
Valley Skilled Nursing Center Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Valley Skilled Nursing Center in Modesto, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 5 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 4 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
- California state citations: 35 on record, including 5 class A and 30 class B, with $109,350 in assessed penalties.
- Staffing: 4.32 nursing hours per resident per day; registered nurse turnover 40%.
- Most recent standard inspection: 7 deficiencies cited on March 14, 2025. The most recent inspection since then was on March 10, 2026: 2 deficiencies cited in the complaint inspection.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: Hamoa LLC, for-profit, part of Kalesta Healthcare Group (19 facilities nationally).
Valley Skilled Nursing Center ratings and staffing
Valley Skilled Nursing Center is located at 515 East Orangeburg Avenue in Modesto, Stanislaus County. It is a for-profit facility operated by Hamoa LLC, part of Kalesta Healthcare Group, with 70 certified beds and an average of 52.7 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Valley Skilled Nursing Center, those scores are: health inspections 4 of 5, staffing 3 of 5, quality measures 4 of 5.
Staffing. Valley Skilled Nursing Center reports 4.32 total nursing hours per resident per day, of which 0.55 are registered nurse hours. Over the reporting year, 19.2% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Homes in Stanislaus County with a higher CMS overall rating
CMS rates each of these homes above Valley Skilled Nursing Center on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.
- Modesto Post Acute Center, Modesto: CMS overall rating 5 of 5
- Crestwood Manor, Modesto: CMS overall rating 5 of 5
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
March 10, 2026, complaint inspection
2 deficiencies cited. Surveyors cited the facility for develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals and ensure each resident’s drug regimen must be free from unnecessary drugs.
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
February 12, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
June 13, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
May 6, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity F)
April 9, 2025, complaint inspection
2 deficiencies cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
March 27, 2025, complaint inspection
2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
March 14, 2025, standard inspection
7 deficiencies cited. Surveyors cited the facility for provide safe and appropriate respiratory care for a resident when needed, provide and implement an infection prevention and control program, and protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity E)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
- F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
- F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
- F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
January 15, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for implement gradual dose reductions(gdr) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and prn orders for psychotropic medications are only used when the medication is necessary and prn use is limited.
- F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity D)
August 13, 2024, complaint inspection
2 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality and develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
November 22, 2023, complaint inspection
2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and provide and implement an infection prevention and control program.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
July 28, 2023, standard inspection
9 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and ensure services provided by the nursing facility meet professional standards of quality.
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity E)
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
- F0814Dispose of garbage and refuse properly. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
April 15, 2022, standard inspection
18 deficiencies cited. Surveyors cited the facility for post nurse staffing information every day, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and dispose of garbage and refuse properly.
- F0732Post nurse staffing information every day. (scope and severity F)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0814Dispose of garbage and refuse properly. (scope and severity F)
- F0880Provide and implement an infection prevention and control program. (scope and severity F)
- F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity E)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity E)
- F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
- F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity D)
- F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
- F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
Penalties. CMS records show no federal fines for Valley Skilled Nursing Center in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 35 citations against Valley Skilled Nursing Center between November 10, 2004 and January 10, 2018: 5 class A and 30 class B, with $109,350 in assessed penalties.
- January 10, 2018, class A, Patient Care. $20,000 penalty.
- October 20, 2016, class B, Physical Environment. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
- March 16, 2016, class B, Problem Transfer. $2,000 penalty.
and 23 earlier citations, in the CDPH record linked under Sources.
Across Stanislaus County's 17 certified facilities, the average is about 8.9 state citations per facility. Valley Skilled Nursing Center's 35 is above that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Modesto
Families comparing options in Modesto often look at these facilities as well. Each link opens that facility's full public record:
- Crestwood Manor, 5 stars, 6 state citations
- English Oaks Convalescent & Rehabilitation Hospita, 3 stars, 6 state citations
- Almond Vista Healthcare, 1 star, 9 state citations
- Golden Modesto Care Center, 2 stars, 13 state citations
- Garden City Healthcare Center, 2 stars, 9 state citations
See every facility in the Stanislaus County nursing home directory.
Other nursing homes in Stanislaus County
These are other nursing homes in Stanislaus County, listed by how close each home's ZIP code is to the ZIP code for Valley Skilled Nursing Center. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Almond Vista Healthcare, Modesto
- English Oaks Convalescent & Rehabilitation Hospita, Modesto
- Garden City Healthcare Center, Modesto
- Modesto Post Acute Center, Modesto
- Crestwood Manor, Modesto
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Valley Skilled Nursing Center, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Stanislaus County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Stanislaus County's ombudsman program can be reached at (209) 529-3784. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Valley Skilled Nursing Center is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Stanislaus County
If a loved one was harmed at Valley Skilled Nursing Center, these pages explain how Stanislaus County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Stanislaus County bedsore lawyer
- Stanislaus County nursing home neglect lawyer
- Stanislaus County nursing home fall lawyer
- Stanislaus County nursing home wrongful death lawyer
You can also compare every home in the Stanislaus County nursing home directory.
Are There Lawsuits Against Valley Skilled Nursing Center?
This page reports federal and state inspection, complaint and enforcement records for Valley Skilled Nursing Center. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Stanislaus County are searchable through the Stanislaus County Superior Court's online case records. If your family member was injured at Valley Skilled Nursing Center, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Valley Skilled Nursing Center a good nursing home?
- CMS gives Valley Skilled Nursing Center an overall rating of 4 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 35 state citations against the facility, including 5 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Valley Skilled Nursing Center?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Stanislaus County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Valley Skilled Nursing Center been fined or cited for serious violations?
- Public records show 35 California state citations with $109,350 in state penalties, including 5 class A citations.
- How many state citations does Valley Skilled Nursing Center have?
- The California Department of Public Health has issued 35 citations against Valley Skilled Nursing Center in Modesto between November 10, 2004 and January 10, 2018: 5 class A and 30 class B, with $109,350 in assessed penalties.
- How do I report a problem at Valley Skilled Nursing Center?
- File a complaint with CDPH through its Cal Health Find system, or contact the Stanislaus County Long-Term Care Ombudsman at (209) 529-3784. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Valley Skilled Nursing Center, talk to our Stanislaus County nursing home abuse lawyers. We handle cases in Modesto and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
Free Case Evaluation
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Valley Skilled Nursing Center provider record, CCN 055869. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Valley Skilled Nursing Center state license record, FACID 100000026, license 100000127.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Valley Skilled Nursing Center in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Valley Skilled Nursing Center, and neither the facility nor any government agency endorses this page.