Federal inspection record · CMS data as of October 1, 2026
Victoria Care Center
3541 Puente Avenue, Baldwin Park, CA · (626) 962-1043
- CMS high-performer trophy
- Certified beds
- 49
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- David Johnson
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 5, 1979
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Victoria Care Center carries 62 inspection points. That is fewer than 70% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
36 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- D
Reasonably accommodate the needs and preferences of each resident.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning6E
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service3E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Environmental3B
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services2E
- E
Post nurse staffing information every day.
- D
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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-04-09
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-02-16
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-11
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 34 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
4 h 34 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 99.3% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 7.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 1.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.4 pts better | 9.3% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.3 pts better | 0.0% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 5.3% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts worse | 13.5% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.8% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 8.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 98.6% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 8.7% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts worse | 25.9% | 22.6% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Puente Partners LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Brice, Joshua | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brice, Joshua | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chimwaza, Pearson | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Chimwaza, Pearson | Adp Of The SNF · Individual | 0% | 2 facilities |
| Dehghanmanesh, Adrian | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Dehghanmanesh, Adrian | Adp Of The SNF · Individual | 0% | 44 facilities |
| Dhiman, Naveen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dhiman, Naveen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Farrales, Mary | Adp Of The SNF · Individual | 0% | 43 facilities |
| Johnson, Frank | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Johnson, Frank | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Kochek, Joshua | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Kochek, Joshua | Adp Of The SNF · Individual | 0% | 43 facilities |
| Oxford, Micheal | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Oxford, Micheal | Adp Of The SNF · Individual | 0% | 42 facilities |
| Puente Partners LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Puente Partners LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rose Baldwin Park Property LP | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Rose Baldwin Park Property LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sun Mar Management Services | Adp Of The SNF · Organization | 0% | 24 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1C
- C
Implement emergency and standby power systems.
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Other homes nearby
-
West Covina Healthcare Center
West Covina, CA · Cambridge Healthcare Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $44,027
-
West Covina Medical Center D/P SNF
West Covina, CA · Rollins-Nelson Healthcare Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 8 h 27 min
- Fines
- $0
-
Garden View Post Acute Rehabilitation
Baldwin Park, CA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0