With a score of 78/100 and a B grade, Villa Gardens Health Care Unit is a well-regarded option in Pasadena, California. The facility performs above average in most CMS categories, placing it in the 76th percentile statewide.
Villa Gardens Health Care Unit provides above-average staffing with 5.16 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 31 deficiencies at Villa Gardens Health Care Unit. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.16 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.77 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.06 | 2.4 | Above Average |
| Weekend Total Nursing | 4.65 | 3.8 | Above Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity FHave 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.Dec 4, 2025 · Nursing and Physician Services Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 4, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 4, 2025 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity EDispose of garbage and refuse properly.Dec 4, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 4, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.2% | 4.5% | Better |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 1.5% | 14.5% | Better |
| Urinary tract infections | 2.2% | 2.5% | Better |
| ADL decline (daily activities) | 21.4% | 14.0% | Worse |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 26.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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