WINDSOR GARDENS CONVALESCENT HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Windsor Gardens Convalescent Hospital. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WINDSOR GARDENS CONVALESCENT HOSPITAL
915 S. CRENSHAW BLVD.
LOS ANGELES, CA 90019
(323) 937-5466

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 82
  • Certified Beds: 98

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

Get Free Help Finding Senior Care

  • Compare Costs and Services
  • 100% Free Service - No Obligation
  • Discuss Different Care Options Availabe
Fill out the form above to get started
Looking For*
City/State*
First Name*
Last Name*
Phone*
Email*

Note:* Required Fields

We value your privacy. By clicking "Request Assistance", you agree to the terms and conditions of our privacy policy. You also consent that we, or our partner providers, can reach out to you using a system that can auto-dial. Your consent is not required to use our service.

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Windsor Gardens Convalescent Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.1%
ADL Index Range: 2-104.2%
Total Percent:5.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-163.0%
ADL Index Range: 2-100.5%
Total Percent:3.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1642.2%
ADL Index Range: 6-1019.0%
ADL Index Range: 0-516.9%
Total Percent:78.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.4%
ADL Index Range: 0-50.9%
Total Percent:9.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-102.0%
Total Percent:2.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.8%
Total Percent:1.8%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.05%
Total Percent:0.05%
 

Rating Details For Windsor Gardens Convalescent Hospital

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 2 Minutes1 Hour and 25 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 55 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 6 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours2 Hours and 57 Minutes2 Hours and 9 Minutes
Total Nurse Hours5 Hours and 3 Minutes4 Hours and 35 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination59%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season82%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%58%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination43%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores19%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%23%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/30/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 07/21/2009
  • Correction Date: 09/09/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/21/2009
  • Correction Date: 09/09/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 09/30/2010
  • Correction Date: 12/13/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 06/04/2008
  • Correction Date: 06/27/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Windsor Gardens Convalescent Hospital, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Complaint Filed: 06/04/2008
  • Correction Date: 06/27/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/04/2008
  • Correction Date: 06/27/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 09/09/2009
  • Correction Date: 08/19/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 07/21/2009
  • Correction Date: 09/09/2009

Resident Rights

Protect a Resident's Right to Refuse Some Types of Non-Requested Transfers Within the Nursing Home.
  • Complaint Filed: 06/04/2008
  • Correction Date: 06/27/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Complaint Filed: 06/04/2008
  • Correction Date: 06/27/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Windsor Gardens Convalescent Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/28/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/11/2008
  • Correction Date: 06/15/2008
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/18/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/11/2008
  • Correction Date: 06/15/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 06/11/2008
  • Correction Date: 06/15/2008
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/18/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/13/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011