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WINDSOR GARDENS CONV HOSPITAL

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WINDSOR GARDENS CONV HOSPITAL VS
Nursing Homes USA
General
City Los Angeles  0.5% Nursing Homes USA have Los Angeles
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 915 S. CRENSHAW BLVD.  
Zip Code 90019  
Phone 3239375466  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
98 
108.94
Total Number of Residents
91 
91.25
Percent of Occupied Beds
93 %
83.65 %
Health Survey Date 12/14/2011  
Fire Survey Date 12/16/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 7  
Staff Information
Number of Residents
91 
91.38
Number of RN Hours Per Resident Per Day
0.49 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.83 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.33 
1.59
Number of CNA Hours Per Resident Per Day
0.27 
5.49
Number Therapy Hours Per Resident Per Day
0.27 
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 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
11.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10.2 %
12.58 %
Percent of long-stay residents who lose too much weight
5.2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
18.8 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
40.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
48.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
10.4 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
39.6 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
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 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.9 %
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 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.8 %
19.86 %
Percent of long-stay residents who were physically restrained
2.20 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
30.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
49.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
51.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
9.6 %
17.34 %

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