalties and fines
Includes penalties issued in 2023-2025
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 Rank #282 / 354Federal fines — State benchmarkedThis home is ranked 282nd out of 354 homes in California. Shows this facility's cumulative CMS federal fine dollars versus the California average among facilities with fines, and where it ranks among 354 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
159
Medicare
19
11.9% of residents
Medicaid
112
70.4% of residents
Private pay or other
28
17.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
-$1.2M
↑ ~$178.6K vs 2022
Total Payroll
$14.4M
↑ ~$1.6M vs 2022
Profit Margin
-4.0%
↑ 1.5pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$29.9M
Operating loss
-$1.2M
Privately-owned community
Home revenue
$29.9M Rank #65 / 347Revenue — State benchmarkedThis home is ranked 65th out of 347 homes in California. Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #32 / 347Payroll — State benchmarkedThis home is ranked 32nd out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$14.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #32 / 347Payroll — State benchmarkedThis home is ranked 32nd out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$31.1M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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.
Places of interest near Almond Vista Healthcare
3.4 miles from city center
Estimated distance in miles from Modesto's city center to Almond Vista Healthcare's address, calculated via Google Maps.
— 1.7 miles to nearest hospital (Doctors Medical Center: Garcia Bonilla Julio C MD)
Calculate Travel Distance to Almond Vista Healthcare
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Financial Assistance for
Nursing Home in California
Almond Vista Healthcare is located in Modesto, California.
Here are the financial assistance programs available to residents in California.
Compare Nursing Home around Modesto
The information below is reported by the California Department of Social Services and Department of Public Health.
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| Almond Vista Healthcare |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Modesto | 175 | 88.1% | +4% | 4.01 | -36% | -5% | $34.1k | 63 | 6.3 | 7 | 165 | - | 76 | - | $29.9M | $14.4M | 48% | 555118 | ||||
| Garden City Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Modesto | 104 | 92.9% | +10% | 3.89 | -27% | -8% | $24.0k | 60 | 5.0 | 2 | 95 | A+ | 63 | Lawrence Moradkhani | $24.3M | $9.8M | 40.5% | 55185 |
Frequently Asked Questions about Almond Vista Healthcare
Is Almond Vista Healthcare in a walkable area?
Almond Vista Healthcare has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Are there photos of Almond Vista Healthcare?
Yes — there are 4 photos of Almond Vista Healthcare in the photo gallery on this page.
What is the phone number of Almond Vista Healthcare?
(209) 577-1055 will put you in contact with the team at Almond Vista Healthcare.
Is Almond Vista Healthcare Medicare or Medicaid certified?
Yes — Almond Vista Healthcare is a CMS-certified provider of Medicare and Medicaid.
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