VICTORIA POST ACUTE CARE
VICTORIA POST ACUTE CARE is a 120-bed nursing home in EL CAJON, California. CMS has certified it for Medicare and Medicaid since 2004-03-17. It averages 113.0 residents a day.
What harm was found in the violations cited at VICTORIA POST ACUTE CARE?
CMS lists 41 health-inspection deficiencies for VICTORIA POST ACUTE CARE since 2022-09-28, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-01-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-29 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2026-01-29 | F0554, F0677, F0755, F0761, F0812, F0842, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-09-04 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-31 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2024-09-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-09-13 | F0804, F0880 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2024-09-13 | F0550, F0584, F0636, F0641, F0677, F0761, F0867 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2024-08-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-07-24 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-17 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D |
| 2024-01-26 | F0880, F0883 | Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-09-28 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G |
| 2022-09-28 | F0656, F0867 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2022-09-28 | F0578, F0641, F0657, F0689, F0692, F0695, F0755, F0758, F0759, F0773, F0880, F0881 | 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
How is VICTORIA POST ACUTE CARE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.02860 | 4.51570 |
| Total nursing staff turnover (%) | 49.6 | 36.7 |
| Average number of residents per day | 113.0 | 87.9 |
Who owns VICTORIA POST ACUTE CARE, and what chain is it in?
VICTORIA POST ACUTE CARE is registered with CMS as For profit - Corporation, operates under the legal business name ANZA HEALTHCARE INC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | DOVE, EDWARD, FAM, ANTHONY | since 10/01/2023 |
| CORPORATE DIRECTOR | WILLITS, ADAM | since 01/01/2023 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD, OH, KATHERINE, SATO, AMI | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | LINCARE INC, DOVE, EDWARD, FAM, ANTHONY | since 10/01/2023 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 07/10/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, DOVE, EDWARD, FAM, ANTHONY | since 07/10/2025 |
Were you or a family member harmed at VICTORIA POST ACUTE CARE?