The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
VICTORIA CARE CENTER
BALDWIN PARK, CA · Medicare-certified · 49 beds
In good standing
For-profitChain member
5 of 5 overall
Victoria Care Center in Baldwin Park has a 5-star overall rating, with strong quality measures and health inspection scores, but a low 2-star staffing rating. Reported nurse staffing is 4.35 hours per resident day, above the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3467 hrs/resident/day
Quality measures
Last inspection: June 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3467.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.43
- Nurse aides
- 2.53
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 45%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.2%Steady
Residents with a fall causing major injury
0.7%Improving
Residents with pressure ulcers (bedsores)
8.6%Improving
Residents with a urinary tract infection
0.8%Worsening
Residents who lost too much weight
0.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.3%Improving
Residents whose ability to walk got worse
6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
8.5%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7%Improving
Residents with depressive symptoms
12.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
99.1%Steady
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of DAVID JOHNSON · 47 homes · 3.3 stars avg
- Occupancy
- 43.2 residents on an average day (88% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.