Victoria Care Center
3541 Puente Avenue, Baldwin Park, CA 91706


Victoria Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555107. The address is 3541 Puente Avenue, Baldwin Park, CA 91706. The zip code is 91706. The phone number is 6269621043.


Victoria Care Center · 3541 Puente Avenue, Baldwin Park, CA 91706

Federal Provider Number 555107
Provider Name VICTORIA CARE CENTER
Address 3541 PUENTE AVENUE
BALDWIN PARK, CA 91706
Phone Number 6269621043
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 49
Certified Beds Residents 40
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PUENTE PARTNERS LLC
Date First Approved to Provide Medicare Medicaid Services 02/05/1979
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.42625
Reported LPN Staffing Hours per Resident per Day 0.8675
Reported RN Staffing Hours per Resident per Day 0.80625
Reported Licensed Staffing Hours per Resident per Day 1.67375
Reported Total Nurse Staffing Hours per Resident per Day 4.1
Reported Physical Therapist Staffing Hours per Resident Per Day 0.175
Expected CNA Staffing Hours per Resident per Day 2.45688
Expected LPN Staffing Hours per Resident per Day 0.64003
Expected RN Staffing Hours per Resident per Day 1.0743
Expected Total Nurse Staffing Hours per Resident per Day 4.17121
Adjusted CNA Staffing Hours per Resident per Day 2.42311
Adjusted LPN Staffing Hours per Resident per Day 1.12499
Adjusted RN Staffing Hours per Resident per Day 0.56076
Adjusted Total Nurse Staffing Hours per Resident per Day 3.96208
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 01/15/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 12/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 08/28/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 51.333
Number of Facility Reported Incidents 2
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 1
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Victoria Care Center

Owner Name Role Association Date
BAUMAN, IRVING (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 06/10/2008
BAUMAN, IRVING (Individual) OFFICER since 06/10/2008
CHAMBERS, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 06/10/2008
JOHNSON, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 06/10/2008
JOHNSON, FRANCIS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 06/10/2008
JOHNSON, FRANCIS (Individual) OFFICER since 06/10/2008
MARMUR, ELI (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 06/10/2008
PRESNELL, WILLIAM (Individual) MANAGING EMPLOYEE since 06/10/2008
PRESNELL, WILLIAM (Individual) OFFICER since 06/10/2008
URE, NATHAN (Individual) OFFICER since 07/01/2014

street_number: 3541
route: Puente Avenue (Puente Ave)
locality, political: Baldwin Park
admin_level_2, political: Los Angeles County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 91706
postal_code_suffix: 5534
types : premise
latitude: 34.0778344
longitude: -117.9546083
latlng: (34.0778344, -117.9546083)


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