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NURSING HOME INSPECTION REPORT

The Gardens Healthcare Center in Northridge: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

Beverly Law
Published by Beverly Law
17650 Devonshire St, Northridge · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 4 state citations for The Gardens Healthcare Center since 2023, including 0 Class AA and 2 Class A, and 2 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class A Trebled citation (Patient Care), penalty $75,000, issued February 29, 2024. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date.

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The Gardens Healthcare Center at a glance: owner, beds and ratings

Address
17650 Devonshire St, Northridge, CA 91325
CDPH license / facility ID
920000128 / 920000310
Medicare CCN
555791
Licensed beds
45
Licensee (CDPH)
ASND, LLC
Chain / affiliated entity (CMS)
Aspen Skilled Healthcare (chain or affiliated entity listed by CMS)
Administrator of record
Vogel, Keith W
CMS overall rating
2 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
5.19 reported nurse hours per resident per day*
CMS fines (last 3 years)
$0
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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The Gardens Healthcare Center citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
July 23, 2026State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
February 29, 2024State (CDPH)Class A Trebled citation (Patient Care), penalty $75,000
Read what inspectors found ↓
Government record (CDPH) ↗
January 16, 2024Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
May 17, 2023State (CDPH)Class A Trebled citation (Patient Care), penalty $75,000
Read what inspectors found ↓
Government record (CDPH) ↗
April 4, 2023Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at The Gardens Healthcare Center

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
February 2024: Class A citation and F689 (severity G) after a resident wearing a wander guard left the building

According to the citation, CDPH investigated a complaint and a facility-reported incident about Resident 1, who had a history of elopement (leaving without staff noticing), a high fall risk and severely impaired decision-making. He wore a wander guard bracelet, a device meant to set off an alarm near exit doors. CDPH found that on January 13, 2024, around 3:15 p.m., staff noticed he was missing and no alarm had sounded. Police found him by 5 p.m., and paramedics took him to a hospital, where his diagnoses included a ground-level fall and a broken right rib.

Three days later, inspectors checked exit door alarms with the maintenance supervisor. The citation states an alarm pad in the staff lounge did not sound, an alarm in the physical therapy room was low and its emergency alarm box was turned off, and the dining room door alarmed only after it was opened and closed again. The director of nursing could not show an individual elopement care plan or records that the bracelet battery was changed every seven days, and told CDPH the resident needed more supervision.

CDPH issued a Class A citation with a $25,000 penalty that was trebled to $75,000. The 2567 report cited F689, freedom from accident hazards and adequate supervision, at severity G.

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May 2023: Class A citation and F689 (severity G) after five falls and a hip fracture

According to the citation, Resident 1, an 88-year-old woman with parkinsonism (a movement disorder) and severe cognitive impairment, was admitted in December 2022 after a fall at her assisted living home and was rated at high risk for falls. CDPH found she fell five times between admission and her discharge on March 17, 2023, while trying to get to the bathroom.

The citation states her fall care plan added a low bed and a medication review after falls on February 1 and February 20, and a bedside commode and sensor alarms on March 7. An X-ray after the fourth fall, on March 2, showed a likely right hip fracture (a break in the hip socket). A CT scan ordered March 5 was done March 16, and the result confirming the fracture was received March 20. The assistant director of nursing told inspectors he could not show that the interdisciplinary team, including the physician, met to find the cause of the repeated falls, and CDPH found no record that a scheduled toileting program was tried. According to the citation, staff said the resident often tried to walk without calling for help, and a family member declined a privately paid one-to-one caregiver.

CDPH issued a Class A citation with a $25,000 penalty that was trebled to $75,000. The 2567 report cited F689, freedom from accident hazards and adequate supervision, at severity G.

↑ Back to this finding in the timeline

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Complaints against The Gardens Healthcare Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20231816210
2024161158
2025101001
2026272430

Cal Health Find lists 71 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 19 of them. 4 intakes involved an allegation in CDPH’s abuse category, and 0 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at The Gardens Healthcare Center

Cal Health Find lists no complaint or facility-reported incident for The Gardens Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse. That covers only what was reported to the state; if you suspect sexual abuse, report it even if nothing appears here.

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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The Gardens Healthcare Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for The Gardens Healthcare Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has The Gardens Healthcare Center been cited by the State of California?

Cal Health Find lists 4 state citations for The Gardens Healthcare Center since 2023, including 0 Class AA and 2 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against The Gardens Healthcare Center?

From 2023 through October 30, 2026, Cal Health Find lists 71 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 19 of them.

Does Medicare flag The Gardens Healthcare Center for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for The Gardens Healthcare Center. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at The Gardens Healthcare Center?

Cal Health Find lists no complaint or incident at The Gardens Healthcare Center since 2023 that included an allegation CDPH classified as sexual abuse. That reflects only what was reported to the state.

Where can I read reviews and complaints about The Gardens Healthcare Center?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does The Gardens Healthcare Center have?

The Gardens Healthcare Center is licensed by CDPH for 45 beds and has a CMS overall rating of 2 out of 5 stars.

Who owns or operates The Gardens Healthcare Center?

CDPH lists the licensee as ASND, LLC. CMS lists the facility under the chain or affiliated entity Aspen Skilled Healthcare.

My parent was hurt at The Gardens Healthcare Center. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near The Gardens Healthcare Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Magnolia Gardens Convalescent HospitalGranada Hills1.1 mi1/500
Casitas Care CenterGranada Hills1.1 mi2/500
Granada Hills Convalescent HospitalGranada Hills2.1 mi5/511
Rinaldi Convalescent HospitalGranada Hills2.2 mi1/502
The Rehabilitation Center of North HillsNorth Hills3.0 mi1/534
Northridge Care CenterReseda3.2 mi1/501

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – The Gardens Healthcare Center
  2. Medicare Care Compare – The Gardens Healthcare Center
  3. CDPH – State Enforcement Actions (open data)
  4. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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