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Windsor Gardens Care Center Of Fullerton

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About Windsor Gardens Care Center Of Fullerton

General Information

Legal Business NameWindsor Gardens Healthcare Center Of Fullerton LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 3, 1969 ()
Capacity99
Residents82
Percent Occupied83%
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 Care Center Of Fullerton

Windsor Gardens Care Center Of Fullerton
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

November 29, 2016 - 4 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.

September 28, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that all required doctor visits are made personally.

June 7, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHire a qualified dietician.
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionOffer other nutritional food to each resident who will not eat the food served.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
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 InspectionDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
DFewPotential for HarmHealth InspectionGive 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.
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 medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

May 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 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 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 that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
BSomePotential for Minimal HarmHealth InspectionMaintain comfortable sound levels.
BSomePotential for Minimal HarmHealth InspectionProvide bedrooms that hold no more than 4 residents per room.
BSomePotential for Minimal HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

October 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

October 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

July 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that all required doctor visits are made personally.
DFewPotential for HarmComplaintEnsure 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.

April 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are fully informed and understand their health status, care and treatments.

April 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
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 InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

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 Care Center Of Fullerton 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 30min
2hr 35min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
1hr 5min
1hr 20min
ReportedExpected
RN
4hr 30min
4hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.8%
98.4%
98.4%
98.4%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.5%
96.3%
98.1%
96.4%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.7%
63.0%
61.9%
50.0%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
32.3%
29.1%
30.4%
26.4%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.8%
17.5%
19.1%
11.6%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose ability to move independently worsened
21.6%
26.7%
15.6%
11.1%
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antipsychotic medication
14.9%
9.3%
11.6%
8.7%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose need for help with daily activities has increased
4.9%
8.4%
3.8%
1.6%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
1.9%
5.6%
0.0%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who lose too much weight
16.7%
21.3%
14.6%
10.6%
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
1.7%
1.9%
0.0%
0.0%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a urinary tract infection
1.6%
1.9%
1.9%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents experiencing one or more falls with major injury
2.6%
5.0%
6.0%
7.3%
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

62.8%
67.8%
78.7%
89.3%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.3%
75.9%
75.9%
75.9%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
48.5%
44.6%
46.5%
61.6%
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who made improvements in function
15.3%
12.6%
7.9%
6.7%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
1.2%
0.8%
0.0%
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