VICTORIA POST ACUTE CARE
654 S. ANZA, EL CAJON, CA 92020 · CCN 555804
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 111.8
- Phone
- 6194405005
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-13 | 12 | 15.6 | 9.5 | -3.6 better |
| 2 | 2022-09-28 | 19 | 17.4 | 9.8 | +1.6 worse |
| 3 | 2019-12-12 | 6 | 17.1 | 9.3 | -11.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.07 | 56.9% |
| RN staffing (reported) | 0.47 | 36.4% |
| Total nurse staffing (adjusted) | 4.57 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (37)1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-04 · Health · corrected 2025-10-04
Potential for more than minimal harm
- DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-07-31 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0584Honor 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.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0761Ensure 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.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-30 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-24 · Health · corrected 2024-08-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-24 · Health · corrected 2024-08-15
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-04-17 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-26 · Health · corrected 2024-02-19
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-26 · Health · corrected 2024-02-19
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-09 · Health · corrected 2023-07-12
Potential for more than minimal harm
- DF0578Honor 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.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-09-28 · Health · corrected 2022-11-16
Actual harm
- DF0641Ensure each resident receives an accurate assessment.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0758Implement 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.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-09-28 · Health · corrected 2022-11-17
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-09-28 · Health · corrected 2022-11-17
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2022-09-28 · Health · corrected 2022-11-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-12-12 · Health · corrected 2020-01-07
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2019-12-12 · Health · corrected 2020-01-07
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-12-12 · Health · corrected 2020-01-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE SOUTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-12-01 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-01-30 |
| LINCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-12-01 |
| DOVE, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-12-01 |
| FAM, ANTHONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-01 |
| WILLITS, ADAM | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2014-09-10 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| OH, KATHERINE | Individual | CORPORATE OFFICER | — | 2025-06-01 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
Other facilities in EL CAJON
| Name | Overall | Beds |
|---|---|---|
| PARKSIDE HEALTH AND WELLNESS CENTER | ★★★★★ | 52 |
| BRADLEY COURT | ★★★★★ | 56 |
| THE ROYAL HOME | ★★★★☆ | 19 |
| MAGNOLIA POST ACUTE CARE | ★★★☆☆ | 99 |
| VILLA LAS PALMAS HEALTHCARE CENTER | ★★★☆☆ | 151 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.