nursing home in Pasadena, CA
Villa Gardens Health Care Unit
842 East Villa Street, Pasadena, CA 91101 · (626) 796-8162
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Villa Gardens Health Care Unit at a glance
Villa Gardens Health Care Unit is a 54-bed non-profit nursing home in Pasadena, California (Los Angeles County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the California average of 3.2.
Residents receive about 5.1 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 4.5 hours.
Its most recent standard health inspection (December 5, 2025) found 9 health citations. The California average is 15.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 21.8% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 54
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Front Porch
- Medicare-certified since
- July 31, 1990
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Los Angeles County
- CMS Certification Number
- 555429
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.06 hrs | 4.52 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.95 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.48 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 21.8% | 36.7% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 16 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 65 | 105.8 | 80.6 | Better |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 54 | 99 | 107 | |
| Average residents per day | 44 | 88 | 86 | |
| Occupancy | 80.6% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.5% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 1.4% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 1.2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.7% | 0.8% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.2% | 10.2% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 22.1% | 9.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.5% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.4% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21.2% | 10.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.3% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 5, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 2, 2026 |
| December 5, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected December 26, 2025 |
| December 5, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected December 26, 2025 |
| October 4, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected November 27, 2024 |
| October 4, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 27, 2024 |
| October 4, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected November 3, 2024 |
| October 4, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected November 3, 2024 |
| October 4, 2024 Standard | 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 · Tag F0842 | D Potential harm, isolated | Corrected November 3, 2024 |
| October 4, 2024 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected November 3, 2024 |
| January 31, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 31, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 1, 2024 |
| October 8, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected November 9, 2023 |
| October 8, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected November 9, 2023 |
| October 8, 2023 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 30, 2023 |
| October 8, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 30, 2023 |
| October 8, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected October 30, 2023 |
| October 8, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 30, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FRONT PORCH COMMUNITIES AND SERVICES Organization | 5% or greater direct ownership interest | 100% | 10/01/2006 |
| DUDLEY, LESLIE Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| NIBLETT, JOEL Individual | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| DURANTEAU, NANCY Individual | corporate director | NOT APPLICABLE | 04/01/2021 |
| FORTE, VINCENT Individual | corporate director | NOT APPLICABLE | 04/01/2021 |
| HANDY, JOANNE Individual | corporate director | NOT APPLICABLE | 04/01/2021 |
| JACOBS, LAURA Individual | corporate director | NOT APPLICABLE | 01/01/2019 |
| KROEKER, KEVIN Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| MCGOVERN, MARION Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| SPENCER, PETER Individual | corporate director | NOT APPLICABLE | 01/01/2026 |
| TONNU, DIEMLAN Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| WESSON, OLIVER Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| WHITTAKER, SUSAN Individual | corporate director | NOT APPLICABLE | 01/23/2018 |
| KELLY, SEAN Individual | corporate officer | NOT APPLICABLE | 03/06/2023 |
| SALVADOR, EDUARDO Individual | corporate officer | NOT APPLICABLE | 10/03/2017 |
| VRANICH, RACHEL Individual | corporate officer | NOT APPLICABLE | 06/17/2022 |
| MERKIN, NICKOLAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/30/2025 |
| NELSON, HARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/30/2025 |
| PENNINGTON, PAIGE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/30/2025 |
| AKOPYAN, GEVORK Individual | operational/managerial control | NOT APPLICABLE | 10/12/2022 |
| DUDLEY, LESLIE Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| JACKSON, KARLISA Individual | operational/managerial control | NOT APPLICABLE | 12/29/2023 |
| KELLY, SEAN Individual | operational/managerial control | NOT APPLICABLE | 03/06/2023 |
| MACANGO, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 05/04/2026 |
| MCMULLIN, MARY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| NIBLETT, JOEL Individual | operational/managerial control | NOT APPLICABLE | 04/17/2026 |
| OLSON, KARI Individual | operational/managerial control | NOT APPLICABLE | 02/01/2001 |
| RUSHFORTH, SHAUN Individual | operational/managerial control | NOT APPLICABLE | 09/06/2022 |
| SALVADOR, EDUARDO Individual | operational/managerial control | NOT APPLICABLE | 10/03/2017 |
| SUMNER, CRAIG Individual | operational/managerial control | NOT APPLICABLE | 01/27/2026 |
Other nursing homes near Villa Gardens Health Care Unit
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★★★★★3AveragePasadena Nursing Center
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★★★★★1Much below averageCedar Pine Post Acute
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★★★★★2Below averageGem Tcu
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★★★★★1Much below average- ★★★★★3Average
Frequently asked questions
What is Villa Gardens Health Care Unit's rating?
Villa Gardens Health Care Unit has 5 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Villa Gardens Health Care Unit receive?
Its most recent standard health inspection found 9 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Villa Gardens Health Care Unit accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Villa Gardens Health Care Unit?
It is non profit - corporation and part of Front Porch. The ownership section on this page lists the owners and managers reported to CMS.
Where is Villa Gardens Health Care Unit and how do I contact it?
Villa Gardens Health Care Unit is at 842 East Villa Street, Pasadena, CA 91101. Phone: (626) 796-8162.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.