Nursing homes › California › Victoria Care Center
3541 Puente Avenue, Baldwin Park, CA 91706 · 6269621043 · 49 certified beds
Per CMS filings, this facility is affiliated with David Johnson, a group operating 47 facilities in 2 states. Group record: average rating 3.2/5, 4 abuse citation icons, 1 facilities on the Special Focus list, $628,261 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 4.55 (California median: 4.24). RN hours: 0.41. Weekend total: 4.07. Nursing staff turnover: 43%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-09 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Post nurse staffing information every day. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-01 |
| 2026-04-09 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-05-01 |
| 2026-04-09 | 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. | D | Health | corrected 2026-05-01 |
| 2026-04-09 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-05-01 |
| 2026-04-09 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2026-05-01 |
| 2025-06-12 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-06-12 |
| 2025-05-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-06-04 |
| 2025-02-16 | 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. | E | Health | corrected 2025-02-26 |
| 2025-02-16 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-02-18 |
| 2025-02-16 | 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. | E | Health | corrected 2025-02-18 |
| 2025-02-16 | 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. | E | Health | corrected 2025-02-17 |
| 2025-02-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-17 |
| 2025-02-16 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-02-19 |
| 2025-02-16 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-02-17 |
| 2025-02-16 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-02-17 |
| 2024-11-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-11-27 |
| 2024-06-13 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-07-02 |
| 2024-02-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-02-29 |
| 2024-02-11 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2024-02-29 |
| 2024-02-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-29 |
| 2024-02-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | 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. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-02-29 |
| 2024-02-11 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2024-02-29 |
| 2024-01-09 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-01-19 |
| 2023-07-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-10 |
| 2023-07-14 | 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. | D | complaint | corrected 2023-08-09 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PUENTE PARTNERS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 10/30/2008 |
| JOHNSON, FRANK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/10/2008 |
| PUENTE PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/30/2008 |
| BRICE, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/24/2024 |
| CHIMWAZA, PEARSON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/16/2024 |
| DEHGHANMANESH, ADRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2021 |
| DHIMAN, NAVEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/10/2024 |
| JOHNSON, FRANK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/10/2008 |
| KOCHEK, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2022 |
| OXFORD, MICHEAL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/03/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555107. Corrections: data@carerecords.org.