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Villa Gardens Health Care Unit

842 East Villa Street, Pasadena, CA 91101
6267968162
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Overall CMS Rating

4.0/5

vs State Average: 3.2 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.3 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Dec 5, 2025 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. D
Dec 5, 2025 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. F
Dec 5, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E
Dec 5, 2025 Ensure medication error rates are not 5 percent or greater. D
Dec 5, 2025 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Score
4.0
State Average
3.1
National Average
2.9
0.3 RN Hours / Resident / Day
5.2 Total Nurse Hours / Resident / Day
66.7% RN Turnover Rate
Score
5.0
State Average
4.1
National Average
3.6
4.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
42.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST FRONT PORCH COMMUNITIES AND SERVICES
OPERATIONAL/MANAGERIAL CONTROL AKOPYAN, GEVORK
OPERATIONAL/MANAGERIAL CONTROL CAIRNS, DAWN
OPERATIONAL/MANAGERIAL CONTROL DUDLEY, LESLIE
OPERATIONAL/MANAGERIAL CONTROL HERZIG, RANDY
OPERATIONAL/MANAGERIAL CONTROL JACKSON, KARLISA
OPERATIONAL/MANAGERIAL CONTROL KELLY, SEAN
OPERATIONAL/MANAGERIAL CONTROL MCMULLIN, MARY
OPERATIONAL/MANAGERIAL CONTROL OLSON, KARI
OPERATIONAL/MANAGERIAL CONTROL RUSHFORTH, SHAUN
Recent Penalties

No penalty records found.

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