About Windsor Gardens Convalescent Hospital
Windsor Gardens Convalescent Hospital, located in LOS ANGELES, CA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Windsor Gardens Convalescent Hospital
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 3.81 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the WINDSOR network. This chain operates 23 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Windsor Gardens Convalescent Hospital provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 100 | Mar 02, 2025 |
| Weighted Average | 146 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 17.9% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 4.6% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 6.7% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.5% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 13.1% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 89.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 50.2% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 10.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 82.8% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 47.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 4.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 4.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 7 complaints
- 2024: 38 complaints
- 2025: 5 complaints
- Total: 50 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Aug 18, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Aug 18, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Jul 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 27, 2025 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. |
| Jan 27, 2025 | Ensure that residents are free from significant medication errors. |
| Nov 06, 2024 | Honor 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. |
| Oct 31, 2024 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. |
| Aug 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Aug 05, 2024 | Provide and implement an infection prevention and control program. |
| Jul 25, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jul 25, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jul 25, 2024 | Have 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. |
| Jul 25, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jul 22, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jul 22, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Jul 06, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Jul 06, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| May 10, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| May 10, 2024 | Honor 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. |
| May 10, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 10, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Mar 29, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 29, 2024 | Implement 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. |
| Mar 29, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Mar 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 20, 2024 | Ensure that residents are free from significant medication errors. |
| Mar 15, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 07, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| Mar 07, 2024 | Post nurse staffing information every day. |
| Mar 07, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 07, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Mar 07, 2024 | Honor 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. |
| Mar 07, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Mar 07, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Mar 07, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 20, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Feb 20, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Feb 20, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Feb 20, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 20, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jan 20, 2024 | Ensure 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. |
| Jan 02, 2024 | Respond appropriately to all alleged violations. |
| Dec 04, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 04, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 24, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jul 09, 2023 | Provide and implement an infection prevention and control program. |
| Jul 09, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jul 09, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Jul 05, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
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Owner & Operator Information
Business Entity
WINDSOR GARDENS CONVALESCENT HOSPITAL INC
Ownership Structure
- 9560 PICO LLC Indirect
- ANTELOPE HOLDINGS II LLC Direct: 50%
- ANTELOPE HOLDINGS III LLC Direct: 50%
- PICO AR LLC Indirect
- AARON ROBIN Indirect
- AVROHOM TRESS Indirect
Management & Direction
- JAMEEL HOURANI ADP OF THE SNF
- JAMEEL HOURANI OPERATIONAL/MANAGERIAL CONTROL
- GEDYON MEKONNEN ADP OF THE SNF
- GEDYON MEKONNEN OPERATIONAL/MANAGERIAL CONTROL
- NEWGEN ADMINISTRATIVE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL
- NEWGEN ADMINISTRATIVE SERVICES LLC ADP OF THE SNF
- AARON ROBIN CORPORATE DIRECTOR
- AARON ROBIN CORPORATE OFFICER
- PAMELA SHAW ADP OF THE SNF
- PAMELA SHAW OPERATIONAL/MANAGERIAL CONTROL
- AVROHOM TRESS CORPORATE OFFICER
- AVROHOM TRESS CORPORATE DIRECTOR
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clear View Convalescent Center | N/A | 5 |
| Torrance Memorial Med Ctr Snf/dp | N/A | 5 |
| Pih Health Good Samaritan Hospital D/p Snf | N/A | 5 |
| Glendale Adventist Medical Center Dp/snf | N/A | 5 |
| Beacon Healthcare Center | N/A | 5 |
| Sun Mar Nursing Center | N/A | 5 |
| East Los Angeles Doctors Hosp | N/A | 5 |
| Long Beach Post Acute | N/A | 5 |
| Presbyterian Intercomm Hosp Dp/snf | N/A | 5 |
| Atlantic Memorial Healthcare Center | N/A | 5 |
Related Analysis
Best Nursing Homes in LOS ANGELES, CA
Compare Windsor Gardens Convalescent Hospital to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Windsor Gardens Convalescent Hospital directly at 3239375466. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.