3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 258th out of 293 homes in California for nurse hours. 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.
| 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.
| 25m per day | ▼ 36% 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 17m per day | ▲ 5% 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 43m per day | ■ Avg 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 55m per day | ▼ 4% 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.
| 14m per day | ▲ 172% 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.
| 23m per day | ▼ 22% State avg: 30m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
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.
California average 12.5
Last Health inspection on Jun 2025
California average 50.2
California average 4.65
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.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% more staff per resident than California average
14% better than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
26 total: 15 full-time employees and 11 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
333 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 12,422 | 92 | 100% | 10.3 |
| Licensed Practical Nurse | 15 | 11 | 26 | 4,132 | 92 | 100% | 9.5 |
| RN Director of Nursing | 6 | 0 | 6 | 1,720 | 80 | 87% | 7.4 |
| Registered Nurse | 8 | 1 | 9 | 1,534 | 89 | 97% | 8.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,037 | 72 | 78% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 840 | 89 | 97% | 8.4 |
| Physical Therapy Aide | 4 | 0 | 4 | 751 | 85 | 92% | 5.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 603 | 70 | 76% | 7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 524 | 65 | 71% | 6.4 |
| Dietitian | 1 | 0 | 1 | 492 | 64 | 70% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Administrator | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 336 | 57 | 62% | 5.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 332 | 42 | 46% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 317 | 43 | 47% | 7.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 120 | 13 | 14% | 9.2 |
| Qualified Social Worker | 2 | 0 | 2 | 58 | 27 | 29% | 2.1 |
| Medical Director | 0 | 1 | 1 | 55 | 28 | 30% | 2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.8
31% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
35% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
8.7%
28% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.7%
32% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
30% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
5.9%
19% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
1.4%
67% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
32.1%
379% worse than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.4%
87% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.01
11% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.64
66% worse than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
101% worse than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.4%
7% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.4%
In line with California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.8%
32% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
84.4%
57% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.4%
10% worse 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.
88% of new residents, usually for short-term rehab.
11% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Valley Skilled Nursing from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #232 / 295Payroll — State benchmarkedThis home is ranked 232nd out of 295 homes in California for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #169 / 295Payroll % — State benchmarkedThis home is ranked 169th out of 295 homes in California for payroll %. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (88% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Modesto's city center to Valley Skilled Nursing's address, calculated via Google Maps.
Add your location
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 to lowest based on our ranking methodology.
| English Oaks Convalescent & Rehabilitation Hospital | NH HOS RC SNF | Modesto | 180
Facility
180
CA AVG
104
Rank
#210 / 1644 |
91.8%
Facility
91.8%
CA AVG
73.9
Rank
#304 / 1492 | +24% | 4.27
Facility
4.27
CA AVG
4.22
Rank
#102 / 293 | -34% | +1% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | - | 56
Facility
56
CA AVG
50.2
Rank
#208 / 293 | 4.7
Facility
4.7
CA AVG
4.6
Rank
#189 / 293 | 1 | 165 | - |
69
Facility
69
CA AVG
57
Rank
#767 / 2087 | Deanna Hill | $25.1MFiscal year ending 12/2023
Facility
$25.1MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#66 / 295 | $14.0MFiscal year ending 12/2023
Facility
$14.0MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#21 / 295 | 55.6%Fiscal year ending 12/2023
Facility
55.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#63 / 295 | 555190 | ||||
| Valley Skilled Nursing | NH SNF | Modesto | 70
Facility
70
CA AVG
104
Rank
#995 / 1644 |
71.1%
Facility
71.1%
CA AVG
73.9
Rank
#898 / 1492 | -4% | 3.38
Facility
3.38
CA AVG
4.22
Rank
#258 / 293 | -2% | -20% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | - | 46
Facility
46
CA AVG
50.2
Rank
#170 / 293 | 4.2
Facility
4.2
CA AVG
4.6
Rank
#158 / 293 | - | 50 | A+ |
65
Facility
65
CA AVG
57
Rank
#887 / 2087 | - | $10.3MFiscal year ending 12/2023
Facility
$10.3MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#216 / 295 | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#232 / 295 | 57.8%Fiscal year ending 12/2023
Facility
57.8%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#169 / 295 | 55869 | ||||
| Garden City Healthcare Center | NH HOS SNF | Modesto | 104
Facility
104
CA AVG
104
Rank
#683 / 1644 |
94.2%
Facility
94.2%
CA AVG
73.9
Rank
#232 / 1492 | +28% | 3.89
Facility
3.89
CA AVG
4.22
Rank
#173 / 293 | -27% | -8% | $35.2k
Facility
$35.2k
CA AVG
$56.5k
Rank
#239 / 298 | - | 60
Facility
60
CA AVG
50.2
Rank
#221 / 293 | 5.0
Facility
5.0
CA AVG
4.6
Rank
#202 / 293 | 2 | 98 | A+ |
63
Facility
63
CA AVG
57
Rank
#949 / 2087 | Lawrence Moradkhani | $17.6MFiscal year ending 12/2023
Facility
$17.6MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#83 / 295 | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#117 / 295 | 51.5%Fiscal year ending 12/2023
Facility
51.5%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#234 / 295 | 55185 | ||||
| Golden Modesto | NH | Modesto | 120
Facility
120
CA AVG
104
Rank
#560 / 1644 |
90.6%
Facility
90.6%
CA AVG
73.9
Rank
#328 / 1492 | +23% | 4.42
Facility
4.42
CA AVG
4.22
Rank
#88 / 293 | +19% | +5% | $348.6k
Facility
$348.6k
CA AVG
$56.5k
Rank
#298 / 298 | - | 77
Facility
77
CA AVG
50.2
Rank
#249 / 293 | 3.1
Facility
3.1
CA AVG
4.6
Rank
#66 / 293 | 10 | 109 | - |
74
Facility
74
CA AVG
57
Rank
#597 / 2087 | - | $12.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$12.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
$17.0M
Rank
#173 / 295 | $5.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
$7.0M
Rank
#146 / 295 | 43.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
43.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
45.2%
Rank
#100 / 295 | 56301 | ||||
| Almond Vista Healthcare | NH RC SNF | Modesto | 175
Facility
175
CA AVG
104
Rank
#234 / 1644 |
94.7%
Facility
94.7%
CA AVG
73.9
Rank
#219 / 1492 | +28% | 4.01
Facility
4.01
CA AVG
4.22
Rank
#154 / 293 | -36% | -5% | $25.9k
Facility
$25.9k
CA AVG
$56.5k
Rank
#230 / 298 | - | 63
Facility
63
CA AVG
50.2
Rank
#229 / 293 | 6.3
Facility
6.3
CA AVG
4.6
Rank
#253 / 293 | 7 | 166 | - |
76
Facility
76
CA AVG
57
Rank
#529 / 2087 | - | $22.3MFiscal year ending 12/2023
Facility
$22.3MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#56 / 295 | $14.1MFiscal year ending 12/2023
Facility
$14.1MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#36 / 295 | 63.4%Fiscal year ending 12/2023
Facility
63.4%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#171 / 295 | 555118 |
Valley Skilled Nursing is located in Modesto, California.
Here are the financial assistance programs available to residents in California.
Valley Skilled Nursing has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Valley Skilled Nursing's occupancy is 62.2%.
Valley Skilled Nursing has been operating for approximately 41 years, based on available licensing and registration records.
No, Valley Skilled Nursing has a no-pet policy.
Valley Skilled Nursing is registered as a for-profit in CA.
Yes — there are 10 photos of Valley Skilled Nursing in the photo gallery on this page.
Valley Skilled Nursing is located at 515 E Orangeburg Ave, Modesto, CA 95350.
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