Valley Skilled Nursing

Nursing Home
Overview of Valley Skilled Nursing

Valley Skilled Nursing, located in Modesto CA, is a skilled nursing and rehabilitation facility providing a variety of medical services to its residents and patients. Their skilled nursing program ensures that their long-term residents and patients receive 24/7 nursing care and supervision, incontinence care, memory care, and medication management, along with regular assistance with daily living activities.
Valley Skilled Nursing also provides diabetic care for residents living with diabete, here they receive regular blood glucose monitoring, menu planning, as well as insulin administration and tracking. The residents care program also includes a dietary program to ensure that they receive the proper nutrition they need as well as supplements. For residents in their final stages of life, hospice care is also available.

(209) 529-0516

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
California average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
California average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
California average: 3.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
California average: 4.1/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 23m per day

This home provides 20% less nursing time per resident than the state average.

California average: 4h 13m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 19m per day 39m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 1h 17m per day 1h 13m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 35m per day 2h 39m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 40m per day 4h 5m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 15m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 16m per day 30m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 70

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the California average
Occupancy rate 62.2%
Residents per day (avg) 52
Occupancy rate
62.2%
Residents per day (avg)
52

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

88% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

11% of new residents, often for short stays.

Typical stay 1 - 2 months

Finances and operations

Proprietary home
Other
Home revenue
$12.4M
Profit
$123.7K
Proprietary home Other
Home revenue
$12,404,504.00
Profit
$123,717.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
39.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
Total costs $12.3M
Walk Score
Walk Score: 65 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Additional licensing details

CMS Certification Number: 55869

Types of Care at Valley Skilled Nursing

Nursing Home
Contact Valley Skilled Nursing

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The information below is reported by the California Department of Social Services and Department of Public Health.
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180
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Valley Skilled Nursing
SNF

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Modesto
70
No
A+
65
-
62.2%
$12,300,502.00
$4,932,577.00
40.1%
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3/5
3.3816
3/5
2/5
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46
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-6%
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-27%
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Modesto
120
No
-
74
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77.7%
$11,357,047.00
$4,482,675.00
39.5%
107.30
2/5
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175
No
-
76
-
88.1%
$29,663,379.00
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40.6%
164.50
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4.0073
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32.7%
95.20
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2
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2
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+10%

Places of interest near Valley Skilled Nursing

Address 2.3 miles from city center — 0.49 miles to nearest hospital (Aegis Treatment Centers | Modesto)

Address 515 E Orangeburg Ave, Modesto, CA 95350

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

87
Total Staff
85
Employees
2
Contractors
26,659
Total Hours (Quarter)
34
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse77.6 No
Licensed Practical Nurse139.8 No
Certified Nursing Assistant3110.2 No
Staff by Category
Administration
2 staff
6.4hs shift avg
Nursing Staff
55 staff
9.6hs shift avg
Physicians & Practitioners
1 staff
8hs shift avg
Therapy Services
24 staff
6.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.4hs shift avg
Dietary Services
3 staff
8.1hs shift avg
Other Services
1 staff
7.9hs shift avg
Contractor Analysis
0.6%
of total hours from contractors
167 contractor hours this quarter
Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant3103112,55991100%10.2
Licensed Practical Nurse130133,98891100%9.8
RN Director of Nursing4041,9446774%8
Registered Nurse7071,5639099%7.6
Respiratory Therapy Technician5051,1166774%7.2
Physical Therapy Aide6061,0128593%5.4
Other Dietary Services Staff2027978998%8.1
Occupational Therapy Aide2027816571%7
Speech Language Pathologist4046027279%6
Administrator1015206571%8
Physical Therapy Assistant6064756470%5.7
Dietitian1014355560%7.9
Nurse Practitioner1013364246%8
Mental Health Service Worker1013304246%7.9
Occupational Therapy Assistant0111071213%8.9
Medical Director011602629%2.3
Qualified Social Worker101342527%1.4

Health Inspection History

Inspections
Total health inspections 11

California average 12.5


Last Health inspection on Jun 2025

Total health citations 46
Citations per inspection
4.18

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

34 of 46 citations resulted from standard inspections; and 12 of 46 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 0
100% better than California average

California average: 1

0 critical citations More info California average: 0.4

0 serious citations More info California average: 1

44 moderate citations More info California average: 47.2

2 minor citations More info California average: 1.5
Citations history (last 3 years)
Resident Rights moderate citation Jun 13, 2025
Corrected

Care Planning moderate citation May 06, 2025
Corrected

Pharmacy moderate citation Apr 09, 2025
Corrected

Care Planning moderate citation Apr 09, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Kalesta Health Care Group
Resident Census by Payment Source
52 Total Residents
Medicare 25 (48.1%)
Medicaid 18 (34.6%)
Private Pay/Other 9 (17.3%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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. 4.9
27% better than 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. 7.8
31% better than California average

California average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.1%
35% better than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.7%
28% better 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 7.7%
32% better 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 1.2%
30% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
19% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.4%
67% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 32.1%
379% worse than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.4%
87% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
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 100.0%
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. 2.01
11% better 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. 2.64
66% worse than California average

California average: 1.59

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
101% worse than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
7% better than 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. 22.4%
In line with California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.8%
32% 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. 0.0%
100% 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. 84.4%
57% 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. 45.4%
10% worse than California average

California average: 50.6%

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

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

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

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

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

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

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