Victoria Post Acute Care
654 S. Anza · El Cajon, CA · 92020 · 6194405005
120 certified beds For profit - Corporation Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
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.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
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-day | 4.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.89 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
-
Potential for harm · D January 29, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 26, 2026 · Resident Rights
-
Potential for harm · D January 29, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 26, 2026 · Pharmacy Service
-
Potential for harm · D January 29, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 26, 2026 · Pharmacy Service
-
Potential for harm · E January 29, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 26, 2026 · Nutrition and Dietary
-
Potential for harm · D January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2026 · Nutrition and Dietary
-
Potential for harm · D January 29, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 26, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 29, 2026
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
-
Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 4, 2025 · Quality of Life and Care
-
Potential for harm · D July 31, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected August 22, 2025 · Resident Rights
-
Potential for harm · D September 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 10, 2024 · Resident Rights
-
Potential for harm · D September 13, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 10, 2024 · Resident Rights
-
Potential for harm · D September 13, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 10, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 13, 2024
Ensure each resident receives an accurate assessment.
Corrected October 10, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 10, 2024 · Quality of Life and Care
-
Potential for harm · D September 13, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 10, 2024 · Pharmacy Service
-
Potential for harm · E September 13, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 10, 2024 · Nutrition and Dietary
-
Potential for harm · F September 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2024 · Nutrition and Dietary
-
Potential for harm · D September 13, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 10, 2024 · Administration
-
Potential for harm · E September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 10, 2024 · Infection Control
-
Potential for harm · D August 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2024 · Quality of Life and Care
-
Potential for harm · D July 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 17, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected May 3, 2024 · Resident Rights
-
Potential for harm · D January 26, 2024
Provide and implement an infection prevention and control program.
Corrected February 19, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555804 · certified since March 17, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.