The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
Nursing home report
Sierra Vista Post-Acute
Registered name: GOLDEN MODESTO CARE CENTER
MODESTO, CA · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Sierra Vista Post-Acute in Modesto has a 2-star overall rating, with 2 stars for health inspections and 3 stars for staffing and quality measures. It reports nurse staffing below the federal benchmark (3.95 vs. 4.1 hours per resident per day) and has had $75,544 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9519 hrs/resident/day
Quality measures
Last inspection: March 18, 2026Penalties, last 24 months: $75,544recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9519.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.43
- Weekend nursing
- 3.76
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7%3.4%Improving
Residents with a fall causing major injury
1.2%2.3%Worsening
Residents with pressure ulcers (bedsores)
4.1%4.6%Worsening
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
5.8%6.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%14.5%Improving
Residents whose ability to walk got worse
—34.1%—
Long-stay residents on antianxiety or sleep medication
27.8%19.7%Improving
Short-stay residents newly given an antipsychotic
0.9%0.8%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25.3%29.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
84.8%99.1%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2019 — limited pattern, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: H
The home failed to provide enough food and fluids to keep residents healthy. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $42,114 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $33,430 was recorded.
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 14 fines · $348,550 in total fines · 2 payment denials.
- $42,114
Federal fine
Aug 21, 2025
- $33,430
Federal fine
Dec 11, 2024
- 6 days
Medicare/Medicaid payment denial
Sep 19, 2024
- $60,834
Federal fine
Apr 26, 2024
- $4,587
Federal fine
Nov 13, 2023
- $4,587
Federal fine
Nov 6, 2023
- $4,587
Federal fine
Oct 17, 2023
- $4,587
Federal fine
Oct 10, 2023
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Golden Modesto Care Center, previously Hy-lond Health Care Center - Modesto.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLDEN SNF OPERATIONS · 7 homes · 2.7 stars avg
- Occupancy
- 111.8 residents on an average day (93% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.