All citations for Villa Gardens Health Care Unit

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Villa Gardens Health Care Unit

Last standard health inspection on record

December 5, 2025

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  3. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  4. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  5. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  6. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  8. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  11. No harm, with potential for more than minimal harm

    Construct fire resistant interior walls.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  12. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  13. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  14. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  21. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  22. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  23. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  24. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

  25. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.