B88

VICTORIA HEALTHCARE AND REHABILITATION CENTER

Grade B 88/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

79

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

340 VICTORIA STREET, COSTA MESA, CA 92627
9496420387

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.46h
LPN
0.99h
CNA
2.39h
Total
3.84h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FLAGSTONE HEALTHCARE SOUTH LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2006

100%

THE ENSIGN GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2006

100%

YUHAS, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2016

WILLITS, ADAM

IndividualCORPORATE DIRECTORSince Jan 2019

BURNAM, SOON

IndividualCORPORATE OFFICERSince Jan 2006

YUHAS, MICHAEL

IndividualW-2 MANAGING EMPLOYEESince Jul 2016

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (30)

September 4, 2025Health1 deficiency
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Sep 18, 2025
July 23, 2025Health11 deficiencies
0554BNo harm, Pattern

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Aug 8, 2025
0640BNo harm, Pattern

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2025
0695BNo harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2025
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2025
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 8, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 8, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2025
0814BNo harm, Pattern

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2025
April 29, 2024Health1 deficiency
0842BNo harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 16, 2024
October 31, 2023Health2 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Nov 19, 2023
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Nov 19, 2023
October 23, 2023Health1 deficiency
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 10, 2023
June 28, 2023Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 28, 2023
March 28, 2023Health2 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 15, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 15, 2023
July 9, 2021Health11 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Aug 9, 2021
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Aug 9, 2021
0637BNo harm, Pattern

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Aug 9, 2021
0641BNo harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 9, 2021
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Aug 9, 2021
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 9, 2021
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 9, 2021
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 9, 2021
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 9, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 9, 2021
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Aug 9, 2021

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Frequently Asked Questions

What is the CareGrader rating for VICTORIA HEALTHCARE AND REHABILITATION CENTER?

VICTORIA HEALTHCARE AND REHABILITATION CENTER in COSTA MESA, California has a CareGrader grade of B (Good), with a composite score of 88.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for VICTORIA HEALTHCARE AND REHABILITATION CENTER?

VICTORIA HEALTHCARE AND REHABILITATION CENTER has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does VICTORIA HEALTHCARE AND REHABILITATION CENTER have?

VICTORIA HEALTHCARE AND REHABILITATION CENTER has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does VICTORIA HEALTHCARE AND REHABILITATION CENTER have?

VICTORIA HEALTHCARE AND REHABILITATION CENTER has 79 certified beds with approximately 72 current residents (91% occupancy). The facility is located at 340 VICTORIA STREET, COSTA MESA, California 92627. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.