Inspection Results » Windsor Gardens Convalescent Center of Anaheim

Health Inspection on March 13, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2018-04-05)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-05)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-05)
   • Keep complete, dated laboratory records in the resident's record. (Corrected 2018-04-05)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-04-05)
   • Honor 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. (Corrected 2018-04-05)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-04-05)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-04-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-05)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-04-05)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-05)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-04-05)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-04-05)
   • Provide appropriate foot care. (Corrected 2018-04-05)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-05)
   • 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. (Corrected 2018-04-05)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-04-05)
   • Provide activities to meet all resident's needs. (Corrected 2018-04-05)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-04-05)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-04-05)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-04-05)