Show Inspection Reports
Total health inspections
5
California average 12.5
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Pasadena
CMS overall rating
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.
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.
Villa Gardens
Nursing Home in Pasadena
CMS overall rating
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.
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.
Villa Gardens
Villa Gardens is an apartment community located in Farmers Branch, Texas. It offers a variety of spacious floor plans, modern amenities, and a welcoming atmosphere. Residents can enjoy easy access to shopping and entertainment venues.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
340
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.9%
Residents per day (avg)
44
Occupancy rate
79.9%
Residents per day (avg)
44
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
78% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
21% of new residents, often for short stays.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$32.0M
Surplus of revenue
$3.6M
Voluntary non-profit community
Home revenue
$31,978,406.00
Surplus of revenue
$3,606,436.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$28.4M
340-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeRcfe-continuing Care Retirement Community
StatusLicensed
IssuanceJune 30, 1999
CountyLOS ANGELES
CMS Certification Number555429
Owner NameFRONT PORCH COMMUNITIES AND SERVICES
Pets Allowed
Beautiful Landscaping
Covered Parking
Easy Access To Freeways
Easy Access To Shopping
Gated Access
Guest Parking
Laundry Facility
On-Call Maintenance
Pet Friendly
Picnic Area With Barbecue
Play Area
Public Parks Nearby
Shimmering Swimming Pool
Sports Court
Operating HoursMonday - Friday 9:00 AM - 6:00 PM, Saturday 10:00 AM - 5:00 PM
Inspection History
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.
5 visits
California average: 16 visits
Breakdown by visit type
0 total complaint visits
0 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
California average
13 total complaint visits
7 other visits
2 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
California average: 14 complaints
Health Inspection History
Inspections
Total health citations
38
California average 50.2
Citations per inspection
7.6
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
38 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 04, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 04, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 04, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 04, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 04, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 04, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Pasadena The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
Villa Gardens
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
PASADENA
73
79.9%
-6%
5.18
+23%
0
38
7.6
0
44
-
-
Rushforth, Shaun
$11.6M
$11.0M
95.3%
555429
-
Villa Gardens Health Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Pasadena
73
5.6%
-93%
5.18
+23%
0
38
7.6
0
44
A+
79
Rushforth, Shaun
$11.6M
$11.0M
95.3%
555429
1 Bed / 2 Bed
St. Vincent Health Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Pasadena (North Central)
78
92.8%
+10%
4.10
-3%
0
52
17.3
0
71
-
62
Barrett, Robert
$10.3M
$4.4M
42.4%
555119
-
Pasadena Villa Senior Living
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
PASADENA
97
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
-
Places of interest near Villa Gardens
0.5 miles from city center
842 EAST VILLA STREET, PASADENA, CA 91101
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
104
Employees
64
Contractors
40
Staff to resident ratio
2.81:1
2810711% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
36
Average shift
7.6 hours
0% compared with California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
24,890
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
13.6%
3,385 contractor hours this quarter
Certified Nursing Assistant: 10
Physical Therapy Assistant: 5
Licensed Practical Nurse: 4
Registered Nurse: 4
Occupational Therapy Assistant: 4
Qualified Social Worker: 3
Speech Language Pathologist: 3
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Mental Health Service Worker: 1
Other Physician: 1
Staff by category
| Certified Nursing Assistant | 37 | 10 | 47 | 12,306 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 15 | 4 | 19 | 5,459 | 91 | 100% | 8.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,541 | 66 | 73% | 8.6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 773 | 70 | 77% | 6.5 |
| Registered Nurse | 3 | 4 | 7 | 667 | 77 | 85% | 8.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 609 | 74 | 81% | 6.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 560 | 74 | 81% | 6.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 490 | 63 | 69% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Mental Health Service Worker | 1 | 1 | 2 | 471 | 59 | 65% | 7.3 |
| Qualified Social Worker | 0 | 3 | 3 | 386 | 67 | 74% | 4.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 372 | 51 | 56% | 7.3 |
| Administrator | 1 | 0 | 1 | 220 | 55 | 60% | 4 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 47 | 9 | 10% | 5.2 |
| Other Physician | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
47 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
73%
5 Physical Therapy Assistant
% of Days
77%
7 Registered Nurse
% of Days
85%
3 Speech Language Pathologist
% of Days
81%
3 Respiratory Therapy Technician
% of Days
81%
1 Other Dietary Services Staff
% of Days
69%
1 Nurse Practitioner
% of Days
67%
1 Occupational Therapy Aide
% of Days
66%
2 Mental Health Service Worker
% of Days
65%
3 Qualified Social Worker
% of Days
74%
2 Physical Therapy Aide
% of Days
56%
1 Administrator
% of Days
60%
4 Occupational Therapy Assistant
% of Days
10%
1 Other Physician
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
37 residents
Residents by payment source
Medicare
12 residents (32.4%)
Medicaid
10 residents (27%)
Private pay or other
15 residents (40.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
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 averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.6
126% worse than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
120% worse than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.5%
Percent of long-stay residents whose ability to move independently worsened
23.5%
96% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.1%
158% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
334% worse than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.9%
Percent of long-stay high risk residents with pressure ulcers
3.9%
21% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
15% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
19% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
57% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Villa Gardens based on CMS SNF Cost Reports.
Occupancy Rate
79.9%
↑ 0.1pp vs 2023
Net Income
$3,606,436
↓ ~$677K vs 2023
Total Payroll
$12,668,194
↑ ~$959K vs 2023
Profit Margin
31.2%
↓ 11.0pp vs 2023
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