Victoria Care Center

5445 Everglades Street · Ventura, CA · 93003 · 8056421736

188 certified beds For profit - Limited Liability company Chain: The Ensign Group

  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 60
Serious harm & abuse 20% 100
Staffing 20% 77
Federal penalties 15% 100
Trend 10% 72
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.363.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day3.91≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (24 in the current record)

  • Potential for harm · D July 10, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

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

    Corrected March 25, 2025 · Resident Rights

  • Potential for harm · D February 27, 2025

    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.

    Corrected March 25, 2025 · Resident Rights

  • Potential for harm · E February 27, 2025

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

    Corrected March 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

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

    Corrected March 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

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

    Corrected March 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 31, 2025 · Infection Control

  • Potential for harm · D February 27, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 31, 2025 · Environmental

  • Potential for harm · D January 31, 2025 · found via complaint

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

    Corrected February 18, 2025 · Resident Rights

  • Potential for harm · D January 31, 2025 · found via complaint

    Provide or arrange emergency care by a doctor 24 hours a day.

    Corrected February 18, 2025 · Nursing and Physician Services

  • Potential for harm · D January 28, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 28, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 19, 2025 · Pharmacy Service

  • Potential for harm · D October 17, 2024 · found via complaint

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

    Corrected November 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 17, 2024 · found via complaint

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

    Corrected November 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2024 · found via complaint

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

    Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2024 · found via complaint

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

    Corrected July 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 25, 2024 · found via complaint

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

    Corrected July 11, 2024 · Resident Rights

  • Potential for harm · D December 3, 2023 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected December 7, 2023 · Resident Rights

  • Potential for harm · D October 19, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 19, 2023

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

    Corrected November 1, 2023 · Quality of Life and Care

  • Potential for harm · D July 14, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 15, 2021

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

    Corrected May 13, 2021 · Nutrition and Dietary

  • Potential for harm · D April 15, 2021

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

    Corrected May 13, 2021 · Resident Assessment and Care Planning

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555478 · certified since September 18, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.