01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-05 | 9 | 2025-12-05 | 7 |
| Cycle 2 | 2024-10-04 | 9 | 2024-10-04 | 2 |
| Cycle 3 | 2023-10-08 | 13 | 2023-10-08 | 15 |
CMS CCN 5554292026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Villa Gardens Health Care Unit
842 East Villa Street · Pasadena, CA 91101 · Los Angeles County
Certified beds54CMS provider file
Recent citation rows55current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
55 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-05 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-05 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-05 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-05 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-12-262025-12-05 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-05 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-01-022024-10-04 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-032024-10-04 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-0303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FRONT PORCH COMMUNITIES AND SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2006
- DURANTEAU, NANCYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- FORTE, VINCENTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- HANDY, JOANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- JACOBS, LAURAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- KROEKER, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- MCGOVERN, MARIONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- SPENCER, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2026
- TONNU, DIEMLANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- WESSON, OLIVERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- WHITTAKER, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/23/2018
- KELLY, SEANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/06/2023
- SALVADOR, EDUARDOIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/03/2017
- VRANICH, RACHELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/17/2022
- AKOPYAN, GEVORKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/12/2022
- DUDLEY, LESLIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- JACKSON, KARLISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2023
- KELLY, SEANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/06/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.06per resident day
RN hours0.55per resident day
Weekend nurse hours4.48per resident day
Staff turnover21.8%CMS reported field
06 / LOCAL RECORDS
Open the Pasadena ledger →Other published facilities nearby
Brighton Care Center99 beds · CMS overall 2/590 citation rowsCamellia Gardens Care Center80 beds · CMS overall 2/572 citation rowsCedar Pine Post Acute99 beds · CMS overall 2/5106 citation rowsFoothill Heights Care Center49 beds · CMS overall 3/581 citation rowsGem Tcu75 beds · CMS overall 1/5111 citation rowsGolden Rose Care Center99 beds · CMS overall 1/5149 citation rowsPasadena Grove Health Center71 beds · CMS overall 2/590 citation rowsPasadena Nursing Center52 beds · CMS overall 2/5101 citation rows