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Nursing HomeMedicaid Top Rated

Victoria Care Center

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy. Still worth an in-person visit.

5445 Everglades Street, Ventura, CA 93003188 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 136 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as their rehab teams are frequently praised for driving recovery. However, families should be vigilant regarding medication timing and call light responsiveness, and it is highly recommended to visit in person to ensure the high standards of hygiene and patient attentiveness are being met.

Google Reviews

Google Reviews

136 reviews on Google
Victoria Care Center is highly regarded by many families for its exceptional physical and occupational therapy teams, which are frequently cited as instrumental in patient recovery. While many reviewers praise the warm, professional nursing staff and the cleanliness of the facility, there are serious, recurring allegations regarding delayed pain medication, infrequent response to call lights, and instances of neglect leading to pressure ulcers. Families should also be aware of inconsistent feedback regarding food temperature and the difficulty in reaching the facility by phone.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean7.0Activities9.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Warm and professional nursing staff
  • Clean and well-maintained facility
  • Compassionate administrative and support teams

Concerns

  • Delayed response to call lights and medication requests (mentioned by 5 reviewers)
  • Instances of patient neglect and pressure ulcers (bedsores) (mentioned by 4 reviewers)
  • Difficulty reaching the facility via telephone (mentioned by 3 reviewers)
  • Inconsistent food temperature and quality (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(7)'20(1)'22(9)'24(45)'26(24)

Distribution · 145 analyzed

5
106
4
15
3
1
2
4
1
19
22 reviews posted between May 20, 2024May 23, 2024 · 22 were 5-star

How They Respond to Reviews

43%response rate
Good

The owner provides personalized, warm responses to positive reviews by echoing specific details mentioned by the reviewer. However, responses to negative reviews become increasingly generic and lack specific solutions or accountability.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those services are integrated into a resident's daily routine?
  • 2How does the nursing team manage call lights and medication requests to ensure residents receive timely assistance, especially during busy shifts?
  • 3What steps are in place to ensure consistent food quality and temperature for every mealtime?
  • 4Could you explain your protocols for monitoring skin integrity and preventing pressure ulcers for residents with limited mobility?
  • 5What is the best way for our family to stay in regular contact with the care team if we have questions or need an update?
  • 6What kind of daily social activities or group outings are available to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy department is spectacular! The general care employees are well trained, empathetic and listen to requests and carry out the request to the best of their ability.

Recent patient · 2025★★★★★

My mom was there for 2½ weeks for PT & OT after a hospitalization and received excellent care. She came home stronger than before she went in and is doing great.

Long-term resident's family · 2025★★★★★

One area that could improve would be pain management. When you are there for post acute issues pain is a primary issue and one shouldn’t have to wait 1 to 4 hours for allowed medications.

Rehab patient · 2025★★☆☆☆
Source: 136 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
4.36hrs
OK
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

15

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
19.4%
CA
10.7%
Ventura
11.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
12.1%
CA
7.0%
Ventura
3.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.4%
CA
11.6%
Ventura
12.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
19.5%
CA
13.7%
Ventura
18.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
14.4%
CA
10.4%
Ventura
10.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.3%
CA
10.5%
Ventura
9.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Ventura
96.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
CA
94.2%
Ventura
98.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
Ventura
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (15.4)
15 complaint-triggered

Victoria Care Center shows concerning patterns with families filing 15 complaint-triggered deficiencies across multiple areas. Recurring problems include care planning and quality standards, fire safety systems, and resident rights issues. While the facility has corrected violations when cited, the persistent complaints about care planning and quality standards suggest ongoing challenges that warrant careful evaluation during your visit.

Jul 10, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Apr 11, 2025Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Feb 27, 2025Routine
13
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0347Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 31, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0713Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide or arrange emergency care by a doctor 24 hours a day.

Jan 28, 2025Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Oct 17, 2024Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Victoria Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 46 of 328 (Best)

Ownership & Management

Owners

Flagstone Healthcare Central LLC

Owner (parent company) · Organization

100%

The Ensign Group INC

Owner (parent company) · Organization

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Gardner, JohnManaging Control - Governing BodyValiveti, VinodManaging Control - Governing BodyBurnam, SoonOfficer / DirectorCullifer, JaredOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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