Windsor Gardens Convalescent Center of Anaheim

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 22
CA State Average: 9
U.S. Average: 6
CA Deficiencies Range: 1–30
Complaints & Incidents: 2
Updated April 12, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

January 10, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Some
Few
4/29/2013
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
4/16/2013
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Few
3/7/2013
Reasonably accommodate the needs and preferences of each resident.
Low
Few
4/16/2013
Provide or obtain laboratory services only when ordered by the attending physician.
Low
Few
4/16/2013
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Low
Few
4/16/2013
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
3/7/2013
Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Low
Few
3/7/2013
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Few
3/7/2013
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Few
3/7/2013
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
3/7/2013
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.
Low
Few
4/16/2013
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Low
Few
3/7/2013
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
3/7/2013
Ensure that residents are fully informed and understand their health status, care and treatments.
Low
Few
3/7/2013
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.
Low
Few
3/7/2013
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.
Low
Few
3/7/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
3/7/2013
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
3/7/2013
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Few
4/16/2013
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
3/22/2013
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Low
Few
4/16/2013

January 19, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
2/18/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
2/18/2012
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
2/18/2012
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Few
2/18/2012
Dispose of garbage and refuse properly.
Low
Few
2/18/2012
Ensure residents maintain acceptable nutritional status.
Low
Few
2/18/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
2/18/2012
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.
Low
Few
2/18/2012
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.
Low
Few
2/18/2012
Ensure that residents are fully informed and understand their health status, care and treatments.
Low
Few
2/18/2012
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
2/18/2012
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home.
Low
Few
2/18/2012
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Low
Few
2/18/2012
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
Low
Few
2/18/2012
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
2/18/2012
Provide bedrooms that hold no more than 4 residents per room.
Low
Few
2/18/2012
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
2/18/2012
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
2/18/2012
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
2/18/2012
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
2/18/2012
Quickly tell the resident's doctor the results of laboratory tests.
Low
Few
2/18/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Few
2/18/2012
Store, cook, and serve food in a safe and clean way.
Low
Few
2/18/2012
Ensure each resident receives an accurate assessment by a qualified health professional.
Very Low
Some
2/18/2012
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Very Low
Some
2/18/2012
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Very Low
Some
2/18/2012
Provide proof that residents' personal money that is deposited with the nursing home is secure.
Very Low
Some
2/18/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Very Low
Some
2/18/2012
Maintain comfortable and safe temperature levels.
Very Low
Some
2/18/2012
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
Very Low
Some
2/18/2012
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Very Low
Some
2/18/2012

October 21, 2010 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Store, cook, and serve food in a safe and clean way.
Low
Many
11/29/2010
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.
Low
Some
11/29/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
11/29/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
11/29/2010
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
11/29/2010
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Some
11/29/2010
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Few
11/29/2010
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
11/29/2010
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.
Low
Few
11/29/2010
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.
Low
Few
11/29/2010
Ensure residents maintain acceptable nutritional status.
Low
Few
11/29/2010
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
Low
Few
11/29/2010
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
11/29/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
11/29/2010
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Low
Few
11/29/2010
Provide housekeeping and maintenance services.
Low
Few
11/29/2010
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
11/29/2010
Provide activities to meet the interests and needs of each resident.
Low
Few
11/29/2010
Protect each resident from mistreatment, neglect and misappropriation of personal property.
Low
Few
11/29/2010
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Few
11/29/2010
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
11/29/2010
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
11/29/2010
Give residents a notice of rights, rules, services and charges.
Low
Few
11/29/2010
Tell the resident or the residentâ’s representative in writing how long the nursing home will hold the residentâ’s bed in cases of transfer to a hospital or therapeutic leave.
Very Low
Some
11/29/2010
Ensure each resident receives an accurate assessment by a qualified health professional.
Very Low
Some
11/29/2010
Provide timely notification to the resident before transfer or discharge.
Very Low
Some
11/29/2010
Maintain 15 months of resident assessments in the resident's active clinical record.
Very Low
Some
11/29/2010
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Very Low
Some
11/29/2010

August 13, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
9/13/2013
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
9/13/2013

February 06, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
3/16/2013

October 16, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
11/8/2012

September 05, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
10/1/2012

August 27, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home.
Low
Few
9/28/2012

August 14, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
9/5/2012

June 05, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Make sure that special or therapeutic diets are ordered by the attending doctor.
Low
Few
7/23/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
7/23/2012

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 12, 2014.


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