SNF
MODESTO POST ACUTE CENTER
CCN: 055849 · MODESTO, CA 95350 · Stanislaus County
Overview
- Address
- 159 E. ORANGEBURG AVENUE, MODESTO, CA 95350
- Phone
- 2095262811
- Certified beds
- 99
- Avg daily residents
- 94 (95% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-12-07
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.93 | 3.81 | 3.98 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.73 | 0.67 | 0.74 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.73 | 0.85 | 0.74 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.47 | 2.30 | 2.50 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.46 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.66
hrs / resident / day
RN (weekend)
0.40
hrs / resident / day
Total nurse (adjusted, weekend)
3.71
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
45.3%
annual
RN turnover
52.9%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-08-15 | 7 | 6 | 1 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2020-02-20 | 11 | 8 | 3 | 92 | 1 | 92 |
Total weighted health score
47.0
lower is better
Deficiencies (30)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
28 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-28 | 2025-06-20 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2024-11-12 | 2024-12-07 |
| 0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-10-01 | 2024-10-17 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-15 | 2024-09-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-15 | 2024-09-06 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-08-15 | 2024-09-06 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-08-15 | 2024-09-06 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-15 | 2024-09-06 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-08-15 | 2024-09-06 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2024-08-15 | 2024-09-06 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-01 | 2024-05-27 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-02-20 | 2021-01-26 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2020-02-20 | 2021-01-26 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2020-02-20 | 2021-01-26 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2020-02-20 | 2021-01-26 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2020-02-20 | 2021-01-26 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2020-02-20 | 2021-01-26 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2020-02-20 | 2021-01-26 |
| 0922 | Have enough backup water supply for essential areas of the nursing home. | F | 2020-02-20 | 2021-01-26 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-01-11 | 2019-03-15 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2019-01-11 | 2019-03-15 |
| 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. | D | 2019-01-11 | 2019-03-15 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2019-01-11 | 2019-03-15 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2019-01-11 | 2019-03-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-01-11 | 2019-03-15 |
| 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. | F | 2019-01-11 | 2019-03-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-01-11 | 2019-03-15 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2019-01-11 | 2019-03-15 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2019-01-11 | 2019-03-15 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2019-01-11 | 2019-03-15 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.7% Medicaid 80.5% Other 11.8%
Operating performance
Operating Margin
-1.8%
Total Margin
-0.5%
Occupancy Rate
93.9%
Cost per Resident Day
$38
Revenue & costs
Net Patient Revenue
$11.7M
Total Costs
$1.3M
Net Income
-$61K
Balance sheet
Total Assets
$7.3M
Total Liabilities
$6.4M
Fund Balance
$862K
Current Ratio
0.89
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CAMBRIDGE HEALTHCARE SERVICES
- Chain ID
98- Facilities in chain
- 32
- Legal business name
- CF MODESTO, LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.3
Staffing
3.0
QM
3.9
Owner / manager organizations (9)
| Organization | Role | Association |
|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/19/2006 |
| BERING PROPERTIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| JENMAX ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| THE HYMAN & BETTY INGBER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/10/2013 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| SMEDRA, IRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| SMEDRA, JENNIFER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| SMEDRA, RACHEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| WINTNER, FRANCINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| WINTNER, JACOB | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2007 |
| ALLGOOD, JERI | OPERATIONAL/MANAGERIAL CONTROL | since 06/10/2019 |
| SMEDRA, IRA | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2007 |
| WINTNER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2007 |
| SMEDRA, IRA | CORPORATE OFFICER | since 02/01/2007 |
| WINTNER, JACOB | CORPORATE OFFICER | since 02/01/2007 |
| ALLGOOD, JERI | W-2 MANAGING EMPLOYEE | since 06/10/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $38 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.89 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 80.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-61,344 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $11,734,333 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,250,701 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,304,514 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $861,841 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $6,388,860 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.73707 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.50001 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.73874 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.97582 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.70908 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 94.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84599 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.29921 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66683 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.81203 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.35990 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 98 | Chain ID |
| Provider Information | Chain Name | CAMBRIDGE HEALTHCARE SERVICES | Chain Name |
| Provider Information | City/Town | MODESTO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 055849 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Stanislaus | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-12-07 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.6637 | Latitude |
| Provider Information | Legal Business Name | CF MODESTO, LLC | Legal Business Name |
| Provider Information | Location | 159 E. ORANGEBURG AVENUE,MODESTO,CA,95350 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -120.99 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 32 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.35043 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.98024 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 159 E. ORANGEBURG AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | MODESTO POST ACUTE CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 600 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-08-15 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2020-02-20 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 92 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 92 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.40111 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 52.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.45712 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.72774 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.46835 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04162 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.72939 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.92547 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 2095262811 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.66210 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 45.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 47.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 95350 | ZIP Code |