The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WINDSOR GARDENS CONVALESCENT HOSPITAL
LOS ANGELES, CA · Medicare-certified · 98 beds
In good standing
For-profitChain member
3 of 5 overall
WINDSOR GARDENS CONVALESCENT HOSPITAL has an overall 3-star rating, with a weak 2-star health inspection rating and 2-star staffing rating despite a 5-star quality measures rating. Reported nurse staffing is 3.81 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.81 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.81.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 1.10
- Nurse aides
- 2.48
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.5%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
6.7%Improving
Residents with a urinary tract infection
0.3%Worsening
Residents who lost too much weight
5.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.7%Worsening
Residents whose ability to walk got worse
2.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
4.7%Steady
Residents with depressive symptoms
13.1%Worsening
Long-stay residents given the seasonal flu vaccine
82.8%Steady
Long-stay residents given the pneumonia vaccine
89%Improving
Short-stay residents given the seasonal flu vaccine
47.8%Steady
Short-stay residents given the pneumonia vaccine
50.2%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $37,882 in total fines · 1 payment denial.
- $37,882
Federal fine
Jan 23, 2024
- 18 days
Medicare/Medicaid payment denial
Nov 4, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of WINDSOR · 23 homes · 2.5 stars avg
- Occupancy
- 89.6 residents on an average day (91% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.