Windsor Gardens Convalescent Hospital has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in California. Families considering this Los Angeles facility should carefully review its inspection history and quality metrics.
Staffing at Windsor Gardens Convalescent Hospital is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 100 deficiencies at Windsor Gardens Convalescent Hospital. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.78 | 3.8 | Average |
| Registered Nurses (RN) | 0.23 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.10 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.45 | 2.4 | Average |
| Weekend Total Nursing | 3.57 | 3.8 | Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Aug 13, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Aug 13, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeMar 1, 2025 · Nutrition and Dietary Deficiencies
- Tag 0805 Severity EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Mar 1, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.0% | 4.5% | Worse |
| Falls with major injury | 0.3% | 3.0% | Better |
| On antipsychotic medication | 9.9% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 4.7% | 14.0% | Better |
| Excessive weight loss | 6.6% | 7.5% | Better |
| New/worsened incontinence | 5.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $37,882
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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