Medium-capacity home · Offers a balance of services and community atmosphere.
Casa De Modesto
Casa De Modesto is a pet-friendly senior living community located in Modesto, CA, providing assisted living and memory care services. This exemplary senior living community offers studio-type, and one-to-two bedroom accommodations that are handicap accessible, and features wheelchair accessible showers. Part of the services they provide in their different levels of care include incontinence care and diabetic care, as well as round-the-clock availability of staff for supervision as well as assistance.
Casa De Modesto boasts of their well thought amenities, designed specifically to promote physical and mental activity, contributing to the residents overall health and well being. Some of their amenities include indoor and outdoor common areas and walking paths, grooming services, fitness center, and game room. The community also employs wander guards, providing an additional layer of security to the already enclosed premises.
Community insights.
Based on 88 residents and 160 beds. Source: state inspection report (Feb 2026)
About This Community
Casa De Modesto is legally operated by Noble Healthcare At Home Inc, and administered by Stephany Issakhani.
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
• Total citations (100% below)
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
| 0 | 7.0 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 7).↓ 100% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
| 8 | 19.0 | This facility has had 58% fewer total inspections than the California average (8 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 58% fewer |
|
Complaint visits
| 4 | 6.0 | This facility has had 33% fewer complaint visits than the California average (4 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer |
|
Other visits
| 3 | 4.0 | This facility has had 25% fewer other visits than the California average (3 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
|
Official inspections
| 1 | 4.0 | This facility has had 75% fewer official inspections than the California average (1 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 75% fewer |
|
Complaint investigations
| 4 | 8.0 | This facility has had 50% fewer complaint investigations than the California average (4 vs. CA avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer |
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Money and staffing.
Casa De Modesto’s finances from its CMS cost report for the fiscal year ending December 2023. Includes all financial data for this property, which could include management/ownership changes.
Latest cost report is for the fiscal year ending December 2023, older than most California homes. Rankings are not shown because peers report different years.
Is it financially stable?
Losing money on care, but less than last year
−23.8% operating margin
+7.8 pts vs prior year
An operating loss in 7 of the last 7 reported years. Other income (−$0.1M) trims the net loss to −$2.3M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with California homes
59.3% payroll share of revenue
CA average 61.5%
Payroll rose $0.4M while revenue rose $1.1M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2023 scorecard
Each row shows the FY 2023 figure, the change since the prior report, the trend, and how it compares with California homes.
Revenue & profit
Losing money on care
| Metric | FY 2023 | vs prior year | Trend 2017 → 2023Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.1M | +$1.1M | Trend 20172023 | CA median $15.3M | Rank in CA Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.3M | +$0.7M | Trend 20172023 | CA median — | Rank in CA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$2.2M | +$0.4M | Trend 20172023 | CA median — | Rank in CA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −23.8% | +7.8 pts | Trend 20172023 | CA median — | Rank in CA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | −$0.1M | — | Trend — | CA median — | Rank in CA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$2.3M | −$1.0M | Trend — | CA median — | Rank in CA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with California homes
| Metric | FY 2023 | vs prior year | Trend 2017 → 2023Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.4M | +$0.4M | Trend 20172023 | CA median $8.8M | Rank in CA Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 59.3% | −3.4 pts | Trend 20172023 | CA median 53.7% | Rank in CA Not ranked | Near CA average The CA average is 61.5% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2023 2 charts · CA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average
Year-by-year data, 2017–2023 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.5M | $7.8M | $7.7M | $7.1M | $6.3M | $8.0M | $9.1M |
| Operating expenses | $8.2M | $8.7M | $9.1M | $9.6M | $8.9M | $10.5M | $11.3M |
| Net patient income | −$2.7M | −$0.8M | −$1.4M | −$2.5M | −$2.5M | −$2.5M | −$2.2M |
| Operating margin | −49.3% | −10.8% | −18.4% | −34.6% | −39.6% | −31.7% | −23.8% |
| Net income | $0.2M | −$0.6M | −$0.6M | −$0.2M | −$0.8M | −$1.3M | −$2.3M |
| Payroll costs | $5.3M | $5.6M | $6.3M | $6.8M | $5.4M | $5.0M | $5.4M |
| Payroll share of revenue | 97.4% | 72.2% | 82.6% | 95.4% | 84.4% | 62.7% | 59.3% |
| Beds | 59 | 211 | 211 | 187 | 143 | 143 | 143 |
| Gross revenue | $5.9M | $8.2M | $9.2M | $7.5M | $6.4M | $8.4M | $10.4M |
| Salaries | $4.3M | $4.6M | $5.2M | $5.7M | $4.5M | $4.3M | $4.7M |
| Wage-related costs | $1.0M | $1.0M | $1.1M | $1.1M | $0.9M | $0.7M | $0.7M |
| Contract labor | $0.2M | $0.2M | $0.2M | $0.1M | $0.2M | $1.0M | $0.0M |
| Other operating costs | $2.8M | $3.0M | $2.7M | $2.8M | $3.5M | $5.5M | $5.9M |
| Net patient revenue per day | $95 | $137 | $137 | $155 | $266 | $295 | $320 |
| Cost per day | $142 | $152 | $162 | $209 | $371 | $388 | $396 |
| Average length of stay | 574.3 days | 281.2 days | 444.9 days | 122.4 days | 135.3 days | 329.3 days | 81.8 days |
Showing 2023–2021 · scroll sideways for 4 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Living Spaces & Floor Plans for Casa De Modesto
Places of interest near Casa De Modesto
2.9 miles from city center
Estimated distance in miles from Modesto's city center to Casa De Modesto's address, calculated via Google Maps.
Calculate Travel Distance to Casa De Modesto
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Compare Nursing Homes around Modesto
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Valley Skilled Nursing | NH SNF | Modesto | 70
Facility
70
CA AVG
161
Rank
#264 / 341 |
74.3%
Facility
74.3%
CA AVG
82.2%
Rank
#220 / 299 | -10% | 4.34
Facility
4.34
CA AVG
4.33
Rank
#174 / 290 | -2% | 0% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 48
Facility
48
CA AVG
49.9
Rank
#184 / 293 | 4.0
Facility
4.0
CA AVG
4.7
Rank
#137 / 293 | - | 52 | A+ |
65
Facility
65
CA AVG
60
Rank
#161 / 344 | - | $10.7MFiscal year ending 12/2024
Facility
$10.7MFiscal year ending 12/2024
CA AVG
$17.2M
Rank
#228 / 288 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#227 / 288 | 57.3%Fiscal year ending 12/2024
Facility
57.3%Fiscal year ending 12/2024
CA AVG
61.5%
Rank
#102 / 288 | 055869 | ||||
| English Oaks Convalescent & Rehabilitation Hospital | NH HOS RC SNF | Modesto | 180
Facility
180
CA AVG
161
Rank
#81 / 341 |
91.5%
Facility
91.5%
CA AVG
82.2%
Rank
#89 / 299 | +11% | 4.26
Facility
4.26
CA AVG
4.33
Rank
#127 / 290 | -34% | -2% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 47
Facility
47
CA AVG
49.9
Rank
#179 / 293 | 3.1
Facility
3.1
CA AVG
4.7
Rank
#53 / 293 | 1 | 165 | - |
69
Facility
69
CA AVG
60
Rank
#136 / 344 | Deanna Hill | $28.1MFiscal year ending 12/2024
Facility
$28.1MFiscal year ending 12/2024
CA AVG
$17.2M
Rank
#28 / 288 | $16.1MFiscal year ending 12/2024
Facility
$16.1MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#24 / 288 | 57.4%Fiscal year ending 12/2024
Facility
57.4%Fiscal year ending 12/2024
CA AVG
61.5%
Rank
#100 / 288 | 555190 | ||||
| Garden City Healthcare Center | NH HOS SNF | Modesto | 104
Facility
104
CA AVG
161
Rank
#172 / 341 |
94.5%
Facility
94.5%
CA AVG
82.2%
Rank
#71 / 299 | +15% | 3.94
Facility
3.94
CA AVG
4.33
Rank
#154 / 290 | -27% | -9% | $35.2k
Facility
$35.2k
CA AVG
$60.5k
Rank
#241 / 295 | 60
Facility
60
CA AVG
49.9
Rank
#220 / 293 | 4.6
Facility
4.6
CA AVG
4.7
Rank
#170 / 293 | 3 | 98 | A+ |
63
Facility
63
CA AVG
60
Rank
#175 / 344 | Lawrence Moradkhani | $18.4MFiscal year ending 12/2024
Facility
$18.4MFiscal year ending 12/2024
CA AVG
$17.2M
Rank
#100 / 288 | $9.6MFiscal year ending 12/2024
Facility
$9.6MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#126 / 288 | 52.2%Fiscal year ending 12/2024
Facility
52.2%Fiscal year ending 12/2024
CA AVG
61.5%
Rank
#167 / 288 | 055185 | ||||
| Golden Modesto | NH | Modesto | 120
Facility
120
CA AVG
161
Rank
#148 / 341 |
90.8%
Facility
90.8%
CA AVG
82.2%
Rank
#84 / 299 | +10% | 4.37
Facility
4.37
CA AVG
4.33
Rank
#127 / 290 | +19% | +1% | $182.2k
Facility
$182.2k
CA AVG
$60.5k
Rank
#293 / 295 | 74
Facility
74
CA AVG
49.9
Rank
#252 / 293 | 3.2
Facility
3.2
CA AVG
4.7
Rank
#62 / 293 | 10 | 109 | - |
74
Facility
74
CA AVG
60
Rank
#108 / 344 | - | $13.1MFiscal year ending 12/2024
Facility
$13.1MFiscal year ending 12/2024
CA AVG
$17.2M
Rank
#178 / 288 | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#188 / 288 | 56.1%Fiscal year ending 12/2024
Facility
56.1%Fiscal year ending 12/2024
CA AVG
61.5%
Rank
#116 / 288 | 056301 | ||||
| Casa De Modesto | - | NH AL IL MC SNF | Modesto | 160
Facility
160
CA AVG
161
Rank
#96 / 341 |
55.0%
Facility
55.0%
CA AVG
82.2%
Rank
#275 / 299 | -33% | - | - | - | - | - | - | - | - | - | - | 88 | - |
60
Facility
60
CA AVG
60
Rank
#194 / 344 | Noble Healthcare At Home Inc | $9.1M*Fiscal year ending 12/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $5.4M*Fiscal year ending 12/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 59.3%*Fiscal year ending 12/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 555898 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities




