Elder Care Record

California › Los Angeles County › Los Angeles

Windsor Gardens Convalescent Hospital

915 S. Crenshaw Blvd., Los Angeles, CA 90019

CCN 056194 · For-profit, limited liability company · 98 certified beds · chain Windsor

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Windsor Gardens Convalescent Hospital is a For-profit, limited liability company nursing home in Los Angeles, California, certified for 98 beds and caring for about 92 residents a day.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures —.

Inspectors recorded 90 health deficiencies across the three most recent survey cycles (26, 25, 39 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 91.8 per 100 beds, more than the state median of 51.1.

CMS lists 2 penalties in the period covered: fines totalling $38K and 1 payment denial.

Reported nurse staffing is 3.8 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 51.9%.

90health deficiencies, 3 survey cycles3 at actual harm or worse
$38Kfines listed by CMS2 penalties in period
3.8nurse hours per resident per daystate median 4.2
94%occupancy (residents ÷ beds)92 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating1233.0
Health citations, 3 cycles90614428.7
Citations per 100 beds91.869.151.126.8
Total nurse hours per resident day3.84.34.23.9
RN hours per resident day0.30.40.50.7
Nursing staff turnover51.9%34.4%36.4%45.8%
Fines listed$37,882$12,831$0—

County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)26
Cycle 225
Cycle 339

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2026, 2 Mar 2025.

Severity mix: G ×3 D ×71 E ×15 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey20 Apr 2026
16 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey27 Apr 2026
16 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Apr 2026
16 Apr 2026F0880Provide and implement an infection prevention and control program.EStandard survey20 Apr 2026
16 Apr 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard survey22 Apr 2026
16 Apr 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey17 Apr 2026
16 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey27 Apr 2026
16 Apr 2026F0583Keep residents' personal and medical records private and confidential.DStandard survey27 Apr 2026
16 Apr 2026F0584Honor 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.DStandard survey18 Apr 2026
16 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey24 Apr 2026
16 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Apr 2026
16 Apr 2026F0685Assist a resident in gaining access to vision and hearing services.DStandard survey27 Apr 2026
16 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Apr 2026
16 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey21 Apr 2026
16 Apr 2026F0693Ensure 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.DStandard survey20 Apr 2026
16 Apr 2026F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey17 Apr 2026
16 Apr 2026F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey27 Apr 2026
16 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey24 Apr 2026
16 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey17 Apr 2026
16 Apr 2026F0761Ensure 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.DStandard survey17 Apr 2026
16 Apr 2026F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey23 Apr 2026
16 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey17 Apr 2026
16 Apr 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey22 Apr 2026
16 Apr 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey20 Apr 2026
14 Aug 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation18 Aug 2025
14 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Aug 2025
29 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Jul 2025
2 Mar 2025F0803Ensure 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.EStandard survey7 Mar 2025
2 Mar 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey7 Mar 2025
2 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Mar 2025
2 Mar 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey7 Mar 2025
2 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey7 Mar 2025
2 Mar 2025F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey7 Mar 2025
2 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey7 Mar 2025
2 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Mar 2025
2 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Mar 2025
2 Mar 2025F0685Assist a resident in gaining access to vision and hearing services.DStandard survey7 Mar 2025
2 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey7 Mar 2025
2 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 Mar 2025
2 Mar 2025F0693Ensure 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.DStandard survey7 Mar 2025
2 Mar 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Mar 2025
2 Mar 2025F0758Implement 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.DStandard survey7 Mar 2025
2 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey7 Mar 2025
2 Mar 2025F0760Ensure that residents are free from significant medication errors.DStandard survey7 Mar 2025
2 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey7 Mar 2025
12 Feb 2025F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation27 Feb 2025
24 Jan 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation27 Jan 2025
5 Nov 2024F0578Honor 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.DComplaint investigation6 Nov 2024
30 Oct 2024F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint investigation31 Oct 2024
15 Aug 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation28 Aug 2024
1 Aug 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation5 Aug 2024
18 Jul 2024F0727Have 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.FComplaint investigation25 Jul 2024
18 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Jul 2024
18 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Jul 2024
18 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation25 Jul 2024
18 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation25 Jul 2024
2 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 Jul 2024
2 Jul 2024F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation22 Jul 2024
7 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 Jul 2024
7 Jun 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint investigation6 Jul 2024
22 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint investigation10 May 2024
22 Apr 2024F0585Honor 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.DComplaint investigation10 May 2024
22 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 May 2024
22 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation10 May 2024
8 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation29 Mar 2024
8 Mar 2024F0758Implement 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.EComplaint investigation29 Mar 2024
8 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Mar 2024
6 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Mar 2024
6 Mar 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation20 Mar 2024
23 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Mar 2024
8 Feb 2024F0578Honor 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.EComplaint investigation7 Mar 2024
8 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation7 Mar 2024
8 Feb 2024F0732Post nurse staffing information every day.EComplaint investigation7 Mar 2024
8 Feb 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation7 Mar 2024
8 Feb 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation7 Mar 2024
8 Feb 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation7 Mar 2024
8 Feb 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation7 Mar 2024
8 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation7 Mar 2024
8 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 Mar 2024
8 Feb 2024F0761Ensure 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.DStandard survey7 Mar 2024
23 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation20 Feb 2024
23 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Feb 2024
23 Jan 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation20 Feb 2024
23 Jan 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation20 Feb 2024
5 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Jan 2024
5 Jan 2024F0761Ensure 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.DComplaint investigation20 Jan 2024
4 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation2 Jan 2024
4 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation4 Dec 2023
4 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation4 Dec 2023
25 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Sep 2023

Penalties

DateTypeAmountDetail
23 Jan 2024Fine$37,882
4 Nov 2023Payment denial—18 days

Staffing

Total nursing3.84 h
Nurse aides2.48 h
LPN1.09 h
RN0.26 h
Weekend total3.65 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 51.9%, RNs 57.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.2%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.6%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%3.6%4.2%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Windsor Gardens Convalescent Hospital Inc. Chain: Windsor (22 facilities).

OrganisationRole in the CMS recordInterestSince
Newgen Administrative Services, LLCOperational/managerial controlNOT APPLICABLE06/30/2023
Newgen Administrative Services, LLCAdp of the snfNOT APPLICABLE06/27/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Los Angeles County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Windsor Gardens Convalescent Hospital been cited for?

90 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Windsor Gardens Convalescent Hospital been fined?

Yes. CMS lists fines totalling $38K in the period covered, plus 1 payment denial.

How does staffing at Windsor Gardens Convalescent Hospital compare?

Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Windsor Gardens Convalescent Hospital?

It is part of the Windsor chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Newgen Administrative Services, LLC. Individual owners and managers are not listed on this site.

When was Windsor Gardens Convalescent Hospital last inspected?

The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 16 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.