Nursing homes › California › Los Angeles › Windsor Gardens Convalescent Hospital
915 S. Crenshaw Blvd., Los Angeles, CA 90019 · (323) 937-5466 · 98 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,154 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Windsor, a group operating 22 facilities in 1 state. Group record: average rating 2.4/5, 6 abuse citation icons, 0 facilities on the Special Focus list, $484,622 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.84 (California median: 4.24). RN hours: 0.26. Weekend total: 3.65. Nursing staff turnover: 52%.
In the downloaded CMS dataset: 90 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-16 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2026-04-20 |
| 2026-04-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-04-27 |
| 2026-04-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-23 |
| 2026-04-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-20 |
| 2026-04-16 | Educate 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. | E | Health | corrected 2026-04-22 |
| 2026-04-16 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-04-27 |
| 2026-04-16 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2026-04-27 |
| 2026-04-16 | Honor 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. | D | Health | corrected 2026-04-18 |
| 2026-04-16 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-04-24 |
| 2026-04-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-04-24 |
| 2026-04-16 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2026-04-27 |
| 2026-04-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-04-21 |
| 2026-04-16 | Ensure 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. | D | Health | corrected 2026-04-20 |
| 2026-04-16 | Try 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. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2026-04-27 |
| 2026-04-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-04-24 |
| 2026-04-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | 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. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Health | corrected 2026-04-23 |
| 2026-04-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-04-17 |
| 2026-04-16 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2026-04-22 |
| 2026-04-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2026-04-20 |
| 2025-08-14 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2025-08-18 |
| 2025-08-14 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-08-18 |
| 2025-07-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-30 |
| 2025-03-02 | Ensure 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. | E | Health | corrected 2025-03-07 |
| 2025-03-02 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2025-03-07 |
| 2025-03-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-03-07 |
| 2025-03-02 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-03-07 |
| 2025-03-02 | Ensure 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. | D | Health | corrected 2025-03-07 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-23 | Fine | $37,882 |
| 2023-11-04 | Payment Denial | 18 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ANTELOPE HOLDINGS II, LLC | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 06/30/2023 |
| ANTELOPE HOLDINGS III, LLC | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 06/30/2023 |
| ROBIN, AARON | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 06/30/2023 |
| TRESS, AVROHOM | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 06/30/2023 |
| ROBIN, AARON | Corporate Director | Individual | NOT APPLICABLE | since 08/09/2023 |
| TRESS, AVROHOM | Corporate Director | Individual | NOT APPLICABLE | since 08/09/2023 |
| ROBIN, AARON | Corporate Officer | Individual | NOT APPLICABLE | since 08/14/2023 |
| TRESS, AVROHOM | Corporate Officer | Individual | NOT APPLICABLE | since 08/14/2023 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/30/2023 |
| HOURANI, JAMEEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/1995 |
| MEKONNEN, GEDYON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/05/2024 |
| SHAW, PAMELA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/30/2023 |
How to cite this page: CareRecords, “Windsor Gardens Convalescent Hospital — compliance, penalty and ownership record” (CCN 056194), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/windsor-gardens-convalescent-hospital-los-angeles-ca/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056194. Corrections: data@carerecords.org.