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Windsor Gardens Convalescent Hospital

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About Windsor Gardens Convalescent Hospital

General Information

Legal Business NameWindsor Gardens Convalescent Hospital Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1972 (45 years)
Capacity98
Residents91
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Windsor Gardens Convalescent Hospital

Windsor Gardens Convalescent Hospital
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 29, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

July 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
BSomePotential for Minimal HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

July 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Windsor Gardens Convalescent Hospital require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
60min
40min
ReportedExpected
LPN
45min
1hr 15min
ReportedExpected
RN
4hr 5min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.1%
95.6%
95.6%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.2%
98.5%
100.0%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
60.0%
-
-
45.0%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
4.4%
8.3%
6.2%
13.5%
Q1 2015Q2 2015Q3 2015CA
Received an Antipsychotic Medication
21.2%
22.6%
12.5%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
2.4%
0.0%
1.6%
5.2%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
6.6%
7.7%
6.0%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
11.6%
9.5%
9.1%
6.1%
Q1 2015Q2 2015Q3 2015CA
High Risk Residents With Pressure Ulcers
1.6%
1.7%
3.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
1.3%
3.0%
5.6%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
0.0%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
3.0%
2.0%
0.9%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

76.9%
76.5%
81.1%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
72.5%
71.2%
71.2%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.2%
23.9%
20.8%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
0.0%
2.5%
3.4%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.4%
0.5%
0.9%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened