Villa Gardens Health Care Unit


Villa Gardens Health Care Unit is a non profit nursing home located in Pasadena, CA that has 52 residents living there. Villa Gardens Health Care Unit has the Overall Star Rating of 5 stars.

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General Information

Villa Gardens Health Care Unit

Provider Number: 555429

Address

Villa Gardens Health Care Unit
842 East Villa Street
Pasadena, CA 91101

Phone Number

Phone: (626) 796-8162

Map and Directions


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Facility

Details

Special Focus Facility? No
Continuing Care Retirement Community? Yes
Located Within a Hospital? No
Program Participation: Medicare and Medicaid
Resident and Family Councils: Resident

Type of Ownership: Non profit – Corporation
Multi Nursing Home Ownership? Yes

Star Ratings


Health Inspections Star Rating: 4

Nurse Staffing Star Rating: 3

Quality Measures Star Rating: 5

RN Only Star Rating: 2

Overall Star Rating: 5

The process for health inspections at nursing homes considers all important aspects of care in a nursing home. Health inspectors score every nursing home on over 180 factors.

Special Focus Facility

A Special Focus Facility is a nursing home with a recent track record of continued poor quality of care, as determined by the findings of state or Federal inspection teams. Using inspection results from the most recent 3 year time period, CMS designates the nursing homes having the worst repeated inspections as being a Special Focus Facility.

Ownership

The ownership type of Villa Gardens Health Care Unit is non profit.

Nursing home facilities may be run by private for-profit corporations, corporations that are non-profit, religious groups or state or local goverments. Quality is different in facilities within each of the different types of ownership, and you should know that the type of ownership of the nursing home will not indicate the level of quality at the facility. To find out if a facility is is a good fit you should check out the particular nursing home and more importantly visit and tour the facility.

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Nurse and Staff Statistics

Number of Residents: 52
Number of RN Hours Per Resident Per Day: 0.4
Number of LPN/LVN Hours Per Resident Per Day: 0.95

Number of CNA Hours Per Resident Per Day: 2.6
Total Number of Licensed Staff Hours Per Resident Per Day: 1.35

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Inspections and Surveys

Health Survey Date:
Quality Indicator Survey? No

Fire Survey Date:
Sprinkler Status: fully sprinklered

Nursing homes are required to meet more than 180 regulatory standards designed to protect nursing home residents. These requirements focus on a wide range of subjects, which include correct management of medicines, protecting nursing home residents from mental or physical harm and abuse or inadequate care, to the safe storage and preparation of nutrition and food.

Fire safety specialists make the determination of whether a nursing home facility passes Life Safety Code (LSC) rules put in place by the National Fire Protection Agency. The fire safety inspection addresses many fire protection and safety considerations, that include building and construction, protective, and operations features that are designed to provide that nursing home residents are safe from fire, smoke, and panic.

When the Fire Survey for Villa Gardens Health Care Unit was completed, it was reported that the this location is fully sprinklered.

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Complaints and Incidents

Incidents Reported by the Nursing Home: 1
Substantiated Complaints: I

The reported incidents and complaints for Villa Gardens Health Care Unit are summarized above.

A complaint is a negative occurrence reported by nursing home residents, their families, and staff. An incident, which is different from a complaint is a negative occurrence that has been reported by a member of the nursing home staff. Some complaints can lead to an enforcement action if it is determined that a facility isn’t following the rules.

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Enforcement Actions

Civil Money Penalty Count: 0
Denial of Payment for New admission Count: 0
Total Enforcement Actions Count: 0

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Resident Statistics

Number of Certified Beds: 54
Percent of Occupied Beds: 96
Total Number of Residents: 52

At Villa Gardens Health Care Unit there are 52 residents that are on Medicare or Medicaid. Villa Gardens Health Care Unit has 54 Certified Beds, which comprises 96 of the total number of occupied beds. There are 52 total residents at Villa Gardens Health Care Unit.

Some nursing homes have a combination of Medicare, Medicaid, and private beds. The certified beds number is the number of Medicare and/or Medicaid beds are at Villa Gardens Health Care Unit. Please check with the facility directly to learn about the different types of beds are available.

High-Risk Long-Stay Residents

ConditionQ1Q3
Percent of high-risk long-stay residents who have pressure sores03

Long-Stay Residents

ConditionQ1Q3
Percent of long-stay residents given influenza vaccination during the flu season9596
Percent of long-stay residents who are more depressed or anxious35
Percent of long-stay residents who had a urinary tract infection34
Percent of long-stay residents who have moderate to severe pain22
Percent of long-stay residents who have/had a catheter inserted and left in their bladder00
Percent of long-stay residents who lose too much weight34
Percent of long-stay residents who spend most of their time in bed or in a chair34
Percent of long-stay residents who were assessed and given pneumococcal vaccination10099
Percent of long-stay residents who were physically restrained00
Percent of long-stay residents whose ability to move about in and around their room got worse09
Percent of long-stay residents whose need for help with daily activities has increased135

Low-Risk Long-Stay Residents

ConditionQ1Q3
Percent of low-risk long-stay residents who have pressure sores03
Percent of low-risk long-stay residents who lose control of their bowels or bladder080

Short-Stay Residents

ConditionQ1Q3
Percent of short-stay residents given influenza vaccination during the flu season10099
Percent of short-stay residents who had moderate to severe pain2825
Percent of short-stay residents who have delirium00
Percent of short-stay residents who have pressure sores1010
Percent of short-stay residents who were assessed and given pneumococcal vaccination100100

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