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

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Nearby Cities:

Culver City | Inglewood | Huntington Park

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 Services

Resident Conditions

Percent 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: 11-16	1.1%
ADL Index Range: 2-10	4.2%
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: 11-16	3.0%
ADL Index Range: 2-10	0.5%
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: 11-16	42.2%
ADL Index Range: 6-10	19.0%
ADL Index Range: 0-5	16.9%
Total Percent:	78.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	8.4%
ADL Index Range: 0-5	0.9%
Total Percent:	9.2%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	2.0%
Total Percent:	2.0%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	1.8%
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 Day	Reported	Expected
Registered Nurse (RN) Hours	1 Hour and 2 Minutes	1 Hour and 25 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 55 Minutes	44 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 6 Minutes	2 Hours and 25 Minutes
Total Licensed Nurse Hours	2 Hours and 57 Minutes	2 Hours and 9 Minutes
Total Nurse Hours	5 Hours and 3 Minutes	4 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 Facility

California Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	59%	86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	82%	87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	9%	11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	46%	58%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	4%	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 Chair	5%	8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	8%	5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	16%	12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	2%	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	8%	10%
Percent of Long-Stay Residents Who Lose Too Much Weight	4%	7%
Percent of Long-Stay Residents Who Were Physically Restrained	2%	7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	74%	83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	43%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	19%	17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	21%	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 Inspectors

Degree of Harm

Residents 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 Complaints

Degree of Harm

Residents Affected