CCN 055869 · Stanislaus County, California
Valley Skilled Nursing Center
515 East Orangeburg Avenue, Modesto, CA 95350
Valley Skilled Nursing Center is a 70-bed for-profit nursing home in Modesto, California, first certified for Medicare or Medicaid in 1969. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 52.7 residents a day, about 75% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 70
- Average residents per day
- 52.7 (75.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Hamoa LLC
- Certified since
- Jul 16, 1969
- Chain or affiliated group
- Kalesta Healthcare Group (19 facilities, chain average 2.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.32 | 4.24 | 3.68 |
| RN hours per resident per day | 0.55 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.68 | ||
| Nursing staff turnover | 19.2% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 75.3% | 92.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 10 (Mar 14, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Valley Skilled Nursing Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Kalesta Healthcare Group, LLCOrganization | Direct Ownership Interest | 100% | 10/01/2019 |
| Clawson, ScottIndividual | Indirect Ownership Interest | 48% | 10/01/2019 |
| Williams, RyanIndividual | Indirect Ownership Interest | 48% | 10/01/2019 |
| Texas Capital Bank NAOrganization | Security Interest | n/a | 04/17/2025 |
| Blake, MarthaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Cardoso, EldbertoIndividual | Operational / Managerial Control | n/a | 02/07/2022 |
| Chen, Kai ShinIndividual | Operational / Managerial Control | n/a | 01/04/2021 |
| Duran, JuanaIndividual | Operational / Managerial Control | n/a | 10/02/2019 |
| Fields, DomoniqueIndividual | Operational / Managerial Control | n/a | 10/01/2019 |
| Flake, EthanIndividual | Operational / Managerial Control | n/a | 10/07/2024 |
| Jones, StevenIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Modi, IshankumarIndividual | Operational / Managerial Control | n/a | 11/04/2019 |
| Mosher, StevenIndividual | Operational / Managerial Control | n/a | 07/08/2024 |
| Murray, JeffreyIndividual | Operational / Managerial Control | n/a | 01/08/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 1, 2019 | Hamoa LLC | Valley Subacute & Rehabilitation Center LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.