What Is The Corporate Office Telephone Number Of Windsor Gardens Covelescent Hospital

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

	Residents Affected
Severity of the Deficiency	Few	Some	Many
Immediate jeopardy to resident health or safety	J	K	L
Actual harm that is not immediate jeopardy	G	H	I
No actual harm with potential for more than minimal harm that is not immediate jeopardy	D	E	F
No actual harm with potential for minimal harm	A	B	C

March 2, 2020 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

December 3, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
E	Some	Potential for Harm	Health Inspection	Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D	Few	Potential for Harm	Health Inspection	Resident Assessment and Care Planning Deficiencies: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D	Few	Potential for Harm	Health Inspection	Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
D	Few	Potential for Harm	Health Inspection	Quality of Life and Care Deficiencies: Provide 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.
D	Few	Potential for Harm	Health Inspection	Infection Control Deficiencies: Provide and implement an infection prevention and control program.
B	Some	Potential for Minimal Harm	Health Inspection	Nursing and Physician Services Deficiencies: Post nurse staffing information every day.

June 11, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

May 2, 2019 - 3 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Rights Deficiencies: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D	Few	Potential for Harm	Complaint	Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident's preferences and goals.

Quality Measures for Long Stay Residents

91.8%
91.8%
100.0%
100.0%
98.0%
96.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine

100.0%
100.0%
100.0%
100.0%
97.9%
94.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine

-
84.0%
83.3%
-
38.3%
48.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

* The data for this facility for some quarters is unavailable.

Percentage of low risk long-stay residents who lose control of their bowels or bladder

2.6%
4.0%
2.7%
4.2%
13.8%
19.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents who received an antianxiety or hypnotic medication

31.3%
34.7%
16.6%
43.5%
13.7%
18.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents whose ability to move independently worsened

6.8%
18.0%
8.3%
1.8%
9.4%
15.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents whose need for help with daily activities has increased

4.2%
2.9%
5.9%
1.6%
10.3%
14.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents who received an antipsychotic medication

15.2%
14.5%
8.3%
1.7%
6.9%
7.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of high risk long-stay residents with pressure ulcers

1.4%
4.3%
0.0%
0.0%
2.1%
6.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents who have depressive symptoms

1.4%
5.9%
4.6%
1.6%
4.8%
5.9%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents who lose too much weight

1.3%
1.3%
0.0%
0.0%
1.7%
3.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents experiencing one or more falls with major injury

0.0%
0.0%
0.0%
0.0%
1.5%
2.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents with a urinary tract infection

0.0%
0.0%
1.5%
0.0%
1.7%
1.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents with a catheter inserted and left in their bladder

0.0%
0.0%
0.0%
0.0%
0.3%
0.2%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

92.6%
99.0%
99.0%
100.0%
93.1%
83.7%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine

60.9%
60.9%
100.0%
100.0%
91.5%
82.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

80.7%
69.1%
80.2%
87.6%
73.4%
69.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of short-stay residents who made improvements in function

0.0%
1.7%
1.6%
1.5%
1.3%
1.8%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 CA U.S.

Percentage of short-stay residents who newly received an antipsychotic medication

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