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Public Record

Victoria Care Center

Nursing HomeBaldwin Park, CACMS 555107
54 citations on record

Operated by David Johnson

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
49

*CMS

Avg. residents per day
43.2

*CMS

California cost report

Food cost per resident day

Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.

2024 raw food costs per resident day

$10.72

Filing period: to

California median $8.96 across 825 filers. This facility: 77th percentile of those filers.

Within its operator's California portfolio ( 45 filers): median $10.43.

RN, LVN, and CNA staffing mix

Census context: 15,423 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN896$59,398$66.29/hour
LVN20,744$770,949$37.16/hour
CNA39,853$882,860$22.15/hour

2023 raw food costs per resident day

$10.17

Filing period: to

California median $8.51 across 892 filers. This facility: 72.9th percentile of those filers.

Within its operator's California portfolio ( 45 filers): median $9.80.

RN, LVN, and CNA staffing mix

Census context: 15,779 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN1,087$61,286$56.38/hour
LVN19,558$718,449$36.73/hour
CNA37,674$810,866$21.52/hour

2022 raw food costs per resident day

$9.07

Filing period: to

California median $8.23 across 896 filers. This facility: 63.3th percentile of those filers.

Within its operator's California portfolio ( 45 filers): median $9.67.

RN, LVN, and CNA staffing mix

Census context: 16,034 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN3,074$175,904$57.22/hour
LVN18,770$659,454$35.13/hour
CNA40,067$783,316$19.55/hour

*HCAI Long-Term Care Integrated Disclosure

Inspection record

On record from CMS

Health citations
54

*CMS

Fire safety findings
7

*CMS

Inspections on file
14

*CMS

Last inspection
2025-06-12

*CMS

Citations

54 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0693Generalpotential for harm

    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.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0041Generalno actual harm

    Implement emergency and standby power systems.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0732Generalpotential for harm

    Post nurse staffing information every day.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0578Generalpotential for harm

    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.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0700Generalpotential for harm

    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.

  • 0758Generalpotential for harm

    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.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0626Generalpotential for harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0604Generalpotential for harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • 0578Generalpotential for harm

    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.

  • 0550Generalpotential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • 0726Generalpotential for harm

    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.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0557Generalpotential for harm

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0700Generalpotential for harm

    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.

  • 0626Generalpotential for harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  • 0584Generalpotential for harm

    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.

  • 0623Generalpotential for harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0640Generalpotential for harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0642Generalpotential for harm

    Ensure a qualified health professional conducts resident assessments.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0689Seriousactual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0732Generalno actual harm

    Post nurse staffing information every day.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0580Seriousactual harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection3 deficiencies
    View inspection report
  • Inspection10 deficiencies
    View inspection report
  • Inspection1 deficiency
    View inspection report
  • Inspection1 deficiency

    555107 05/16/2025 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents…

    Read full statement of deficiencies
  • Inspection8 deficiencies

    555107 02/16/2025 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based…

    Read full statement of deficiencies
  • InspectionFire Safety2 deficiencies
    View inspection report
  • Inspection1 deficiency

    555107 11/05/2024 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility…

    Read full statement of deficiencies
  • Inspection1 deficiency

    555107 06/13/2024 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706 F 0626 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy…

    Read full statement of deficiencies
  • Inspection13 deficiencies

    555107 02/11/2024 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her…

    Read full statement of deficiencies
  • InspectionFire Safety1 deficiency
    View inspection report

Showing the 10 most recent inspections. 6 earlier inspections are also on record.

Ownership

David Johnson

47nursing homes nationwide, in CMS records

45 in California, 2 in other states.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

FAQ

Questions and answers

What is Victoria Care Center?
Victoria Care Center is a Medicare- and Medicaid-certified nursing home in Baldwin Park, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555107.
What is the CMS rating for Victoria Care Center?
Victoria Care Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Victoria Care Center have?
Victoria Care Center is certified for 49 beds. It serves an average of 43.2 residents per day.
How many citations does Victoria Care Center have?
Victoria Care Center has 54 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Victoria Care Center last inspected?
Victoria Care Center was last inspected on June 12, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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