Windsor Terrace Health Care

Windsor Terrace Health Care - VAN NUYS, CA

7447 SEPULVEDA BLVD, VAN NUYS, CA 91405

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WINDSOR TERRACE:

WINDSOR TERRACE

has been placed on our NHAA Watchlist for the following:

Immediate Jeopardy Findingsi

On December 14, 2022, state nursing home surveyors found that WINDSOR TERRACE caused IMMEDIATE JEOPARDY to residents.

All Recent Surveys:   2022-12-14

Actual Harm Findingsi

On December 14, 2022, state nursing home surveyors found that WINDSOR TERRACE caused ACTUAL HARM to residents.

All Recent Surveys:   2022-12-14

In 12 separate written deficiencies, state nursing home surveyors found that WINDSOR TERRACE caused ACTUAL HARM to residents (from May 26, 2017 to December 14, 2022).

All Surveys:   2017-05-26   2017-06-02   2019-12-06   2021-04-15   2022-07-15   2022-08-09   2022-12-14

Special Focus Facilityi

WINDSOR TERRACE has been designated a Special Focus Facility because of a history of serious quality issues. Find out more on our page dedicated to Special Focus Facilities.

Worst Nursing Home Ratingsi

WINDSOR TERRACE received the worst ratings for the following:

1-star out of 5
40 months total between January, 2014 and June, 2021

1-star out of 5
For the last 68 consecutive months - July, 2017 to July, 2023

1-star out of 5
68 months total between July, 2017 and July, 2023

1-star out of 5
44 months total between January, 2014 and November, 2022

1-star out of 5
31 months total between January, 2014 and June, 2022

Source - These ratings are published monthly by CMS (Centers for Medicare and Medicaid Services)

History of Unsafe Staffingi

Understaffing has a very human cost, not only to the dignity of nursing home residents but also to their basic safety and well-being. Click here for signs and symptoms of understaffing.

Understaffing has been determined to cause patient injury and deprive residents of essential care according to numerous scientific studies.

What is unsafe CNA staffing?

Below 2.0 hours of CNA time for each resident per day

"Less than 2.0 nurse aide hours per patient day is likely to result in poor care."

- CMS Report to Congress

What is inadequate CNA staffing?

Below 2.8 hours of CNA time for each resident per day

"Residents need a minimum of 2.80 hours of CNA care per day for safety and basic services.

- Institute of Medicine’s Keeping Patients Safe, 2004, and American Nurses Association’s Position Statement dated November 12, 2014

What is inadequate overall staffing?

Below 4.1 hours of RNs, LPNs, and CNAs time for each resident per day

"Residents need a minimum total of 4.10 hours of care from RNs, LPNs, and CNAs per day for safety and basic services.

- American Nurses Association’s Position Statement dated November 12, 2014

Was WINDSOR TERRACE staffed at Unsafe levels?:

Days staffed below 2.0 hours of CNA time for each resident per day In 2022: 2.7%
10 days
out of 365 days
In 2021: 0.6%
2 days
out of 344 days
In 2020: 0.3%
1 days
out of 366 days
In 2019: 0.3%
1 days
out of 365 days
In 2018: 18.6%
68 days
out of 365 days
In 2017: 38.9%
142 days
out of 365 days
Average CNA care
per resident per day
In 2022: 2.35 hours
January 1, 2022 to December 31, 2022
(Below 2.0 hours is unsafe)
In 2021: 2.36 hours
January 1, 2021 to December 10, 2021
(Below 2.0 hours is unsafe)
In 2020: 2.51 hours
January 1, 2020 to December 31, 2020
(Below 2.0 hours is unsafe)
In 2019: 2.31 hours
January 1, 2019 to December 31, 2019
(Below 2.0 hours is unsafe)
In 2018: 2.14 hours
January 1, 2018 to December 31, 2018
(Below 2.0 hours is unsafe)
In 2017: 1.98 hours
January 1, 2017 to December 31, 2017
(Below 2.0 hours is unsafe)
Average overall care
per resident per day
In 2022: 3.82 hours
of overall care per resident per day
(January 1, 2022 to December 31, 2022)
In 2021: 3.90 hours
of overall care per resident per day
(January 1, 2021 to December 10, 2021)
In 2020: 4.26 hours
of overall care per resident per day
(January 1, 2020 to December 31, 2020)
In 2019: 3.97 hours
of overall care per resident per day
(January 1, 2019 to December 31, 2019)
In 2018: 3.64 hours
of overall care per resident per day
(January 1, 2018 to December 31, 2018)
In 2017: 3.35 hours
of overall care per resident per day
(January 1, 2017 to December 31, 2017)

Source — Payroll Based Journal daily staffing reports filed by this nursing home with CMS.
(For 2018, the most currently avaliable data is used above.)

Why do staffing levels matter to WINDSOR TERRACE residents?

  • 100.0% of residents need assistance with toileting and/or incontinent care
  • 100.0% of residents needed assistance transferring from bed and/or wheelchair
  • 29.1% of residents had dementia
  • 6.8% of residents confined to wheelchair and/or bed

Source -- Most recently published Resident Characteristics data (Form 672) submitted by this nursing home to CMS. (April 26, 2018)

Your Experience Matters

...and we want to hear it.

NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. Please give us a call or fill complete our form detailing your experience. If you are struggling and upset, CLICK HERE to understand your options.

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