Villa Gardens Health Care Unit, Pasadena, CA: Nursing home

Overall5★★★★★

Inspections4★★★★☆

Staffing5★★★★★

Quality5★★★★★

Federal finesNoneon record

Inspection citations

9’23

11’24

9’25

Year

29 shown

Date	Severity	What inspectors found	Visit
Dec 5, 2025	D · potential	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	Routine
Dec 5, 2025	D · potential	Honor 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.	Routine
Dec 5, 2025	F · 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.	Routine
Dec 5, 2025	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Dec 5, 2025	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Dec 5, 2025	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Dec 5, 2025	E · potential	Dispose of garbage and refuse properly.	Routine
Dec 5, 2025	E · potential	Provide and implement an infection prevention and control program.	Routine
Dec 5, 2025	D · potential	Implement a program that monitors antibiotic use.	Routine
Oct 4, 2024	E · 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
Oct 4, 2024	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Oct 4, 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
Oct 4, 2024	E · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Oct 4, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Oct 4, 2024	E · potential	Dispose of garbage and refuse properly.	Routine
Oct 4, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Oct 4, 2024	E · potential	Provide and implement an infection prevention and control program.	Routine
Oct 4, 2024	D · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Routine
Jan 31, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Jan 31, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Oct 8, 2023	D · potential	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Routine
Oct 8, 2023	E · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Oct 8, 2023	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Oct 8, 2023	E · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Oct 8, 2023	E · 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
Oct 8, 2023	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Oct 8, 2023	D · potential	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	Routine
Oct 8, 2023	D · potential	Provide and implement an infection prevention and control program.	Routine
Oct 8, 2023	E · potential	Implement a program that monitors antibiotic use.	Routine

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

Villa Gardens Health Care Unit
842 East Villa Street, Pasadena, CA 91101 · (626) 796-8162

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 555429
Certified beds: 54
Legal owner: Front Porch Communities and Services
Part of: Front Porch

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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