Lilisity

Nursing home · Top rated by CMS

Victoria Care Center

3541 Puente Avenue, Baldwin Park, CA 91706 · Map
For profit - Limited Liability company · Part of David & Frank Johnson (45 facilities) · 49 certified beds

Medicare and Medicaid certified
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Victoria Care Center is a Medicare-certified nursing home in Baldwin Park, California. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.31 hours per resident per day, below the California average of 4.51. Its most recent inspection on Feb 16, 2025 cited 9 deficiencies.

5 out of 5Overall CMS rating
4 out of 5Health inspections
2 out of 5Staffing
49 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections4/5
Staffing2/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality5/5

How Victoria Care Center compares

This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityCalifornia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.314.513.89below avg
RN staffing (hrs/resident/day)0.340.650.68below avg
Aide staffing (hrs/resident/day)2.552.642.34below avg
Nursing staff turnover40.0%38.1%46.4%above avg
Deficiencies cited, last inspection9.015.49.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.31Total nurse hrs/resident/day
0.34RN hrs/resident/day
1.41LPN hrs/resident/day
2.55Aide hrs/resident/day
3.91Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff40.0%
Registered nurses—
Administrator changes2 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Feb 16, 2025Most recent inspection
9Deficiencies found
56Health inspection score
0Fines

What inspectors found at Victoria Care Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Jun 12, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · May 16, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Feb 16, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Minimal

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Environmental Deficiencies · Feb 16, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Nov 5, 2024 · Full report (PDF)
  • Potential for harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Resident Rights Deficiencies · Jun 13, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
3541 Puente Avenue
Baldwin Park, CA 91706
CMS certification #
555107
Ownership
For profit - Limited Liability company
Certified beds
49
Avg residents/day
43.5
Provider type
Medicare and Medicaid
First certified
1979-02-05
Chain
David & Frank Johnson (45 facilities)
Setting
Urban

Part of David & Frank Johnson

David & Frank Johnson operates 45 nursing facilities across the United States. View all David & Frank Johnson facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Victoria Care Center using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2025, 2 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Jan 29, 2025: programmed (planned) inspection, complete (safety). Case closed Aug 6, 2025. 2 violations cited (2 other). Penalties: $480 proposed, $480 now. OSHA record. OSHA recorded the employer as Puente Partners, LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Other than serious: Cited rule 2340.22(b). Penalty $240 proposed, $240 now.
    • Other than serious: Cited rule 2484.5. Penalty $240 proposed, $240 now.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Emanate Health Inter-Community Hospital, Covina. 3.4 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
Nearest Medicare nursing home
West Covina Healthcare Center, West Covina. 0.5 miles away, straight line.
Nearest home health agency office
Aveanna Healthcare, West Covina. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 91706 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Covina Dialysis Center, West Covina, 0.7 miles away, straight line (CMS rating 3 of 5 stars)
Advanced Dialysis Center, Baldwin Park, 0.7 miles away, straight line (CMS rating 1 of 5 stars)
Fmc Dialysis Services Of West Covina, West Covina, 0.8 miles away, straight line (CMS rating 5 of 5 stars)
Hospice
177 Medicare hospices tell CMS they serve ZIP code 91706.
Goldstone Hospice, Inc., office in Baldwin Park, 2.1 miles away, straight line
Tranquil Oaks Hospice Care, office in West Covina, 2.9 miles away, straight line
Priority Hospice Care, Inc, office in Covina, 3.1 miles away, straight line
Nearest geriatric medicine practice
Southern California Permanente Medical Group, West Covina. 0.8 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
Los Angeles County Department of Public Health, Environmental Health kitchen inspectionsOct 15, 2026No kitchen matched
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Victoria Care Center a good nursing home?

CMS gives Victoria Care Center an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Victoria Care Center staffed?

Victoria Care Center reports 4.31 total nurse hours per resident per day, compared with the California average of 4.51.

Has Victoria Care Center had inspection problems?

Its most recent CMS inspection cited 9 deficiencies.

How many beds does Victoria Care Center have?

Victoria Care Center is certified for 49 beds.