Inspection citations
10’23
33’24
18’25
32’26
93 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 31, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 31, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Aug 25, 2026 | D · potential | 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. | Complaint |
| Aug 25, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 24, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Aug 24, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Aug 18, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Aug 18, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 18, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Aug 6, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jul 17, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jul 17, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jul 17, 2026 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Jul 17, 2026 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Jul 17, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jul 17, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Routine |
| Jul 17, 2026 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jul 17, 2026 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jul 17, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jul 17, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Jul 17, 2026 | E · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Jul 17, 2026 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Jul 17, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Jul 17, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jul 17, 2026 | E · potential | Ensure 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. | Routine |
| Jul 17, 2026 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jul 17, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 17, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jul 17, 2026 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Jul 17, 2026 | D · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Routine |
| Jul 17, 2026 | D · potential | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Routine |
| Jul 10, 2026 | E · potential | Honor the resident's right to choose his or her attending physician. | Complaint |
| Dec 16, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| May 11, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 11, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 11, 2025 | D · potential | Honor 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. | Routine |
| May 11, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 11, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| May 11, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 11, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 11, 2025 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| May 11, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| May 11, 2025 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| May 11, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 11, 2025 | E · potential | Post nurse staffing information every day. | Routine |
| May 11, 2025 | D · potential | 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. | Routine |
| May 11, 2025 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 11, 2025 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 23, 2025 | E · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Jan 23, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 23, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Sep 23, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Sep 23, 2024 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Sep 23, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 5, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 5, 2024 | D · potential | Honor 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. | Routine |
| Jun 5, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 5, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jun 5, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jun 5, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 5, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Jun 5, 2024 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Jun 5, 2024 | D · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Jun 5, 2024 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Jun 5, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 5, 2024 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Jun 5, 2024 | E · potential | Implement 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. | Routine |
| Jun 5, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 5, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jun 5, 2024 | D · potential | 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. | Routine |
| Jun 5, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 5, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jun 5, 2024 | D · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Jun 5, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| May 1, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| May 1, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 27, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Feb 5, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Feb 5, 2024 | D · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Complaint |
| Jan 16, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Jan 16, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 16, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 16, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 29, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 29, 2023 | D · potential | 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. | Complaint |
| Dec 29, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Nov 30, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 16, 2023 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Nov 16, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 16, 2023 | D · potential | Have 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. | Complaint |
| Nov 7, 2023 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Complaint |
| Nov 7, 2023 | D · potential | Prepare residents for a safe transfer or discharge from the nursing home. | Complaint |
| Nov 7, 2023 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
The Gardens Healthcare Center
17650 Devonshire Street, Northridge, CA 91325 · (818) 477-4030
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555791
- Certified beds
- 45
- Legal owner
- Asnd LLC
- Part of
- Aspen Skilled Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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