Nursing home · SNF / NF

Valley Skilled Nursing Center

Federal · CMS State licenseActive CMS certificationCCN 055869CA lic. 100000127For profit CMS overall

515 East Orangeburg Avenue, Modesto, CA 95350 · Operated by Hamoa LLC · Chain Kalesta Healthcare Group

Source: CMS Provider Data Catalog, release Oct 16, 2026 + state license · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 70 CMS-certified beds (not state-licensed beds)
Licensed beds: 70 state-licensed beds · California Department of Public Health
State license: 100000127 active · licensee HAMOA, LLC
Average residents per day: 52.0 CMS, MDS-derived
CMS Certification Number: 055869
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 16, 1969
Ownership type: For profit - Limited Liability company
Operator (legal business name): Hamoa LLC
CMS chain: Kalesta Healthcare Group 19 facilities
Phone: (209) 529-0516
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2004–2024

Class AA / A

no class AA

Since 2019

$149k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

latest Mar 10, 2026

Citations

48 health · 35 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D44	E25	F12
Minimal	A·	B2	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Mar 10, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Feb 12, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 13, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 6, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 9, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 27, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 14, 2025	Fire safety	Fire Safety Standard	15	Potential harm	—	Open →
Mar 14, 2025	Health	Health Standard	7	Potential harm	—	Open →
Jan 15, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 13, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 22, 2023	Health	Health Complaint	2	Potential harm	—	Open →
Jul 28, 2023	Fire safety	Fire Safety Standard	12	Potential harm	—	Open →
Jul 28, 2023	Health	Health Standard	9	Potential harm	—	Open →
Apr 15, 2022	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Apr 15, 2022	Health	Health Standard	18	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Jun 10, 2024 violation Nov 1, 2020	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$25,000	Open	810020140
Jun 22, 2022 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$15,000	Closed	040017710
Jan 10, 2018 violation Sep 13, 2017	Class A	Citation Citation A (HSC 1424)	Patient Care	$20,000	Closed	040013721
Oct 20, 2016 violation Sep 1, 2016	Class B	Citation Citation B (HSC 1424)	Physical Environment	$2,000	Closed	040012663
Mar 16, 2016 violation Dec 9, 2015	Class A	Citation Citation A (HSC 1424)	Problem Transfer	$10,000 initial $20,000	Appealed Closed	040012118
Mar 16, 2016 violation Dec 9, 2015	Class A	Citation Citation A (HSC 1424)	Problem Transfer	$10,000 initial $20,000	Appealed Closed	040012117
Mar 16, 2016 violation Dec 9, 2015	Class A	Citation Citation A (HSC 1424)	Problem Transfer	$10,000 initial $20,000	Appealed Closed	040012114
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012113
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012112
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012111
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012110
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012109
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012108
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012107
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012105
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012104
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012103
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012099
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012098
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012097
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012095
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012094
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012092
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012091
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012090
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012089
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012088
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012087
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012082
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012081
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012079
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012078
Mar 16, 2016 violation Dec 9, 2015	Class B	Citation Citation B (HSC 1424)	Problem Transfer	$2,000	Closed	040012077
Sep 9, 2008 violation Dec 19, 2007	Class B	Citation Citation B (HSC 1424)	Patient Care	$500 initial $1,000	Appealed Closed	030005393
Aug 5, 2008 violation Dec 5, 2007	Class B	Citation Citation B (HSC 1424)	Other · Employee to Res. Abuse	$500 initial $1,000	Appealed Closed	030005295
Apr 13, 2005 violation Dec 16, 2004	Class A	Citation Citation A (HSC 1424)	Patient Care	$4,000 initial $17,000	Appealed Closed	100002286
Nov 10, 2004 violation Oct 25, 2004	Class B	Citation Citation B (HSC 1424)	Patient Rights	$350 initial $700	Appealed Closed	100002276

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D44	E25	F12
Minimal	A·	B2	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 10, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Mar 10, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Feb 12, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 5, 2026	Complaint
Jun 13, 2025	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 8, 2025	Complaint
May 6, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	F · Potential harm Widespread	Corrected May 28, 2025	Complaint
Apr 9, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Apr 9, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 27, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 27, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 14, 2025	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Apr 2, 2025
Mar 14, 2025	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Mar 19, 2025
Mar 14, 2025	E-0029	Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Apr 2, 2025
Mar 14, 2025	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Apr 14, 2025
Mar 14, 2025	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Mar 19, 2025
Mar 14, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 8, 2025
Mar 14, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 19, 2025
Mar 14, 2025	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 14, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 28, 2025
Mar 14, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 15, 2025
Mar 14, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 9, 2025
Mar 14, 2025	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 8, 2025
Mar 14, 2025	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 4, 2025
Mar 14, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 28, 2025
Mar 14, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 8, 2025
Mar 14, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 10, 2025
Mar 14, 2025	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2025
Mar 14, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2025
Mar 14, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2025
Mar 14, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 10, 2025
Mar 14, 2025	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Apr 10, 2025
Mar 14, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 10, 2025
Jan 15, 2025	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 15, 2025	Complaint
Aug 13, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 7, 2024	Complaint
Aug 13, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 7, 2024	Complaint
Nov 22, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2023	Complaint
Nov 22, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 8, 2023	Complaint
Jul 28, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Aug 14, 2023
Jul 28, 2023	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Aug 14, 2023
Jul 28, 2023	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Aug 14, 2023
Jul 28, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Aug 14, 2023
Jul 28, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 14, 2023
Jul 28, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 14, 2023
Jul 28, 2023	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 14, 2023
Jul 28, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 14, 2023
Jul 28, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 14, 2023
Jul 28, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 14, 2023
Jul 28, 2023	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 14, 2023
Jul 28, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 14, 2023
Jul 28, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 26, 2023
Jul 28, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 26, 2023
Jul 28, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 26, 2023
Jul 28, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 26, 2023
Jul 28, 2023	F-0761	Ensure 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 26, 2023
Jul 28, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 26, 2023
Jul 28, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 26, 2023
Jul 28, 2023	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 26, 2023
Jul 28, 2023	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Oct 26, 2023
Apr 15, 2022	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 16, 2022
Apr 15, 2022	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2022
Apr 15, 2022	F-0584	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0693	Ensure 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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected May 27, 2022
Apr 15, 2022	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0801	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0808	Ensure 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 27, 2022
Apr 15, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 27, 2022
Apr 15, 2022	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 27, 2022
Apr 15, 2022	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 27, 2022
Apr 15, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected May 27, 2022
Apr 15, 2022	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected May 27, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Hamoa LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Kalesta Healthcare Group

19 facilities in 3 states. CMS chain ID 297.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kalesta Healthcare Group, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2019
Scott Clawson	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Oct 1, 2019
Ryan Williams	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Oct 1, 2019
Scott Clawson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kalesta Healthcare Group, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2019
Scott Clawson	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Oct 1, 2019
Ryan Williams	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	48%	Oct 1, 2019
Scott Clawson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2021
Martha Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Eldberto Cardoso	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2022
Kai Shin Chen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 4, 2021
Juana Duran	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 2, 2019
Domonique Fields	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2019
Ethan Flake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 7, 2024
Steven Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Ishankumar Modi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 4, 2019
Steven Mosher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 8, 2024
Jeffrey Murray	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 8, 2024
Adriana Sagrero Mendoza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 28, 2022
Michael Soares	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2021
Zachary Tyson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2019
Atul Verma	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2023
Domonique Fields	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2019
Ethan Flake	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 7, 2024
Ishankumar Modi	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 4, 2019
Steven Mosher	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 8, 2024
Jeffrey Murray	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 8, 2024
Michael Soares	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2021
Kai Shin Chen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 4, 2021
Scott Clawson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2019
Steven Jones	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2024
Ryan Williams	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2019
Texas Capital Bank Na	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Apr 17, 2025
Ctr Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2019
Adriana Sagrero Mendoza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 28, 2022
Zachary Tyson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 22, 2025
Atul Verma	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 30, 2025

Same chain in California

All 18 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
River View Post Acute 1611 Scenic Drive, Modesto, CA 95355 CCN 0550111 state class AA/A	99	Aug 13, 2026	1111 harm	—
Los Banos Post Acute 931 Idaho Ave., Los Banos, CA 93635 CCN 0550282 state class AA/A	59	Aug 21, 2026	56	—
The Villas at Saratoga Skilled Nsg & Assisted Lvg 20400 Saratoga-Los Gatos Rd, Saratoga, CA 95070 CCN 055435	86	Jun 10, 2026	722 harm	$40k
Harvest Crossing Post Acute 469 East North Street, Manteca, CA 95336 CCN 0559173 state class AA/AAbuse icon	99	Apr 7, 2026	851 harm	—
Almond Vista Healthcare 2030 Evergreen Avenue, Modesto, CA 95350 CCN 5551185 state class AA/A	175	Jul 17, 2026	922 IJ4 harm	$26k
City Creek Post Acute 6248 66th Avenue, Sacramento, CA 95823 CCN 5551601 state class AA/A	99	Jul 24, 2026	63	—
California Park Post Acute 2850 Sierra Sunrise Terrace, Chico, CA 95928 CCN 5556252 state class AA/A	90	Jul 13, 2026	551 harm	—
Atherton Park Post-Acute 1275 Crane Street, Menlo Park, CA 94025 CCN 5558274 state class AA/A	160	Apr 16, 2026	68	—

Coordinates as published by CMS.

Address: 515 East Orangeburg Avenue, Modesto, CA 95350
ZIP: 95350
County: Stanislaus County FIPS 06099
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Modesto Post Acute Center 159 E. Orangeburg Avenue, Modesto, CA 95350 CCN 0558493 state class AA/A	0 km	99	Jul 16, 2026	511 harm	—
Golden Modesto Care Center 1900 Coffee Road, Modesto, CA 95355 CCN 0563011 state class AA/A	1.2 km	120	Jun 24, 2026	919 harm	$150k
Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A	1.8 km	104	Aug 11, 2026	751 IJ2 harm	$35k
Crestwood Manor 1400 Celeste Dr., Modesto, CA 95355 CCN 05A0241 state class AA/A	2 km	194	May 2, 2025	323 harm	—
River View Post Acute 1611 Scenic Drive, Modesto, CA 95355 CCN 0550111 state class AA/A	2.3 km	99	Aug 13, 2026	1111 harm	—
Almond Vista Healthcare 2030 Evergreen Avenue, Modesto, CA 95350 CCN 5551185 state class AA/A	3.6 km	175	Jul 17, 2026	922 IJ4 harm	$26k
English Oaks Convalescent & Rehabilitation Hospita 2633 West Rumble Rd, Modesto, CA 95350 CCN 5551903 state class AA/A	4.9 km	180	Aug 17, 2026	581 harm	—
Vintage Faire Nursing & Rehabilitation Center 3620 Dale Rd, Ste B, Modesto, CA 95356 CCN 5553552 state class AA/A	6.1 km	99	Aug 20, 2026	97	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055869	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055869	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	100000026	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055869

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Valley Skilled Nursing Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes

Valley Skilled Nursing Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Same chain in California

Nearby nursing homes