Nursing homes › California › Victoria Care Center
5445 Everglades Street, Ventura, CA 93003 · 8056421736 · 188 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 4.53 (California median: 4.24). RN hours: 0.42. Weekend total: 4.09. Nursing staff turnover: 30%.
All-time on record: 24 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-10 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-07-15 |
| 2025-04-11 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-04-22 |
| 2025-02-27 | 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 2025-03-31 |
| 2025-02-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-25 |
| 2025-02-27 | 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 2025-03-25 |
| 2025-02-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-03-31 |
| 2025-02-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-03-31 |
| 2025-02-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-03-31 |
| 2025-02-27 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-03-31 |
| 2025-01-31 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-02-18 |
| 2025-01-31 | Provide or arrange emergency care by a doctor 24 hours a day. | D | complaint | corrected 2025-02-18 |
| 2025-01-28 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-02-19 |
| 2025-01-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-02-19 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-11-13 |
| 2024-10-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-11-13 |
| 2024-07-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-09-05 |
| 2024-07-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-07-16 |
| 2024-06-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-07-11 |
| 2023-12-03 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | complaint | corrected 2023-12-07 |
| 2023-10-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-11-01 |
| 2023-10-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-11-01 |
| 2023-07-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-07-26 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE CENTRAL LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 01/30/2006 |
| THE ENSIGN GROUP INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/30/2006 |
| GARDNER, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2010 |
| VALIVETI, VINOD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/09/2016 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 01/30/2006 |
| CULLIFER, JARED | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| WILLITS, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 10/30/2018 |
| GARDNER, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2010 |
| VALIVETI, VINOD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/09/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555478. Corrections: data@carerecords.org.