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Victoria Care Center
5445 Everglades Street, Ventura, CA 93003 (opens Google Maps) · Ventura County · (805) 642-1736· 188 certified beds · avg 181 residents/day · certified since Sep 18, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
4/5
Health inspection rating (on-site)
inspected Feb 27, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.53
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. F-0656
View all 23 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 10, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Apr 11, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Jan 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint · F-0713 |
| Jan 28, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Jan 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Oct 17, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Oct 17, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jul 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Jun 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Dec 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint · F-0553 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Apr 15, 2021 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 15, 2021 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 7).
All citationsSerious citations (G–L)
2021
All citations: 2
Serious citations (G–L): 0
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | D |
| 2023 | 3 | 0 | D |
| 2024 | 5 | 0 | D |
| 2025 | 13 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.53
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.42
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.10
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.53 | 4.31 | 3.95 | top 28% in California; top 22% in the U.S. |
| Registered Nurse hours | 0.42 | 0.61 | 0.69 | bottom 38% in California; bottom 26% in the U.S. |
| Weekend total nurse staffing | 4.10 | 3.90 | 3.50 | top 28% in California; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.51 | 0.48 | bottom 45% in California; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 30.1 | 36.7 | 45.8 | top 29% in California; top 14% in the U.S. |
| RN turnover (%) | 45.5 | 38.1 | 42.9 | bottom 34% in California; bottom 43% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.53, RN 0.42, weekend 4.09.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Victoria Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Flagstone Healthcare Central LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 01/30/2006 |
| The Ensign Group INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/30/2006 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 01/30/2006 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2003 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2003 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2003 |
| Cullifer, Jared | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2003 |
| Everglades Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2003 |
| Gardner, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2010 |
| Gardner, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2010 |
| Gardner, John | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2010 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Valiveti, Vinod | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/09/2016 |
| Valiveti, Vinod | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/09/2016 |
| Valiveti, Vinod | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2016 |
| Willits, Adam | Individual | Corporate Officer | NOT APPLICABLE | 10/30/2018 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Victoria Healthcare and Rehabilitation Center — Costa Mesa, CA · overall 5/5
- Victoria Post Acute Care — El Cajon, CA · overall 5/5
- Villa Maria Post Acute — Santa Maria, CA · overall 5/5
- Vintage Faire Nursing & Rehabilitation Center — Modesto, CA · overall 3/5
- Vista Knoll Specialized Care Facility — Vista, CA · overall 5/5
- Whittier Hills Health Care Ctr — Whittier, CA · overall 2/5
- Arvada Care and Rehabilitation Center — Arvada, CO · overall 5/5
- Berthoud Care and Rehabilitation — Berthoud, CO · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 30% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 16 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Coastal View Healthcare Center | 1.3 mi | Ventura, CA | ★★★★★ | 4/5 | |
| Ventura Post Acute | 1.7 mi | Ventura, CA | ★★★★★ | 4/5 | |
| Oxnard Manor Healthcare Center | 3.2 mi | Oxnard, CA | ★★★★★ | 4/5 | |
| Glenwood Care Center | 3.8 mi | Oxnard, CA | ★★★★★ | 5/5 | |
| Shoreline Care Center | 6.1 mi | Oxnard, CA | ★★☆☆☆ | 2/5 | |
| Maywood Acres Healthcare | 6.2 mi | Oxnard, CA | ★★★★★ | 5/5 | |
| Santa Paula Post Acute Center | 10.2 mi | Santa Paula, CA | ★★★★☆ | 4/5 | |
| Camarillo Healthcare Center | 10.2 mi | Camarillo, CA | ★★★★★ | 4/5 | |
| St. John's Hospital Camarillo D/P SNF | 11.5 mi | Camarillo, CA | ★★★★★ | 5/5 | |
| Community Memorial Continuing Care Center | 12.9 mi | Ojai, CA | ★★★★★ | 5/5 | |
| Alta Healthcare Center of Camarillo | 13.3 mi | Camarillo, CA | ★★★★☆ | 4/5 | |
| Ojai Health & Rehabilitation | 13.4 mi | Ojai, CA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Ventura, CA — 19 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Greenfield Care Center of Fillmore, LLC — Fillmore, CA · overall 5/5
- Mary Health of the Sick Convalescent & Nursing Hos — Newbury Park, CA · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 555478.
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