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Windsor Gardens Conv Hospital

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 98
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 12/14/2011

Date of last standard health inspection: 12/14/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in CA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CA: 0 - 16

Inspection, 01/04/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 01/04/2012 00/01/2002 2 Few
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/04/2012 00/01/2002 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/04/2012 00/01/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 01/04/2012 00/01/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/04/2012 00/01/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2012 00/01/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2012 00/01/2002 2 Few
Ensure residents maintain acceptable nutritional status. 01/04/2012 00/01/2002 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/04/2012 00/01/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/04/2012 00/01/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/04/2012 00/01/2002 2 Many

Inspection, 03/00/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 03/00/2009 01/03/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 03/00/2009 01/03/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 03/00/2009 01/03/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2009 01/03/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 03/00/2009 01/03/2012 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/00/2009 01/03/2012 2 Some
Ensure 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. 03/00/2009 01/03/2012 2 Few
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. 03/00/2009 01/03/2012 2 Few

Inspection, 02/04/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 02/04/2003 01/09/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/04/2003 01/09/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/04/2003 01/09/2004 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/04/2003 01/09/2004 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/04/2003 01/09/2004 2 Some
Store, cook, and serve food in a safe and clean way. 02/04/2003 01/09/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2003 01/09/2004 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/04/2003 01/09/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/04/2003 01/09/2004 2 Few
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. 02/04/2003 01/09/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/04/2003 01/09/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/04/2003 01/09/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/04/2003 01/09/2004 1 Many
Allow residents to self-administer drugs if determined safe. 02/04/2003 01/09/2004 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in CA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 81 90
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 52 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 43 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 1 hour 9 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 1 hour 54 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 12/16/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/16/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in CA: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in CA: 0 - 5

Inspection, 01/06/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 01/06/2012 00/02/2002 2 Many
Automatic sprinkler systems that have been maintained in working order. 01/06/2012 00/02/2002 2 Some
Portable fire extinguishers. 01/06/2012 00/02/2002 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/06/2012 00/02/2002 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/06/2012 00/02/2002 2 Some
Properly sized and located linen or trash receptacles. 01/06/2012 00/02/2002 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/06/2012 00/02/2002 2 Some
Properly located and lighted Exit" signs." 01/06/2012 00/02/2002 2 Some
Laboratories Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper facilities for the use and storage of combustible liquids. 01/06/2012 00/02/2002 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
No-smoking signs where oxygen is used. 01/06/2012 00/02/2002 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/06/2012 00/02/2002 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/06/2012 00/02/2002 2 Few

Inspection, 02/08/2009

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2009 01/08/2010 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2009 01/08/2010 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 02/08/2009 01/08/2010 2 Some

Inspection, 02/03/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/03/2003 01/09/2004 2 Few
Portable fire extinguishers. 02/03/2003 01/09/2004 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/03/2003 01/09/2004 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/03/2003 01/09/2004 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/03/2003 01/09/2004 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/03/2003 01/09/2004 2 Some
 

915 S. Crenshaw Blvd.
Los Angeles, CA 90019

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