CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 5554782026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Victoria Care Center

5445 Everglades Street · Ventura, CA 93003 · Ventura County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds188CMS provider file
Recent citation rows48current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-02-2772025-02-276
Cycle 22023-10-19102023-10-199
Cycle 32021-04-1562021-04-1510
02 / CITATION DETAIL

48 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-07-10 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-15 · complaint
2025-04-11 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-22 · complaint
2025-02-27 · FIREE0039Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-25
2025-02-27 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-25
2025-02-27 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-31
2025-02-27 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-31
2025-02-27 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-31
2025-02-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-03-31
2025-02-27 · HEALTHF0921Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-31
2025-02-27 · FIREK0347Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0912Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-01-31 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-02-18 · complaint
2025-01-31 · HEALTHF0713Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-18 · complaint
2025-01-28 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-19 · complaint
2025-01-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-19 · complaint
2024-10-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-11-13 · complaint
2024-10-17 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-11-13 · complaint
2024-07-19 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2024-09-05 · complaint
2024-07-02 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-07-16 · complaint
2024-06-25 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-11 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FLAGSTONE HEALTHCARE CENTRAL LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    100% · since 01/30/2006
  • THE ENSIGN GROUP INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/30/2006
  • GARDNER, JOHNIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2010
  • VALIVETI, VINODIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 03/09/2016
  • BURNAM, SOONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/30/2006
  • CULLIFER, JAREDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • KEETCH, CHADIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2011
  • SATO, AMIIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/09/2024
  • WILLITS, ADAMIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/30/2018
  • GARDNER, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/2010
  • VALIVETI, VINODIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/09/2016
  • PORT, BARRYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/11/2025
  • CARETRUST GP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2003
  • CARETRUST REIT INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2003
  • CTR PARTNERSHIP LPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2003
  • ENSIGN SERVICES INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2003
  • EVERGLADES HEALTH HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2003
  • GARDNER, JOHNIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2010

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.53per resident day
RN hours0.42per resident day
Weekend nurse hours4.09per resident day
Staff turnover30.1%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.