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Villa Gardens Health Care Unit Complaints, Violations and Inspection Records

Reviewed by Thomas Wallin, Young & Wallin

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Villa Gardens Health Care Unit in Pasadena, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. Federal and state inspectors publish what they find.

CMS overall rating 5 of 5 Health inspections 3 of 5
Nursing hours per resident per day 5.06 Compared with the California average below
California state citations 1 $500 in penalties
Federal fines $0 No federal fines on record
CMS overall rating
CMS overall rating: 5 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 5.06 nursing hours per resident per day, above the California average of 4.52.
California state citations by year
California state citations by year, in 2000: 1 citation on record, including 1 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 3 of 5. A high overall score can rest on self-reported quality measures while the inspection score, which comes from in-person surveys, sits lower.
  • California state citations: 1 on record, including 1 class B, with $500 in assessed penalties.
  • Staffing: 5.06 nursing hours per resident per day. Registered nurse turnover not reported.
  • Most recent standard inspection: 9 deficiencies cited on December 5, 2025.
  • Federal enforcement: no federal fines on record in the reported period.
  • Ownership: Front Porch Communities and Services, non-profit, part of Front Porch (9 facilities nationally).
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Villa Gardens Health Care Unit in Pasadena, California.
Illustration. Not a photograph of Villa Gardens Health Care Unit.

Villa Gardens Health Care Unit ratings and staffing

Villa Gardens Health Care Unit is located at 842 East Villa Street in Pasadena, Los Angeles County. It is a non-profit facility operated by Front Porch Communities and Services, part of Front Porch, with 54 certified beds and an average of 43.5 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Villa Gardens Health Care Unit, those scores are: health inspections 3 of 5, staffing 5 of 5, quality measures 5 of 5.

Staffing. Villa Gardens Health Care Unit reports 5.06 total nursing hours per resident per day, of which 0.55 are registered nurse hours. Over the reporting year, 21.8% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 5 of 5 Los Angeles County average 2.46 of 5 across 367 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 5.06 Los Angeles County average 4.60. California average 4.52
Federal fines $0 Los Angeles County average $43,612 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

December 5, 2025, standard inspection

9 deficiencies cited. Surveyors cited the facility for 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, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F0727Have 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. (scope and severity F)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0814Dispose of garbage and refuse properly. (scope and severity E)
  • F0880Provide and implement an infection prevention and control program. (scope and severity E)
  • F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity D)
  • F0584Honor 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. (scope and severity D)
  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
  • F0881Implement a program that monitors antibiotic use. (scope and severity D)

October 4, 2024, standard inspection

9 deficiencies cited. Surveyors cited the facility for 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, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and provide safe and appropriate respiratory care for a resident when needed.

  • F0578Honor 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. (scope and severity E)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
  • F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0814Dispose of garbage and refuse properly. (scope and severity E)
  • F0880Provide and implement an infection prevention and control program. (scope and severity E)
  • F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
  • F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)

January 31, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

October 8, 2023, standard inspection

9 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and ensure medication error rates are not 5 percent or greater.

  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
  • F0761Ensure 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. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0881Implement a program that monitors antibiotic use. (scope and severity E)
  • F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)
  • F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

August 24, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for 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 and make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • F0803Ensure 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. (scope and severity E)
  • F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)

Penalties. CMS records show no federal fines for Villa Gardens Health Care Unit in the reported period.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 1 citation against Villa Gardens Health Care Unit between September 12, 2000 and September 12, 2000: 1 class B, with $500 in assessed penalties.

  • September 12, 2000, class B, Physical Environment. $500 penalty.

Across Los Angeles County's 369 certified facilities, the average is about 11.3 state citations per facility. Villa Gardens Health Care Unit's 1 is below that average.

A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in Pasadena

Families comparing options in Pasadena often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the Los Angeles County nursing home directory.

Other nursing homes in Los Angeles County

These are other nursing homes in Los Angeles County, listed by how close each home's ZIP code is to the ZIP code for Villa Gardens Health Care Unit. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Villa Gardens Health Care Unit in Pasadena, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Villa Gardens Health Care Unit, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Los Angeles County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Los Angeles County's ombudsman program can be reached at (800) 334-9473. This is often the fastest first step when the issue is care quality rather than an emergency.

Call Adult Protective Services or 911 if you believe an elder is in immediate danger. Los Angeles County APS: (877) 477-3646.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Villa Gardens Health Care Unit is a reason to ask what the facility's own records show:

Nursing home abuse claims in Los Angeles County

If a loved one was harmed at Villa Gardens Health Care Unit, these pages explain how Los Angeles County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the Los Angeles County nursing home directory.

Are There Lawsuits Against Villa Gardens Health Care Unit?

This page reports federal and state inspection, complaint and enforcement records for Villa Gardens Health Care Unit. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Los Angeles County are searchable through the Los Angeles County Superior Court's online case records. If your family member was injured at Villa Gardens Health Care Unit, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for Villa Gardens Health Care Unit in Pasadena, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is Villa Gardens Health Care Unit a good nursing home?
CMS gives Villa Gardens Health Care Unit an overall rating of 5 of 5 stars, with a health inspection rating of 3 of 5 based on in-person state surveys. California has issued 1 state citation against the facility. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Villa Gardens Health Care Unit?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Los Angeles County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Villa Gardens Health Care Unit been fined or cited for serious violations?
Public records show 1 California state citation with $500 in state penalties.
How many state citations does Villa Gardens Health Care Unit have?
The California Department of Public Health has issued 1 citation against Villa Gardens Health Care Unit in Pasadena between September 12, 2000 and September 12, 2000: 1 class B, with $500 in assessed penalties.
How do I report a problem at Villa Gardens Health Care Unit?
File a complaint with CDPH through its Cal Health Find system, or contact the Los Angeles County Long-Term Care Ombudsman at (800) 334-9473. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Villa Gardens Health Care Unit, talk to our Los Angeles County nursing home abuse lawyers. We handle cases in Pasadena and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

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Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Villa Gardens Health Care Unit provider record, CCN 555429. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Villa Gardens Health Care Unit state license record, FACID 970000178, license 970000085.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Villa Gardens Health Care Unit in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Villa Gardens Health Care Unit, and neither the facility nor any government agency endorses this page.

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