Victoria Care Center
3541 Puente Avenue · Baldwin Park, CA · 91706 · 6269621043
49 certified beds For profit - Limited Liability company Chain: David Johnson
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D April 9, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · E April 9, 2026
Ensure each resident receives an accurate assessment.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2026
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.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · E April 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · E April 9, 2026
Post nurse staffing information every day.
Corrected May 1, 2026 · Nursing and Physician Services
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Potential for harm · D April 9, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · E April 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2026 · Nutrition and Dietary
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No harm found · B April 9, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected May 1, 2026 · Environmental
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Potential for harm · D June 12, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D February 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · E February 16, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 26, 2025 · Resident Rights
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Potential for harm · E February 16, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D February 16, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · E February 16, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · E February 16, 2025
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.
Corrected February 17, 2025 · Pharmacy Service
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Potential for harm · E February 16, 2025
Provide and implement an infection prevention and control program.
Corrected February 17, 2025 · Infection Control
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No harm found · B February 16, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected February 17, 2025 · Environmental
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Potential for harm · D November 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 27, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected July 2, 2024 · Resident Rights
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Potential for harm · D February 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 11, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 11, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555107 · certified since February 5, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.