WINDSOR GARDENS CONV HOSPITAL

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General
City	Los Angeles	vs	0.5% Nursing Homes USA have Los Angeles
State attribute explanation	CA	vs	7.8% Nursing Homes USA have CA
Street	915 S. CRENSHAW BLVD.
Zip Code	90019
Phone	3239375466
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	3 (0.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (3)
Nurse Staffing Star Rating	1 (2.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (1)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	98 (10.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (98)
Total Number of Residents	91 (0.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (91)
Percent of Occupied Beds	93 % (9.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (93) %
Health Survey Date	12/14/2011
Fire Survey Date	12/16/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	Both	vs	29.8% Nursing Homes USA have Both
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	7

Staff Information
Number of Residents	91 (0.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.49 (0.28 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.83 (0.01 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.33 (0.26 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.27 (5.22 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.27 (0.17 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 07/21/2009 date Of Correction: 09/09/2009
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 07/21/2009 date Of Correction: 09/09/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 07/21/2009 date Of Correction: 09/09/2009
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 07/21/2009 date Of Correction: 09/09/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 09/09/2009 date Of Correction: 08/19/2010
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 07/21/2009 date Of Correction: 09/09/2009

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them. survey Date: 07/21/2009 date Of Correction: 09/09/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	44.2 % (19.11 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	11.4 % (5.26 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	10.2 % (2.38 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	5.2 % (6.63 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	18.8 % (25.74 % lower than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	7.1 % (8.53 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	9.1 % (4.36 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	2.6 / 3 %
Percent of short-stay residents who self-report moderate to severe pain	37.2 % (12.18 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	40.5 % (44.14 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	48.1 % (35.84 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	10.4 % (35.5 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	75.2 % (59.68 % higher than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	39.6 % (14.21 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.4 % (23.3 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	11.6:1 %
Percent of long-stay high-risk residents with pressure ulcers	12.8:1 %
Percent of long-stay residents who lose too much weight	6.3 % (2.2 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	20.9 % (22.48 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.6:1 %
Percent of long-stay residents with a urinary tract infection	8.5 % (1.08 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	1.8 % (18.06 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	2.20 % (36.33 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.4 % (10.33 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	30.7 % (5.94 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	49.6 % (31.84 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	51.5 % (23.25 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	9.6 % (7.74 % lower than average)	vs	17.34 %