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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
A stand out for comprehensive senior care, Villa Gardens Health Center offers a holistic approach to well-being for residents seeking either short-term rehabilitation or long-term skilled nursing. A team of dedicated healthcare professionals, encompassing doctors, nurses, therapists, and social workers, collaborate to craft individualized care plans that address each resident’s specific needs, to help residents regain strength, improve daily living skills, and regain their confidence. Residents benefit from a structured program designed to maximize progress, with access to state-of-the-art equipment and compassionate guidance from therapists.
Villa Gardens provides 24/7 assistance with daily living activities, ensuring residents receive the support they need while maintaining their autonomy as much as possible. Spacious private and semi-private rooms create a comfortable living space, while beautifully landscaped gardens offer a serene environment for relaxation and socialization.
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 32nd out of 294 homes in California.| Staff type | Hours / day | 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.
| 20m per day | ▼ 49% State avg: 39m per day · National avg: 41m 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.
| 3h 4m per day | ▲ 16% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 4h 38m per day | ▲ 13% State avg: 4h 5m per day · National avg: 3h 26m 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.
| 8m per day | ▲ 60% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 12m per day | ▼ 60% State avg: 30m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
78% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #38 / 299Payroll — state benchmarkedThis home is ranked 38th out of 299 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the California average: 72.8%Villa Gardens Health Center is administrated 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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
California average: 16 visits
3 total complaint visits
6 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.
13 total complaint visits
7 other visits
Inspections conducted in response to complaints filed by residents, families, staff, or others about possible problems at the facility.
Investigations can have many visits.
California average: 10 complaint investigations
Routine inspections conducted by state regulators to evaluate whether the facility meets federal and state care and safety standards.
California average: 4 official inspections
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
California average: 10 citations
A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.
California average: 3 serious citations
A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.
California average: 4 moderate citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
California average: 8 deficiencies
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 averageCalifornia average: 0.4
0
100% better than California averageCalifornia average: 1
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 04, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 04, 2024
Corrected
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.
| 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 (East Villa Street) | 340 | 5.6% | -93% | 5.18 | -22% | +23% | 0 | 38 | 7.6 | 0 | 44 | A+ | 79 | Rushforth, Shaun | $32.0M | $11.0M | 34.4% | 555429 | ||||
| Bella Vista |
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 | 72 | 91.1% | +8% | 4.57 | - | +8% | 1 | 0 | 0.0 | 0 | 86 | - | - | - | $8.4M | $3.3M | 39.6% | 45402 | ||||
| Foothill Heights Care Center |
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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pasadena (North Central) | 49 | 86.1% | +2% | 3.97 | -12% | -6% | 2 | 49 | 3.1 | 0 | 44 | A+ | 69 | Foothill Heights Care Center Llc | $10.1M | $3.1M | 31.1% | 555894 | ||||
| Brighton Care Center |
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 (North Central) | 99 | 82.9% | -2% | 4.17 | -37% | -1% | 0 | 63 | 3.5 | 1 | 89 | - | 62 | Rodriquez, Rachel | $14.8M | $5.0M | 33.7% | 555338 | ||||
| Pasadena Nursing Center |
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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pasadena (North Central) | 108 | 77.8% | -8% | 4.14 | -8% | -2% | 2 | 85 | 4.3 | 4 | 59 | - | 64 | Gardena Retirement Center, Inc. | $8.9M | $3.8M | 42.6% | 555213 |
1.2 miles from city center
Estimated distance in miles from Pasadena's city center to Villa Gardens Health Center's address, calculated via Google Maps.
— 5.41 miles to nearest hospital (USC Arcadia Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
2810711% better than California averageCalifornia average ratio: 0.00:1
0% compared with California averageCalifornia average: 7.7 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
3,385 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37Residents 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.
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 averageCalifornia average: 6.6
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
120% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
23.5%
96% worse than California averageCalifornia average: 12.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
7.2%
334% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
3.9%
21% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
15% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
3.4%
19% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.17
48% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.20
87% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
57% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.4%
16% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.3%
71% better than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
34% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.1%
In line with California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.5%
26% better than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Villa Gardens Health Center based on CMS SNF Cost Reports.
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