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Victoria Care Center

3541 PUENTE AVENUE, Baldwin Park, CA, 91706

Nursing home49 licensed beds0 citations on record
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6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 10 deficiencies against Victoria Care Center in Baldwin Park, California at its most recent standard inspection on 2026-04-09. Medicare rates it 5 out of 5 overall.

5 / 5Medicare overall rating
49certified beds
10deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.35
Potential for minimal harmThe least serious band.3
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Assessment and Care Planning Deficiencies · F0657 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0695 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · F0732 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0812 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

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.

Quality of Life and Care Deficiencies · F0693 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

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

Pharmacy Service Deficiencies · F0756 · 2026-04-09 · standard survey · No actual harm, potential for more than minimal harm

D

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

Environmental Deficiencies · F0912 · 2026-04-09 · standard survey · No actual harm, potential for minimal harm

B

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2025-06-12 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-05-16 · from a complaint · No actual harm, potential for more than minimal harm

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.

Resident Rights Deficiencies · F0578 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0695 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

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.

Quality of Life and Care Deficiencies · F0700 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

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.

Pharmacy Service Deficiencies · F0758 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0698 · 2025-02-16 · standard survey · No actual harm, potential for more than minimal harm

D

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

Environmental Deficiencies · F0912 · 2025-02-16 · standard survey · No actual harm, potential for minimal harm

B
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.54501
Nursing staff turnoverShare of nursing staff who left in a year42.6%
Ownership

Who owns Victoria Care Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
PUENTE PARTNERS LLCOrganization100%since 10/30/2008
ROSE BALDWIN PARK PROPERTY LPOrganizationNOT APPLICABLEsince 02/11/2025
JOHNSON, FRANKIndividualNOT APPLICABLEsince 06/10/2008
PUENTE PARTNERS LLCOrganizationNOT APPLICABLEsince 10/30/2008
BRICE, JOSHUAIndividualNOT APPLICABLEsince 10/24/2024
CHIMWAZA, PEARSONIndividualNOT APPLICABLEsince 09/16/2024
DEHGHANMANESH, ADRIANIndividualNOT APPLICABLEsince 06/01/2021
DHIMAN, NAVEENIndividualNOT APPLICABLEsince 08/10/2024
JOHNSON, FRANKIndividualNOT APPLICABLEsince 06/10/2008
KOCHEK, JOSHUAIndividualNOT APPLICABLEsince 04/01/2022
OXFORD, MICHEALIndividualNOT APPLICABLEsince 01/03/2022
PUENTE PARTNERS LLCOrganizationNOT APPLICABLEsince 10/30/2008

Part of the DAVID JOHNSON group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Victoria Care Center a question

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What is needed

Victoria Care Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6269621043 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555107.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction