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Windsor Gardens Of The Valley

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 4
Continuing Care? No
Resident Council? No
Family Council? No
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: 04/11/2012

Date of last standard health inspection: 04/11/2012
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, 01/01/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2010 00/02/2011 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/01/2010 00/02/2011 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/01/2010 00/02/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/01/2010 00/02/2011 1 Some
Store, cook, and serve food in a safe and clean way. 01/01/2010 00/02/2011 2 Few
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. 01/01/2010 00/02/2011 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/01/2010 00/02/2011 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/01/2010 00/02/2011 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. 01/01/2010 00/02/2011 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2010 00/02/2011 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. 01/01/2010 00/02/2011 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/01/2010 00/02/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/01/2010 00/02/2011 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/01/2010 00/02/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/01/2010 00/02/2011 2 Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 01/01/2010 00/02/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/01/2010 00/02/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2010 00/02/2011 2 Some

Inspection, 01/01/2004

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. 01/01/2004 01/04/2005 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2004 01/04/2005 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2004 01/04/2005 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/01/2004 01/04/2005 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/01/2004 01/04/2005 2 Some
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. 01/01/2004 01/04/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/01/2004 01/04/2005 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/01/2004 01/04/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 01/01/2004 01/04/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/01/2004 01/04/2005 2 Few
Tell the resident or the resident 01/01/2004 01/04/2005 2 Few

Inspection, 01/09/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/09/2001 00/07/2002 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 01/09/2001 00/07/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2001 00/07/2002 2 Some
Dispose of garbage and refuse properly. 01/09/2001 00/07/2002 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/09/2001 00/07/2002 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. 01/09/2001 00/07/2002 2 Few
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. 01/09/2001 00/07/2002 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/09/2001 00/07/2002 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. 01/09/2001 00/07/2002 2 Few
Ensure residents maintain acceptable nutritional status. 01/09/2001 00/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/09/2001 00/07/2002 2 Some

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 1 out of 5 stars
Total Number of Residents 86 81 99
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 9 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 24 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 44 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 28 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: 04/16/2012

Automatic Sprinkler Systems in all required areas 90
Date of last standard fire safety inspection: 04/16/2012
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, 01/09/2010

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. 01/09/2010 02/09/2010 2 Some

Inspection, 01/06/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/06/2004 01/04/2005 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/06/2004 01/04/2005 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/06/2004 01/04/2005 2 Many

Inspection, 02/01/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/01/2001 00/08/2002 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/01/2001 00/08/2002 2 Few
 

13000 Victory Blvd,
North Hollywood, CA 91606

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