THE GARDENS HEALTHCARE CENTER
THE GARDENS HEALTHCARE CENTER is a 45-bed nursing home in NORTHRIDGE, California. CMS has certified it for Medicare and Medicaid since 2002-06-15. It averages 44.6 residents a day.
What harm was found in the violations cited at THE GARDENS HEALTHCARE CENTER?
CMS lists 78 health-inspection deficiencies for THE GARDENS HEALTHCARE CENTER since 2021-11-05, 67 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-16 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-05-11 | F0690, F0732, F0842 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Post nurse staffing information every day. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-05-11 | F0550, F0558, F0578, F0655, F0656, F0684, F0689, F0692, F0694, F0695, F0761, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-01-23 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2025-01-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-09-23 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-09-23 | F0656, F0690, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2024-06-05 | F0656, F0658, F0755, F0757, F0758, F0760, F0812, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-06-05 | F0550, F0578, F0686, F0689, F0690, F0694, F0700, F0726, F0759, F0761, F0842, F0847 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure medication error rates are not 5 percent or greater. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D |
| 2024-05-01 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-05-01 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-02-27 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-02-05 | F0580, F0770 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely, quality laboratory services/tests to meet the needs of residents. | D |
| 2024-01-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-01-16 | F0583, F0656, F0880 | Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program. | D |
| 2023-12-29 | F0656, F0693, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-11-30 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-11-16 | F0580, F0684, F0727 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 |
| 2023-11-07 | F0623, F0624, F0626 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D |
| 2023-09-28 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F |
| 2023-09-28 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-08-28 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-08-09 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-08-09 | F0622, F0623 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2021-11-05 | F0684, F0755, F0758, F0812 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-11-05 | F0656, F0695, F0756, F0761, F0880, F0881, F0947 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
How is THE GARDENS HEALTHCARE CENTER staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.06222 | 4.51570 |
| Total nursing staff turnover (%) | 61.1 | 36.7 |
| Average number of residents per day | 44.6 | 87.9 |
Who owns THE GARDENS HEALTHCARE CENTER, and what chain is it in?
THE GARDENS HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name ASND LLC and belongs to the ASPEN SKILLED HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | JACARANDA HEALTHCARE GROUP LLC | since 08/09/2022 |
| INDIRECT OWNERSHIP INTEREST | BRADSHAW, JEFFREY | since 08/09/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | GOBRIAL, MARK, THOMPSON, STEPHEN, VOGEL, KEITH | since 08/09/2022 |
| ADP OF THE SNF | ASPEN HEALTHCARE SERVICES LLC, EAST WEST BANK, JACARANDA HEALTHCARE GROUP LLC, MOSS ADAMS LLP, WELLS FARGO BANK, NATIONAL ASSOCIATION, BRADSHAW, JEFFREY, GOBRIAL, MARK, VOGEL, KEITH | since 05/19/2025 |
Were you or a family member harmed at THE GARDENS HEALTHCARE CENTER?