Villa Gardens Health Care Unit

Nursing Home · Pasadena, CA

CMS overall rating 5/5 Non profit - Corporation

CMS certification number555429

Contact & location

842 East Villa Street
Pasadena, CA 91101
Los Angeles County
Phone
(626) 796-8162
ZIP code
91101 – all care providers

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Facility details

Certified beds
54
Residents per day
43.5 (81% occupied)
Ownership
Non profit - Corporation
Legal name
Front Porch Communities and Services
Chain
Front Porch (9 facilities, avg 4.8★)
Medicare certified since
July 31, 1990
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.06 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.55 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.56 (state 1.20 · U.S. 0.86)
Nurse aides
2.95 (state 2.65 · U.S. 2.32)
Weekend total
4.48 (state 4.09 · U.S. 3.42)
Nursing staff turnover
21.8 (state 36.7 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 5, 2025
Health deficiencies (last cycle)
9.0 (state 15.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
31 health · 24 fire safety
DateCitationSeverityStatus
2025-12-05 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.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2025-12-05 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-26
2024-10-04 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-10-04 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-03
2024-01-31 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2024-01-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2023-10-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-10-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-08-24 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-24
2023-08-24 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Front Porch Communities and Services (organization)5%+ Direct Ownership Interest · 100%
Dudley, Leslie (individual)Administrator · NOT APPLICABLE
Niblett, Joel (individual)Administrator · NOT APPLICABLE
Duranteau, Nancy (individual)Corporate Director · NOT APPLICABLE
Forte, Vincent (individual)Corporate Director · NOT APPLICABLE
Handy, Joanne (individual)Corporate Director · NOT APPLICABLE
Jacobs, Laura (individual)Corporate Director · NOT APPLICABLE
Kroeker, Kevin (individual)Corporate Director · NOT APPLICABLE
McGovern, Marion (individual)Corporate Director · NOT APPLICABLE
Spencer, Peter (individual)Corporate Director · NOT APPLICABLE
Tonnu, Diemlan (individual)Corporate Director · NOT APPLICABLE
Wesson, Oliver (individual)Corporate Director · NOT APPLICABLE
Whittaker, Susan (individual)Corporate Director · NOT APPLICABLE
Kelly, Sean (individual)Corporate Officer · NOT APPLICABLE
Salvador, Eduardo (individual)Corporate Officer · NOT APPLICABLE
Vranich, Rachel (individual)Corporate Officer · NOT APPLICABLE
Merkin, Nickolas (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Nelson, Harry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Pennington, Paige (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Akopyan, Gevork (individual)Operational/managerial Control · NOT APPLICABLE
Dudley, Leslie (individual)Operational/managerial Control · NOT APPLICABLE
Jackson, Karlisa (individual)Operational/managerial Control · NOT APPLICABLE
Kelly, Sean (individual)Operational/managerial Control · NOT APPLICABLE
Macango, Susan (individual)Operational/managerial Control · NOT APPLICABLE
McMullin, Mary (individual)Operational/managerial Control · NOT APPLICABLE
Niblett, Joel (individual)Operational/managerial Control · NOT APPLICABLE
Olson, Kari (individual)Operational/managerial Control · NOT APPLICABLE
Rushforth, Shaun (individual)Operational/managerial Control · NOT APPLICABLE
Salvador, Eduardo (individual)Operational/managerial Control · NOT APPLICABLE
Sumner, Craig (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villa Gardens Health Care Unit?

Villa Gardens Health Care Unit has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Villa Gardens Health Care Unit have?

It has 54 certified beds and cares for about 44 residents per day.

Has Villa Gardens Health Care Unit been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Villa Gardens Health Care Unit?

It is part of Front Porch and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Villa Gardens Health Care Unit?

(626) 796-8162. The facility is located at 842 East Villa Street, Pasadena, CA 91101.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.