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Nursing HomeMedicaid

Villa Gardens Health Care Unit

Strong Medicare quality ratings; families often praise compassionate and empathetic nursing staff. Still worth an in-person visit.

842 East Villa Street, Pasadena, CA 9110154 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 11 Google reviews

5
4
3
2
1
Villa Gardens Health Care Unit Nursing Home in Pasadena, CA — Street View
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What this means for your family

This facility offers an exceptionally warm and accommodating staff, particularly noted for physical therapy and accommodating family milestones. However, you must be highly vigilant regarding hygiene and hygiene-related care, as there is a documented risk of neglected diaper changes.

Google Reviews

Google Reviews

11 reviews on Google
Families can expect a compassionate environment with highly praised physical therapy and nursing staff, as well as beautiful outdoor garden spaces for visits. However, there is a critical concern regarding hygiene and timely diaper changes that requires close monitoring by family members to prevent medical complications.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean4.0Activities8.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and empathetic nursing staff
  • Excellent physical therapy services
  • Beautifully manicured gardens and outdoor paths
  • Accommodating and friendly atmosphere for family events

Concerns

  • Inadequate hygiene/diaper changing frequency

Rating Trends

Tap a year to see what changed

2344.72019(3)1.02020(1)5.02023(1)5.02024(3)4.32025(4)

Distribution · 12 analyzed

5
9
4
1
3
0
2
1
1
1

How They Respond to Reviews

64%response rate
Generic

The owner uses highly repetitive, template-based responses that primarily offer brief thanks without acknowledging the specific details or people mentioned in the reviews. The responses rarely go beyond standard polite pleasantries.

Questions for Your Tour

  • 1We love the look of the manicured gardens and outdoor paths; what kind of daily outdoor activities or strolls are organized for the residents?
  • 2I noticed the staff is often described as very compassionate; how do you support your nursing team in maintaining that empathetic connection with residents?
  • 3How does the care team manage routine hygiene and personal care schedules to ensure every resident is comfortable and clean throughout the day?
  • 4With the beautiful atmosphere for family events, how often are families invited to participate in or attend gatherings here?
  • 5What is the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
  • 6What specific steps is the facility taking to address recent health inspection findings and improve cleanliness standards in the resident rooms?

Personalized based on this facility's data


Key Review Excerpts

The staff were so accommodating and friendly to graciously host our micro wedding ceremony and reception within 24 hours. We were able to fulfill my grandfather's dying wish of seeing us get married

Long-term resident's family · 2024★★★★★

Luis, her PT, was remarkable in his ability not only to convey his expertise in physical therapy but to relate to mom in such a way that she looked forward to seeing him every day.

Short-term rehab family member · 2024★★★★★

They insist everyone be diapered but don't always change those diapers. If you have a loved one here, please be sure they are changing their diapers frequently, as elderly people get UTIs without pain, and that can easily become sepsis.

Family member · 2025★★☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
5.27hrs
OK
All nurses + aides combined
Staff Turnover
21%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
15.3%
CA
10.5%
Los angeles
9.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
19.4%
CA
10.7%
Los angeles
9.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
15.5%
CA
11.7%
Los angeles
11.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.5%
Worse than Avg
Here
18.5%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (15.4)
4 complaint-triggered

Villa Gardens has ongoing issues across multiple surveys, with 55 total deficiencies including 4 from family complaints. The facility struggles most with fire safety systems, infection control, and medication management, with these problems persisting across recent inspections from 2023-2025. Families have filed complaints about care quality and safety hazards, though all deficiencies reportedly have correction dates.

Dec 5, 2025Routine
16
0727Potential for harm · WidespreadCorrected

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.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0584Potential for harm · IsolatedCorrected

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Oct 4, 2024Routine
11
0578Potential for harm · PatternCorrected

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0690Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Jan 31, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 8, 2023Routine
24
0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Aug 24, 2023Complaint
2
0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Villa Gardens Health Care Unit

Organization Type

nonprofit

Chain Affiliation

Chain Name

Front Porch

Chain Size

9 facilities nationwide

Chain avg rating: 4.6/5 · Rank 8 of 9

Ownership & Management

Owners

Front Porch Communities and Services

Owner · Organization

100%

Merkin, Nickolas

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Nelson, Harry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Pennington, Paige

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Duranteau, NancyOfficer / DirectorForte, VincentOfficer / DirectorHandy, JoanneOfficer / DirectorJacobs, LauraOfficer / DirectorKroeker, KevinOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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