VILLA GARDENS HEALTH CARE UNIT
842 EAST VILLA STREET
PASADENA, CA, 91101
6267968162
CCN: 555429
4
Overall3
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CENTRAL COMMUNITY SERVICE, INC
1128a1
Excluded 2005-10-20
Ownership
| Name | Role | % |
|---|---|---|
| FRONT PORCH COMMUNITIES AND SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FORTE, VINCENT | CORPORATE DIRECTOR | NOT APPLICABLE |
| DURANTEAU, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HANDY, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| JACOBS, LAURA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KROEKER, KEVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCGOVERN, MARION | CORPORATE DIRECTOR | NOT APPLICABLE |
| PROCTOR, DEBORAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| SPENCER, PETER | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONNU, DIEMLAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| WESSON, OLIVER | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITTAKER, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SALVADOR, EDUARDO | CORPORATE OFFICER | NOT APPLICABLE |
| KELLY, SEAN | CORPORATE OFFICER | NOT APPLICABLE |
| VRANICH, RACHEL | CORPORATE OFFICER | NOT APPLICABLE |
| HERZIG, RANDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AKOPYAN, GEVORK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KELLY, SEAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCMULLIN, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OLSON, KARI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RUSHFORTH, SHAUN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SALVADOR, EDUARDO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, KARLISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CAIRNS, DAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DUDLEY, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (31)
2025-12-05 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
F727 · 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.
D
F584 · 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.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-10-04 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · 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.
E
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · 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.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F578 · 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.
2024-01-31 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-10-08 · Health
E
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F849 · 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.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · 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.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F655 · 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
2023-08-24 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
F803 · 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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.16
RN Hrs/Resident/Day0.54
0.33
LPN Hrs/Resident/Day0.81
1.77
CNA Hrs/Resident/Day2.33
3.06
PT Hrs/Resident/Day0.12
0.14
Data as of 2026-03-01