Almond Vista Healthcare

Nursing Home in Modesto

CMS overall rating Info 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 in Modesto

CMS overall rating Info 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.
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Almond Vista Healthcare accepts Medicare, Medicaid, and private pay.

Overview of Almond Vista Healthcare

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. 

Managed by Harris LaChance

Administrator

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5 ▼ 2.1 California average: 3.1/5
Health Inspection Info 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.
1/5 ▼ 1.8 California average: 2.8/5
Staffing Info 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.
3/5 ▼ 0.1 California average: 3.1/5
Quality Measures Info 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.
4/5 ▼ 0.1 California average: 4.1/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to California state averages

Total nursing care / resident Info This home is ranked 148th out of 271 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 #148 / 271Nurse hours — state benchmarkedThis home is ranked 148th out of 271 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 271 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility California avg (4h 13m per day)
vs California avg
-5%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +14% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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
Total Nursing (Weekend) Info 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 Info 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
RN (Weekend) Info 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

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the California average: 84.7%
Occupancy rate 88.1% Rank #110 / 277Occupancy rate — state benchmarkedThis home is ranked 110th out of 277 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 277. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 65 days
Occupancy rate
88.1% Rank #110 / 277Occupancy rate — state benchmarkedThis home is ranked 110th out of 277 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 277. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
65 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

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

Privately-owned community
Home revenue
$29.9M
Operating loss
-$1.2M
Privately-owned community
Home revenue
$29.9M Rank #36 / 275Revenue — state benchmarkedThis home is ranked 36th out of 275 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 %.
Operating loss
-$1.2M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #28 / 275Payroll — state benchmarkedThis home is ranked 28th out of 275 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.
$12.0M
40.3% of revenue Rank #152 / 275Payroll % — state benchmarkedThis home is ranked 152nd out of 275 homes in California.Shows payroll as a percentage of revenue versus the California average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.0M
Total costs $31.1M
Walk Score
Walk Score: 76 / 100 Rank #63 / 229Walk Score — state benchmarkedThis home is ranked 63rd out of 229 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsActivities
Religious ServicesYes
Operating HoursVisiting hours from 8 am until 8 pm; 24-hour access with prior arrangement.

Types of Care at Almond Vista Healthcare

Nursing Home

Contact Almond Vista Healthcare

Health Inspection History

Inspections
Total health inspections 10

California average 12.5


Last Health inspection on May 2025

Total health citations
63 Rank #219 / 275Health citations — state benchmarkedThis home is ranked 219th out of 275 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 275 CA SNFs. Lower citation counts earn a better rank.

California average 50.2

Citations per inspection
6.3 Rank #232 / 275Citations per inspection — state benchmarkedThis home is ranked 232nd out of 275 homes in California.Shows average deficiency citations per CMS inspection for this facility versus the California mean across 275 SNFs with citation data. Lower is better.

California average 4.65


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 More info
2
400% worse than California average

California average: 0.4


Serious Health citations More info 5
400% worse than California average

California average: 1

2 critical citations More info California average: 0.4

5 serious citations More info California average: 1

56 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. May 06, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 06, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 06, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. May 06, 2025
Corrected

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.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority
General California resident, low-income, utility/heating need.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-focused.
CA

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

Benefits
Utility payments (avg. $500-$1,000/year) Weatherization (e.g., insulation, avg. $1,000-$3,000 savings)

Places of interest near Almond Vista Healthcare

Address 3.4 miles from city center Info 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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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 256
Employees 254
Contractors 2
Staff to resident ratio 1.61:1
1609963% better than California average

California average ratio: 0.00:1

Avg staff/day 95
Average shift 8.7 hours
13% better than California average

California average: 7.7 hours

Total staff hours (quarter) 75,408
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 128
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.7%

557 contractor hours this quarter

Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant128012837,20391100%9.2
Licensed Practical Nurse6306319,39591100%9.4
Registered Nurse120123,52991100%10
Speech Language Pathologist7072,5088998%6.9
RN Director of Nursing8082,0346673%7.8
Other Dietary Services Staff4041,70891100%7.9
Clinical Nurse Specialist3031,4996673%8.3
Physical Therapy Aide5051,3036673%6.5
Respiratory Therapy Technician8081,1427987%6.6
Qualified Activities Professional2027817178%8.5
Physical Therapy Assistant7077758593%4.6
Dental Services Staff1016267481%8.5
Administrator1015206571%8
Nurse Practitioner1015206571%8
Occupational Therapy Aide1015206571%8
Dietitian1014605662%8.2
Occupational Therapy Assistant0114366571%6.7
Qualified Social Worker1012966268%4.8
Medical Director0111215156%2.4
Mental Health Service Worker1013244%8
128 Certified Nursing Assistant
% of Days 100%
63 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
7 Speech Language Pathologist
% of Days 98%
8 RN Director of Nursing
% of Days 73%
4 Other Dietary Services Staff
% of Days 100%
3 Clinical Nurse Specialist
% of Days 73%
5 Physical Therapy Aide
% of Days 73%
8 Respiratory Therapy Technician
% of Days 87%
2 Qualified Activities Professional
% of Days 78%
7 Physical Therapy Assistant
% of Days 93%
1 Dental Services Staff
% of Days 81%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 71%
1 Occupational Therapy Aide
% of Days 71%
1 Dietitian
% of Days 62%
1 Occupational Therapy Assistant
% of Days 71%
1 Qualified Social Worker
% of Days 68%
1 Medical Director
% of Days 56%
1 Mental Health Service Worker
% of Days 4%

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.

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 Info 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 average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.8
In line with California average

California average: 11.3

Long-stay resident measures
Significantly above average California avg: 4.2 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 6.2%
44% better than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.5%
12% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 12.9%
14% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.1%
85% worse than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.6%
53% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
46% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
6% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
88% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.1%
10% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
In line with California average

California average: 98.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.60
60% worse than California average

California average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.16
36% worse than California average

California average: 1.59

Short-stay resident measures
Above average California avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
56% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
In line with California average

California average: 93.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.9%
33% worse than California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.3%
54% worse than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
29% better than California average

California average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 61.2%
14% better than California average

California average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 66.5%
32% better than California average

California average: 50.6%

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 average

California average: $55K

Number of fines 6
154% more fines than California average

California average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than California average

California 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 16, 2025
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 2, 2024
$3K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 11, 2023
$7K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 20, 2023
$2K

Last updated: Jan 2026

Compare Nursing Homes around Modesto The information below is reported by the California Department of Social Services and Department of Public Health.

5 facilities compared · CMS & CA Dept. of Health data · Updated Apr 2026

Filter by care type
English Oaks Convalescent & Rehabilitation Hospital
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

Modesto180 80.2% -5%4.27 -45%+1%0564.71162- 69 Hill, Deanna$27.3M$12.4M45.3%555190
Valley Skilled Nursing
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).

Modesto70 62.2% -27%3.38 -6%-20%0464.2052A+ 65 -$12.4M$4.9M39.8%55869
Golden Modesto
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).

Modesto120 77.7% -8%4.42 -33%+5%14773.110107- 74 -$11.4M$4.5M39.5%56301
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).

Modesto175 88.1% +4%4.01 -45%-5%6636.37165- 76 -$29.9M$12.0M40.3%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).

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