Victoria Care Center

    3541 Puente Ave, Baldwin Park, CA, 91706
    3.2 · 13 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Good short-term rehab, unsafe long-term

    I placed my sister at Victoria Care Center for rehab and at first she arrived in good condition - the facility was very clean and many nurses/CNAs and admin were warm, attentive and professional, so I'd recommend it for short-term rehab. But over time care deteriorated: she acquired COVID, MRSA and Candida auris, experienced delayed/poor medical attention (inadequate diaper changes, withheld water at night), terrible food, unprofessional admin issues (bounced checks/payroll delays), and I ultimately reported staff to the state. Bottom line: the CNAs and some staff are caring, but I cannot trust this facility for long-term care due to serious safety and medical-neglect concerns.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.15 · 13 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.8
    • Meals

      1.0
    • Amenities

      3.2
    • Value

      3.2

    Pros

    • Caring and supportive CNAs
    • Friendly and attentive nursing staff
    • Welcoming and professional administrative staff
    • Clean facility
    • Successful rehabilitation outcomes for some residents
    • Comfortable environment
    • Excellent customer service
    • Patients appearing happy
    • Several strong personal recommendations from families

    Cons

    • Serious infection reports (COVID-19, MRSA, Candida auris)
    • Allegations of medical neglect and preventable amputation
    • Reports of mental abuse, yelling, and unprofessional staff behavior
    • Instances of inadequate basic care (withholding water at night, poor diapering)
    • Poor communication and alleged dishonesty with doctors and families
    • Complaints about terrible food
    • Staffing shortages and missing staff
    • Payroll and financial management problems (bounced checks, payroll delays)
    • Slow maintenance and delayed repairs
    • Some residents experienced severe deterioration (life support) during stay

    Summary review

    Overall sentiment in these reviews is highly polarized: several reviewers strongly praise Victoria Care Center for its cleanliness, compassionate bedside staff (especially CNAs and some nurses), and effective rehabilitation services, while other reviewers report severe lapses in medical care, safety, and management. This split pattern suggests inconsistent experiences across patients, units, shifts, or time periods; while some families describe a facility that delivered excellent care and successful rehab, others allege neglect, abuse, and dangerous clinical outcomes.

    Care quality and clinical outcomes: Multiple reviews report successful rehabilitative stays and family satisfaction with clinical results for some residents, including explicit strong recommendations. At the same time, there are serious, specific negative clinical claims: acquisition of infections (COVID-19, MRSA, Candida auris), a patient deteriorating to life support during the stay, allegations of medical neglect that reviewers say led to a preventable amputation, and other instances described as causing major harm. These are not isolated complaints about minor care issues — they are framed as significant, potentially life‑threatening failures by the facility in individual cases.

    Staff behavior and professionalism: The workforce is described in sharply contrasting ways. Many reviews single out CNAs, nurses, and some administrative staff as caring, warm, loving, and professional; several families explicitly say staff were welcoming, attentive, and supportive. Conversely, other reviews report unprofessional conduct including yelling at residents, mental abuse, withholding basic needs (water at night), inadequate diaper changes, and allegations that staff lied to doctors and families. This dichotomy points toward variability in staff performance or inconsistent oversight and raises concerns about which shifts, units, or personnel are involved in the problematic incidents.

    Facility environment and rehab services: Multiple reviewers note the facility is clean and comfortable, with patients appearing happy in those positive accounts. Several people praised the rehab focus and effectiveness of therapy and care in achieving recovery goals. However, those positive descriptions coexist with allegations of inadequate routine care and poor responsiveness to basic resident needs in other reports. The presence of strong positive remarks about cleanliness and rehab success indicates these are real strengths for some residents, but not universally experienced.

    Safety, infection control, and clinical governance: A particularly troubling cluster of reviews center on infection control and safety: specific pathogens named include COVID-19, MRSA, and Candida auris. One reviewer raised a safety concern about administering a vaccine while COVID was active in the facility. These reports — combined with allegations of severe deterioration, preventable amputation, and medical neglect — suggest possible lapses in infection prevention, clinical oversight, or escalation protocols in some circumstances. Given the serious nature of the pathogens named and the reported clinical outcomes, these items are high‑priority concerns to verify independently (e.g., state inspection reports, infection control records).

    Dining, maintenance, and operations: Dining receives a negative mention specifically as "terrible food." Operational and administrative concerns appear in multiple reviews: staffing shortages or "missing staff," payroll problems (bounced checks, payroll delays), and slow responses to maintenance issues. Payroll and financial management complaints may point to broader organizational or resource stressors that can indirectly affect care through low staff morale, turnover, or understaffing.

    Patterns, risk assessment, and next steps for families: The overall pattern is one of inconsistency — there are clear, repeated reports of excellent bedside care and successful rehab for some residents, juxtaposed with repeated and serious allegations of neglect, abuse, infection outbreaks, and administrative dysfunction. For prospective residents and families, the reviews suggest that outcomes at Victoria Care Center may depend heavily on unit/shift/staff assignment and current operational conditions. Families should exercise caution: ask targeted questions about recent infection-control history, staffing ratios, staff turnover, payroll stability (as it can indicate organizational health), how the facility manages clinical escalation and family communication, and whether any state investigations or citations exist.

    In summary, Victoria Care Center elicits very mixed reactions: it earns high praise from multiple families for compassionate CNAs, helpful nursing/admin staff, cleanliness, and successful rehab outcomes, but also generates alarming reports of severe clinical failures, infection outbreaks, neglect, and administrative problems. These conflicting themes make it essential to verify current conditions through a tour, direct questions to leadership, review of recent inspection reports, and speaking with multiple families who had stays at different times or units before making placement decisions.

    Location

    Map showing location of Victoria Care Center

    About Victoria Care Center

    Victoria Care Center in Baldwin Park is a skilled nursing facility offering compassionate care to individuals who require comprehensive support and rehabilitation services. Nestled in a tranquil residential area, the facility is dedicated to fostering a secure and welcoming environment where residents’ unique social and clinical needs are met while encouraging personal independence. The team at Victoria Care Center includes skilled professionals who provide attentive nursing care 24 hours a day, ensuring that each resident receives the right level of support and attention tailored to their specific circumstances.

    The facility places strong emphasis on rehabilitation, working closely with residents to help them regain independence following hospitalization or illness. Through individualized programs, patients are empowered to work toward restoring maximum functionality and autonomy. This is achieved through a collaborative process that involves both patients and their family members, ensuring that care plans are not only optimal for recovery but also respectful of each individual’s goals and preferences. The rehabilitation services are delivered by a dedicated staff that strives to create a positive and healing environment for everyone in their care.

    At Victoria Care Center, the social services team is actively involved in the well-being of both patients and their families. They provide valuable information, assistance with care and discharge planning, and help facilitate communication and the resolution of concerns that arise during a resident’s stay. By supporting both emotional and practical needs, the facility helps ease the transition for patients and their loved ones, making sure that everyone feels heard and supported throughout their journey.

    An integral part of life at Victoria Care Center is its vibrant selection of social programs and activities. These are thoughtfully designed to match the varying capabilities and interests of the residents, fostering a sense of community and belonging. Friends and family are encouraged to participate, enhancing the sense of connection and support that is so vital to residents’ well-being. Victoria Care Center strives to maintain an uplifting and engaging atmosphere, ensuring that every individual not only receives the clinical care they need but also enjoys a rich and fulfilling daily life.

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