VILLA GARDENS HEALTH CARE UNIT
842 EAST VILLA STREET, PASADENA, CA 91101 · CCN 555429
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 54
- Avg residents/day
- 42.7
- Phone
- 6267968162
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-05 | 9 | 15.6 | 9.5 | -6.6 better |
| 2 | 2024-10-04 | 9 | 17.4 | 9.8 | -8.4 better |
| 3 | 2023-10-08 | 13 | 17.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.16 | 20.0% |
| RN staffing (reported) | 0.33 | 66.7% |
| Total nurse staffing (adjusted) | 5.02 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- FRONT PORCH
- Facilities in chain
- 9
- Chain avg overall
- 4.60 / 5
Inspection citations (31)
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0584Honor 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.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- FF0727Have 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.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-12-05 · Health · corrected 2025-12-26
Potential for more than minimal harm
- EF0578Honor 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.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-10-04 · Health · corrected 2024-11-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-31 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-31 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0761Ensure 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.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2023-10-08 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0803Ensure 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.2023-08-24 · Health · corrected 2023-09-24
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-08-24 · Health · corrected 2023-09-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRONT PORCH COMMUNITIES AND SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-10-01 |
| AKOPYAN, GEVORK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-12 |
| CAIRNS, DAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-09-29 |
| DUDLEY, LESLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-07-01 |
| HERZIG, RANDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-06-13 |
| JACKSON, KARLISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-29 |
| KELLY, SEAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-06 |
| MCMULLIN, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| OLSON, KARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-02-01 |
| RUSHFORTH, SHAUN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-06 |
| SALVADOR, EDUARDO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-03 |
| DURANTEAU, NANCY | Individual | CORPORATE DIRECTOR | — | 2021-04-01 |
| FORTE, VINCENT | Individual | CORPORATE DIRECTOR | — | 2021-04-01 |
| HANDY, JOANNE | Individual | CORPORATE DIRECTOR | — | 2021-04-01 |
| JACOBS, LAURA | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| KROEKER, KEVIN | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| MCGOVERN, MARION | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| PROCTOR, DEBORAH | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| SPENCER, PETER | Individual | CORPORATE DIRECTOR | — | 2026-01-01 |
| TONNU, DIEMLAN | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| WESSON, OLIVER | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| WHITTAKER, SUSAN | Individual | CORPORATE DIRECTOR | — | 2018-01-23 |
| KELLY, SEAN | Individual | CORPORATE OFFICER | — | 2023-03-06 |
| SALVADOR, EDUARDO | Individual | CORPORATE OFFICER | — | 2017-10-03 |
| VRANICH, RACHEL | Individual | CORPORATE OFFICER | — | 2022-06-17 |
Other facilities in PASADENA
| Name | Overall | Beds |
|---|---|---|
| FOOTHILL HEIGHTS CARE CENTER | ★★★☆☆ | 49 |
| PASADENA PARK HEALTHCARE AND WELLNESS CENTER | ★★★☆☆ | 99 |
| THE BELLEFONTAINE HEALTHCARE CENTER | ★★★☆☆ | 130 |
| SAINT VINCENT HEALTHCARE | ★★★☆☆ | 78 |
| THE CALIFORNIAN PASADENA HEALTHCARE | ★★☆☆☆ | 82 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.