4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Villa Gardens is a large, 340-bed Continuing Care Retirement Community managed by Front Porch Communities and Services that has been operating for 26 years. The property supports multiple tiers of care on a single campus, but its skilled nursing wing maintains a short-term rehabilitation focus, logging a brief 50-day average length of stay. Payment options are restricted to Medicare and private-pay accounts. Situated just half a mile from the city center, the gated property has a walkability score of 92 out of 100, which allows employees and visiting guests to handle everyday errands entirely on foot.
An extensive daily care schedule is backed by a solid lineup of campus amenities and an on-site nurse aide training program. Direct care records from the California Department of Public Health show that the nursing staff delivers an average of 5 hours and 11 minutes of hands-on care per resident each day, a staffing level that remains steady through the weekends. The gated campus features a swimming pool, a sports court, a landscaped barbecue area, chef-prepared meals, and covered parking.
On the regulatory side, public inspection logs from state agencies show that inspectors have occasionally cited the facility for minor deficiencies involving environmental upkeep, infection control, pharmacy tracking, and quality of care. The administration resolved each of these findings following the reviews, and the property carries zero critical or serious enforcement penalties.
Interested individuals researching comprehensive retirement communities or short-term physical therapy options can use these state regulatory filings to assess the property’s operational background. The public documents outline a spacious, highly walkable campus that provides exceptionally high daily nursing hours and extensive lifestyle amenities, balanced against standard regulatory fixes in basic care and maintenance charting.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 31st out of 354 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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33m per day | ▼ 19% State avg: 40m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
1h 42m per day | ▲ 41% State avg: 1h 12m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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3h 1m per day | ▲ 14% State avg: 2h 39m per day · National avg: 2h 20m per day |
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Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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4h 39m per day | ▲ 14% State avg: 4h 5m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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8m per day | ▲ 25% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
19m per day | ▼ 38% State avg: 31m per day · National avg: 29m per day |
Villa Gardens is administered by Shaun Rushforth.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
3 points above the California average for nursing homes (81/100)
Rank #731 / 1401 in California Inspection Score — State benchmarked This home is ranked 731st out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. Inspection score: 84 out of 100. Letter grade B. 3 points above the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
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This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
|
9 | 10 | This facility has 10% fewer total citations than a typical California nursing home (9 vs. CA avg 10).↓ 10% better |
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Citations per year
Average citations per year since 2021.
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1.8 | 2 | This facility has 10% fewer citations per year than a typical California nursing home (1.8 vs. CA avg 2).↓ 10% better |
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Citations per inspection
Average citations per inspection.
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0.6 | 3.3 | This facility has 82% fewer citations per inspection than a typical California nursing home (0.6 vs. CA avg 3.3).↓ 82% better |
Inspections & Visits
|
This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
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14 | 16 | This facility has 13% fewer total visits than a typical California nursing home (14 vs. CA avg 16).↓ 13% better |
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Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
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3 | 13 | This facility has 77% fewer complaint visits than a typical California nursing home (3 vs. CA avg 13).↓ 77% better Rank #441 / 1397 Complaint visits — State benchmarked This home is ranked 441st out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. |
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Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
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6 | 7 | This facility has 14% fewer other visits than a typical California nursing home (6 vs. CA avg 7).↓ 14% better |
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Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
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5 | 4 | This facility has 25% more official inspections than a typical California nursing home (5 vs. CA avg 4).↑ 25% worse |
Complaints & Investigations
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This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
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Total complaints
Formal expressions of concern made by residents, families, or staff.
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2 | 14 | This facility has 86% fewer total complaints than a typical California nursing home (2 vs. CA avg 14).↓ 86% better |
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Complaints per year
Average complaints per year since 2021.
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0.4 | 2.8 | This facility has 86% fewer complaints per year than a typical California nursing home (0.4 vs. CA avg 2.8).↓ 86% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Oct 2024
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
34 of 38 citations resulted from standard inspections; and 4 of 38 resulted from complaint investigations.
100% better than California average
California average: 0.4
100% better than California average
California average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
7 total: 5 full-time employees and 2 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Assists with medical care and medications.
19 total: 16 full-time employees and 3 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Helps with daily care and mobility.
35 total: 32 full-time employees and 3 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,211 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 3 | 35 | 11,551 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 16 | 3 | 19 | 4,981 | 92 | 100% | 8.2 |
| Registered Nurse | 5 | 2 | 7 | 1,576 | 92 | 100% | 8.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,548 | 70 | 76% | 8.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 523 | 71 | 77% | 7.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 519 | 70 | 76% | 6.3 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 493 | 60 | 65% | 8.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 486 | 73 | 79% | 5.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 454 | 68 | 74% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 316 | 58 | 63% | 5.5 |
| Administrator | 0 | 1 | 1 | 264 | 66 | 72% | 4 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 50 | 8 | 9% | 5.5 |
| Other Physician | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
88% worse than California average
California average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.6
126% worse than California average
California average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
120% worse than California average
California average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
23.5%
96% worse than California average
California average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.1%
158% worse than California average
California average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
334% worse than California average
California average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
3.9%
21% better than California average
California average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
15% better than California average
California average: 1.2%
Percent of long-stay residents who lose too much weight
3.4%
19% better than California average
California average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California average
California average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than California average
California average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California average
California average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California average
California average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with California average
California average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
57% better than California average
California average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with California average
California average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
78% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Villa Gardens from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 03/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #63 / 355Payroll — State benchmarkedThis home is ranked 63rd out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #282 / 355Payroll % — State benchmarkedThis home is ranked 282nd out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 55–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (78% of admissions), and a typical Medicare stay runs around 21 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Pasadena's city center to Villa Gardens's address, calculated via Google Maps.
Add your location
The information below is reported by the California Department of Social Services and Department of Public Health.
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| Villa Gardens |
NH
NC
|
Pasadena |
340
Facility
340
CA AVG
103
Rank
#39 / 1657
| - | - |
5.18
Facility
5.18
CA AVG
4.22
Rank
#31 / 354
| -12% | +23% |
$0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362
|
84
Facility
84
CA AVG
81
Rank
#731 / 1401
|
38
Facility
38
CA AVG
50.2
Rank
#160 / 361
|
7.6
Facility
7.6
CA AVG
4.6
Rank
#341 / 361
| - | 19 | - |
92
Facility
92
CA AVG
57
Rank
#137 / 2092
| Shaun Rushforth |
$10.0M
Facility
$10.0M
CA AVG
$17.0M
Rank
#48 / 355
|
$12.0M
Facility
$12.0M
CA AVG
$7.0M
Rank
#63 / 355
|
120%
Facility
120%
CA AVG
45.2%
Rank
#282 / 355
| 555429 | ||||
| Villa Gardens Retirement Community |
NH
NC
|
Pasadena (East Villa Street) |
340
Facility
340
CA AVG
103
Rank
#39 / 1657
| - | - |
3.57
Facility
3.57
CA AVG
4.22
Rank
#269 / 354
| -23% | -15% |
$70.3k
Facility
$70.3k
CA AVG
$56.5k
Rank
#326 / 362
|
76
Facility
76
CA AVG
81
Rank
#946 / 1401
|
65
Facility
65
CA AVG
50.2
Rank
#286 / 361
|
5.0
Facility
5.0
CA AVG
4.6
Rank
#243 / 361
| 4 | 91 | - |
79
Facility
79
CA AVG
57
Rank
#451 / 2092
| Providence Group Of California LLC |
$11.6M
Facility
$11.6M
CA AVG
$17.0M
Rank
#243 / 355
|
$6.2M
Facility
$6.2M
CA AVG
$7.0M
Rank
#249 / 355
|
53.8%
Facility
53.8%
CA AVG
45.2%
Rank
#176 / 355
| 55551 | ||||
| Foothill Heights Care Center |
NH
ADC
AL
RC
|
Pasadena (North Central) |
49
Facility
49
CA AVG
103
Rank
#1138 / 1657
|
86.1%
Facility
86.1%
CA AVG
84.7%
Rank
#432 / 1537
| +2% |
3.97
Facility
3.97
CA AVG
4.22
Rank
#184 / 354
| -53% | -6% |
$9.4k
Facility
$9.4k
CA AVG
$56.5k
Rank
#240 / 362
| - |
49
Facility
49
CA AVG
50.2
Rank
#224 / 361
|
3.1
Facility
3.1
CA AVG
4.6
Rank
#77 / 361
| - | 42 | A+ |
69
Facility
69
CA AVG
57
Rank
#768 / 2092
| Foothill Heights Care Center LLC |
$7.1M
Facility
$7.1M
CA AVG
$17.0M
Rank
#286 / 355
|
$3.6M
Facility
$3.6M
CA AVG
$7.0M
Rank
#326 / 355
|
50.4%
Facility
50.4%
CA AVG
45.2%
Rank
#302 / 355
| 555894 | ||||
| Two Palms Care Center |
NH
|
Pasadena (Pasadena Council District 4) |
112
Facility
112
CA AVG
103
Rank
#631 / 1657
| - | - | - | - | - |
$0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362
|
64
Facility
64
CA AVG
81
Rank
#1247 / 1401
|
38
Facility
38
CA AVG
50.2
Rank
#160 / 361
|
5.4
Facility
5.4
CA AVG
4.6
Rank
#273 / 361
| - | 21 | A+ |
49
Facility
49
CA AVG
57
Rank
#1370 / 2092
| Estrella Choy |
$7.1M
Facility
$7.1M
CA AVG
$17.0M
Rank
#339 / 355
|
$3.3M
Facility
$3.3M
CA AVG
$7.0M
Rank
#316 / 355
|
46.2%
Facility
46.2%
CA AVG
45.2%
Rank
#18 / 355
| 55464 | ||||
| Pasadena Nursing Center |
NH
ADC
RC
|
Pasadena (North Central) |
108
Facility
108
CA AVG
103
Rank
#666 / 1657
|
75.0%
Facility
75.0%
CA AVG
84.7%
Rank
#824 / 1537
| -11% |
4.14
Facility
4.14
CA AVG
4.22
Rank
#160 / 354
| -3% | -2% |
$9.1k
Facility
$9.1k
CA AVG
$56.5k
Rank
#235 / 362
|
62
Facility
62
CA AVG
81
Rank
#1271 / 1401
|
85
Facility
85
CA AVG
50.2
Rank
#318 / 361
|
4.3
Facility
4.3
CA AVG
4.6
Rank
#196 / 361
| 4 | 81 | - |
64
Facility
64
CA AVG
57
Rank
#923 / 2092
| Gardena Retirement Center, Inc |
$7.2M
Facility
$7.2M
CA AVG
$17.0M
Rank
#293 / 355
|
$4.4M
Facility
$4.4M
CA AVG
$7.0M
Rank
#296 / 355
|
61.3%
Facility
61.3%
CA AVG
45.2%
Rank
#108 / 355
| 555213 |
Villa Gardens is located in PASADENA, California.
Here are the financial assistance programs available to residents in California.
The legal owner and operator of Villa Gardens is Front Porch Communities And Services.
Villa Gardens has a walk score of 92. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Villa Gardens's occupancy is 79.9%.
Villa Gardens is registered as a non-profit in CA.
Shaun Rushforth is the administrator of Villa Gardens.
Villa Gardens has 340 beds.
Villa Gardens has had 9 recently reported citations.
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