Nursing homeActive

Victoria Care Center

5445 Everglades Street, Ventura, CA 930038056421736188 certified beds · 181 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
12
since 2021
Deficiencies
23
0230
Penalties · 3 yrs
none on file
Last survey
2025-07-10
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-10Complaint010CMS-2567 (Care Compare)
2025-04-11Complaint010CMS-2567 (Care Compare)
2025-02-27Standard070CMS-2567 (Care Compare)
2025-01-31Complaint020CMS-2567 (Care Compare)
2025-01-28Complaint020CMS-2567 (Care Compare)
2024-10-17Complaint020CMS-2567 (Care Compare)
2024-07-19Complaint010CMS-2567 (Care Compare)
2024-07-02Complaint010CMS-2567 (Care Compare)
2024-06-25Complaint010CMS-2567 (Care Compare)
2023-12-03Complaint010CMS-2567 (Care Compare)
2023-10-19Standard020CMS-2567 (Care Compare)
2021-04-15Standard020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-10Complaint survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 555478-20250710-F658
2025-04-11Complaint survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 555478-20250411-F658
2025-02-27Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 555478-20250227-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 555478-20250227-F578
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 555478-20250227-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 555478-20250227-F657
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 555478-20250227-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 555478-20250227-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 555478-20250227-F921
2025-01-31Complaint survey · 2 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-18Record 555478-20250131-F580
F713Provide or arrange emergency care by a doctor 24 hours a day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-18Record 555478-20250131-F713
2025-01-28Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 555478-20250128-F658
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 555478-20250128-F755
2024-10-17Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 555478-20241017-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 555478-20241017-F842
2024-07-19Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-05Record 555478-20240719-F609
2024-07-02Complaint survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-16Record 555478-20240702-F656
2024-06-25Complaint survey · 1 deficiencyOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 555478-20240625-F550
2023-12-03Complaint survey · 1 deficiencyOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 555478-20231203-F553
2023-10-19Standard survey · 2 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 555478-20231019-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 555478-20231019-F677
2021-04-15Standard survey · 2 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-13Record 555478-20210415-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-13Record 555478-20210415-F842

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.42
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.53
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.09
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover30%
Facility
California
National
California 37% · National 46%
Registered nurse turnover46%
Facility
California
National
California 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.2%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.7%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.8%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
5.7%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.3%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.3%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Flagstone Healthcare Central LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Gardner, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Valiveti, Vinod
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Caretrust Gp LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Caretrust Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ctr Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Cullifer, Jared
Individual
CORPORATE OFFICERNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Everglades Health Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gardner, John
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Gardner, John
Individual
ADP OF THE SNFNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Port, Barry
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Sato, Ami
Individual
CORPORATE OFFICERNOT APPLICABLE
The Ensign Group Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Valiveti, Vinod
Individual
ADP OF THE SNFNOT APPLICABLE
Valiveti, Vinod
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Willits, Adam
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Ventura.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Coastal View Healthcare Center
Ventura
1.3 mi2025-12-180231
Ventura Post Acute
Ventura
1.7 mi2025-06-120140
Oxnard Manor Healthcare Center
Oxnard
3.2 mi2026-01-290320
Glenwood Care Center
Oxnard
3.8 mi2025-11-240110
Shoreline Care Center
Oxnard
6.1 mi2026-07-020491
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01