Nursing home

Victoria Post Acute Care

654 S. Anza, El Cajon, CA 92020

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle8
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$0
Beds120

Inspection findings

Inspectors recorded 41 findings in the last three inspection cycles.

1 Actual harm to a resident40 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jan 29, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Feb 26, 2026
Jan 29, 2026Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Jan 29, 2026Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Feb 26, 2026
Sep 4, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 4, 2025
Jul 31, 2025Resident rightsEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 22, 2025
Earlier inspections (31)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Sep 13, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Oct 10, 2024
Sep 13, 2024AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Oct 10, 2024
Sep 13, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Oct 10, 2024
Sep 13, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Sep 13, 2024Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Oct 10, 2024
Aug 30, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 20, 2024
Jul 24, 2024Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 15, 2024
Jul 24, 2024Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 15, 2024
Apr 17, 2024Resident rightsPrepare residents for a safe transfer or discharge from the nursing home. (F0624)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 3, 2024
Jan 26, 2024Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
isolated
Corrected: Feb 19, 2024
Jan 26, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Feb 19, 2024
Sep 28, 2022Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Nov 17, 2022
Sep 28, 2022AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
pattern
Corrected: Nov 16, 2022
Sep 28, 2022AdministrationProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (F0773)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 17, 2022
Sep 28, 2022Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Nov 16, 2022
Sep 28, 2022Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)Actual harm to a resident
isolated
Corrected: Nov 16, 2022
Sep 28, 2022Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Nov 16, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.10California median: 4.27
Registered nurse hours per resident per day0.57California median: 0.52
Nurse staff hours on weekends3.78California median: 3.85
Nursing staff who left within a year44.5%California median: 36.0%

About this home

Beds120
Residents per day, average113.5
OwnershipFor-profit, corporation
Legal business nameAnza Healthcare Inc.
ChainThe Ensign Group (347 homes)
In Medicare/Medicaid sinceMar 17, 2004

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error

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