Starfile / California

WINDSOR GARDENS CONVALESCENT HOSPITAL

915 S. CRENSHAW BLVD., LOS ANGELES, CA 90019 · CCN 056194

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$37,882

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (100)4 actual harm

1. EF0558Reasonably accommodate the needs and preferences of each resident.2025-08-14 · Health · corrected 2025-08-18

   Potential for more than minimal harm

2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-14 · Health · corrected 2025-08-18

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-29 · Health · corrected 2025-07-30

   Potential for more than minimal harm

4. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

5. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

6. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

7. DF0641Ensure each resident receives an accurate assessment.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-02 · Health · corrected 2025-03-07

   Potential for more than minimal harm

10. DF0685Assist a resident in gaining access to vision and hearing services.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

12. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

13. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

14. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

15. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

16. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

17. DF0760Ensure that residents are free from significant medication errors.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

18. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

19. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

21. DF0880Provide and implement an infection prevention and control program.2025-03-02 · Health · corrected 2025-03-07

    Potential for more than minimal harm

22. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-02-12 · Health · corrected 2025-02-27

    Potential for more than minimal harm

23. DF0760Ensure that residents are free from significant medication errors.2025-01-24 · Health · corrected 2025-01-27

    Potential for more than minimal harm

24. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-11-05 · Health · corrected 2024-11-06

    Potential for more than minimal harm

25. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-10-30 · Health · corrected 2024-10-31

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-15 · Health · corrected 2024-08-28

    Potential for more than minimal harm

27. DF0880Provide and implement an infection prevention and control program.2024-08-01 · Health · corrected 2024-08-05

    Potential for more than minimal harm

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-18 · Health · corrected 2024-07-25

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-18 · Health · corrected 2024-07-25

    Potential for more than minimal harm

30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-18 · Health · corrected 2024-07-25

    Potential for more than minimal harm

31. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-07-18 · Health · corrected 2024-07-25

    Potential for more than minimal harm

32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-18 · Health · corrected 2024-07-25

    Potential for more than minimal harm

33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-02 · Health · corrected 2024-07-22

    Potential for more than minimal harm

34. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-07-02 · Health · corrected 2024-07-22

    Potential for more than minimal harm

35. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-07 · Health · corrected 2024-07-06

    Potential for more than minimal harm

36. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-06-07 · Health · corrected 2024-07-06

    Potential for more than minimal harm

37. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-22 · Health · corrected 2024-05-10

    Potential for more than minimal harm

38. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-04-22 · Health · corrected 2024-05-10

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-22 · Health · corrected 2024-05-10

    Potential for more than minimal harm

40. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-22 · Health · corrected 2024-05-10

    Potential for more than minimal harm

41. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-08 · Health · corrected 2024-03-29

    Potential for more than minimal harm

42. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-08 · Health · corrected 2024-03-29

    Potential for more than minimal harm

43. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-03-08 · Health · corrected 2024-03-29

    Potential for more than minimal harm

44. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-06 · Health · corrected 2024-03-20

    Actual harm

45. DF0760Ensure that residents are free from significant medication errors.2024-03-06 · Health · corrected 2024-03-20

    Potential for more than minimal harm

46. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

47. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

48. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

49. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

50. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

51. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

52. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

53. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

54. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

55. EF0732Post nurse staffing information every day.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

56. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-08 · Health · corrected 2024-03-07

    Potential for more than minimal harm

57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-23 · Health · corrected 2024-02-20

    Potential for more than minimal harm

58. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-23 · Health · corrected 2024-02-20

    Potential for more than minimal harm

59. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-23 · Health · corrected 2024-02-20

    Potential for more than minimal harm

60. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-01-23 · Health · corrected 2024-02-20

    Potential for more than minimal harm

61. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-05 · Health · corrected 2024-01-20

    Potential for more than minimal harm

62. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-01-05 · Health · corrected 2024-01-20

    Potential for more than minimal harm

63. DF0610Respond appropriately to all alleged violations.2023-12-04 · Health · corrected 2024-01-02

    Potential for more than minimal harm

64. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-04 · Health · corrected 2023-12-04

    Actual harm

65. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-04 · Health · corrected 2023-12-04

    Actual harm

66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-25 · Health · corrected 2023-09-24

    Potential for more than minimal harm

67. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-09 · Health · corrected 2023-07-09

    Potential for more than minimal harm

68. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-09 · Health · corrected 2023-07-09

    Potential for more than minimal harm

69. EF0880Provide and implement an infection prevention and control program.2023-06-09 · Health · corrected 2023-07-09

    Potential for more than minimal harm

70. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-05 · Health · corrected 2023-07-05

    Potential for more than minimal harm

71. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-17 · Health · corrected 2023-05-17

    Potential for more than minimal harm

72. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-11 · Health · corrected 2023-05-05

    Potential for more than minimal harm

73. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-28 · Health · corrected 2023-04-27

    Potential for more than minimal harm

74. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-28 · Health · corrected 2023-04-27

    Actual harm

75. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-03-28 · Health · corrected 2023-04-27

    Potential for more than minimal harm

76. DF0558Reasonably accommodate the needs and preferences of each resident.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

77. DF0572Give residents a notice of rights, rules, services and charges.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

78. DF0574The resident has the right to receive notices in a format and a language he or she understands.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

79. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

80. DF0583Keep residents' personal and medical records private and confidential.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

81. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

82. DF0641Ensure each resident receives an accurate assessment.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

83. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

84. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

85. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

86. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

87. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

88. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

89. DF0692Provide enough food/fluids to maintain a resident's health.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

90. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

91. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

92. DF0732Post nurse staffing information every day.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

93. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

94. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

95. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

96. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

97. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

98. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

99. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-05-07 · Health · corrected 2021-06-03

    Potential for more than minimal harm

100. DF0880Provide and implement an infection prevention and control program.2021-05-07 · Health · corrected 2021-06-03

     Potential for more than minimal harm

Ownership

Other facilities in LOS ANGELES

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.