Elder Care Record

California › Los Angeles County › Pasadena

Villa Gardens Health Care Unit

842 East Villa Street, Pasadena, CA 91101

CCN 555429 · Non-profit, corporation · 54 certified beds · chain Front Porch

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 54 beds, Villa Gardens Health Care Unit serves Pasadena in Los Angeles County, California and has taken Medicare and Medicaid residents since 1990.

CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.

Inspectors recorded 31 health deficiencies across the three most recent survey cycles (9, 9, 13 by cycle, most recent first), none at the actual-harm level. That is 57.4 per 100 beds, about the same as the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.1 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 21.8%.

31health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.1nurse hours per resident per daystate median 4.2
81%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating5233.0
Health citations, 3 cycles31614428.7
Citations per 100 beds57.469.151.126.8
Total nurse hours per resident day5.14.34.23.9
RN hours per resident day0.50.40.50.7
Nursing staff turnover21.8%34.4%36.4%45.8%
Fines listed$0$12,831$0—

County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 29
Cycle 313

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 4 Oct 2024.

Severity mix: D ×12 E ×18 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Dec 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey26 Dec 2025
5 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey26 Dec 2025
5 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 Dec 2025
5 Dec 2025F0814Dispose of garbage and refuse properly.EStandard survey26 Dec 2025
5 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey26 Dec 2025
5 Dec 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey26 Dec 2025
5 Dec 2025F0584Honor 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.DStandard survey26 Dec 2025
5 Dec 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey26 Dec 2025
5 Dec 2025F0881Implement a program that monitors antibiotic use.DStandard survey26 Dec 2025
4 Oct 2024F0578Honor 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.EStandard survey3 Nov 2024
4 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey3 Nov 2024
4 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey3 Nov 2024
4 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Nov 2024
4 Oct 2024F0814Dispose of garbage and refuse properly.EStandard survey3 Nov 2024
4 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey3 Nov 2024
4 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Nov 2024
4 Oct 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Nov 2024
4 Oct 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey3 Nov 2024
31 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 Mar 2024
31 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Mar 2024
8 Oct 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey30 Oct 2023
8 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey30 Oct 2023
8 Oct 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey30 Oct 2023
8 Oct 2023F0761Ensure 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.EStandard survey30 Oct 2023
8 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Oct 2023
8 Oct 2023F0881Implement a program that monitors antibiotic use.EStandard survey30 Oct 2023
8 Oct 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey30 Oct 2023
8 Oct 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey30 Oct 2023
8 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey30 Oct 2023
24 Aug 2023F0803Ensure 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.EComplaint investigation24 Sep 2023
24 Aug 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation24 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.06 h
Nurse aides2.95 h
LPN1.56 h
RN0.55 h
Weekend total4.48 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 21.8%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.2%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.1%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.4%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Front Porch Communities And Services. Chain: Front Porch (9 facilities).

OrganisationRole in the CMS recordInterestSince
Front Porch Communities and Services5% or greater direct ownership interest100%10/01/2006

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Los Angeles County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Villa Gardens Health Care Unit been cited for?

31 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Villa Gardens Health Care Unit been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Villa Gardens Health Care Unit compare?

Reported total nurse staffing is 5.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Villa Gardens Health Care Unit?

It is part of the Front Porch chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Front Porch Communities and Services. Individual owners and managers are not listed on this site.

When was Villa Gardens Health Care Unit last inspected?

The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 5 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.