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VICTORIA HEALTHCARE AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (COSTA MESA, California)

340 VICTORIA STREET, COSTA MESA, California 92627

Phone: 9496420387

CMS Overall:4/5

Overview & Bed Count

Certified Beds
79
Avg Residents/Day
73.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Orange
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.490.68-0.19
Total Nurse Hours per Resident per Day4.594.54+0.05
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover20.5%36.6%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2026-08-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-08-14Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2026-08-14Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2026-08-14Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-08-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-08-14Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2026-08-14Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-08-14Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2026-08-14Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2026-08-14Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-08-14Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-08-14Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential
2025-09-04Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-07-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-07-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-07-23Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-07-23Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2025-07-23Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2025-07-23Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-07-23Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-07-23Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.B – Minimal Harm Potential
2025-07-23Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B – Minimal Harm Potential
2025-07-23Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.B – Minimal Harm Potential
2025-07-23Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.B – Minimal Harm Potential
2024-04-29Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B – Minimal Harm Potential
2023-10-31Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2023-10-31Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2023-10-23Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-14Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2025-07-23Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2025-07-23Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-07-23Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-10-31Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2023-10-31Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.D – Moderate Harm Potential
2023-10-31Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.D – Moderate Harm Potential
2023-10-31Smoke DeficienciesEnsure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.D – Moderate Harm Potential
2023-10-31Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.D – Moderate Harm Potential
2023-10-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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