Nursing homeActive

Almond Vista Healthcare

2030 Evergreen Avenue, Modesto, CA 953502095771055175 certified beds · 167 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2019
Deficiencies
63
0576
Penalties · 3 yrs
$25,881
5 fines
Last survey
2026-03-16
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-16Complaint020CMS-2567 (Care Compare)
2025-05-06Standard0160CMS-2567 (Care Compare)
2025-04-15Complaint010CMS-2567 (Care Compare)
2025-01-16Complaint001CMS-2567 (Care Compare)
2024-12-03Complaint001CMS-2567 (Care Compare)
2024-08-02Standard0140CMS-2567 (Care Compare)
2024-01-25Complaint011CMS-2567 (Care Compare)
2023-11-09Complaint010CMS-2567 (Care Compare)
2019-07-17Standard0223CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-16Complaint survey · 2 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 555118-20260316-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 555118-20260316-F658
2025-05-06Standard survey · 16 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F552
F584Honor 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/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F658
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F687
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F689
F732Post nurse staffing information every day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F732
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F757
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F759
F761Ensure 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/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F882
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 555118-20250506-F919
2025-04-15Complaint survey · 1 deficiencyOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 555118-20250415-F657
2025-01-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-02-07Record 555118-20250116-F689
2024-12-03Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-10Record 555118-20241203-F689
2024-08-02Standard survey · 14 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F582
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F604
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F625
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F644
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F655
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F692
F758Implement 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F758
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F838
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F865
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-23Record 555118-20240802-F880
2024-01-25Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-05Record 555118-20240125-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-05Record 555118-20240125-F658
2023-11-09Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-28Record 555118-20231109-F689
2019-07-17Standard survey · 25 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-11-06Record 555118-20190717-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2019-11-06Record 555118-20190717-F726
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2019-11-06Record 555118-20190717-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F558
F584Honor 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/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F623
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F638
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F730
F758Implement 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F758
F761Ensure 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/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F761
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F800
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F802
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F812
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F842
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-06Record 555118-20190717-F908

Penalties & enforcement

DateActionAmountSource
2025-01-16Civil money penalty$10,358CMS · Penalties
2024-01-02Civil money penalty$3,176CMS · Penalties
2023-12-11Civil money penalty$7,409CMS · Penalties
2023-11-20Civil money penalty$1,764CMS · Penalties
2023-10-30Civil money penalty$3,174CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.37
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.29
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.94
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover48%
Facility
California
National
California 37% · National 46%
Registered nurse turnover35%
Facility
California
National
California 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.9%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.5%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.3%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
2.7%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.2%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
26.4%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Kalesta Healthcare Group, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Clawson, Scott
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST48%
Williams, Ryan
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST48%
Caballero, Diana
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chen, Kai Shin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clawson, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fields, Domonique
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Flake, Ethan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hinkle, Cortney
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Javan, Mojdeh
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jones, Steven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kayakoku, Sevinc
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lachance, Harris
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Modi, Ishankumar
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mosher, Steven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Murray, Jeffrey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Raines, Terry
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Simms, Deborah
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Singh, Rachandeep
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Singh, Vishaal
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Soares, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Williams, Ryan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Capital Funding LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Chen, Kai Shin
Individual
CORPORATE OFFICERNOT APPLICABLE
Clawson, Scott
Individual
CORPORATE OFFICERNOT APPLICABLE
Fields, Domonique
Individual
CORPORATE DIRECTORNOT APPLICABLE
Flake, Ethan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hinkle, Cortney
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jones, Steven
Individual
CORPORATE OFFICERNOT APPLICABLE
Kalesta Healthcare Group, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Lachance, Harris
Individual
ADP OF THE SNFNOT APPLICABLE
Modi, Ishankumar
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mosher, Steven
Individual
CORPORATE DIRECTORNOT APPLICABLE
Murray, Jeffrey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Singh, Rachandeep
Individual
ADP OF THE SNFNOT APPLICABLE
Soares, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Williams, Ryan
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Kalesta Healthcare Group19 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Stanislaus.

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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01