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Windsor Gardens Convalescent Center Of Anaheim

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About Windsor Gardens Convalescent Center Of Anaheim

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 3, 1997 (20 years)
Capacity154
Residents115
Percent Occupied75%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Windsor Gardens Convalescent Center Of Anaheim

Windsor Gardens Convalescent Center Of Anaheim
was reviewed by Medicare to have a rating of 2 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

April 8, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMake sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
BSomePotential for Minimal HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

March 16, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

March 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

February 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,755 fine

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 Center Of Anaheim 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 10min
2hr 40min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
35min
1hr 5min
ReportedExpected
RN
3hr 50min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.5%
91.7%
91.7%
92.6%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
76.5%
95.3%
98.9%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
66.7%
50.0%
60.9%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
30.1%
34.1%
25.3%
17.0%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
14.7%
35.6%
15.8%
10.6%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose ability to move independently worsened
16.2%
8.7%
7.9%
5.7%
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antipsychotic medication
13.9%
16.7%
0.0%
7.1%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose need for help with daily activities has increased
7.3%
7.9%
0.0%
0.0%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who self-report moderate to severe pain
9.7%
5.1%
2.4%
8.7%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who lose too much weight
2.2%
4.8%
1.4%
1.3%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who have depressive symptoms
1.0%
3.1%
0.0%
0.0%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a urinary tract infection
0.0%
1.0%
1.2%
1.1%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents experiencing one or more falls with major injury
5.3%
1.6%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

33.9%
42.3%
63.8%
79.4%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.3%
46.4%
46.4%
46.4%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
71.1%
66.9%
61.0%
60.6%
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who made improvements in function
27.0%
10.9%
0.4%
0.4%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.8%
0.8%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents with pressure ulcers that are new or worsened