| Terrace Post Acute | |
| 7447 Sepulveda Blvd, Van Nuys, California 91405 | |
| (818) 787-3400 | |
| Name | Terrace Post Acute |
|---|---|
| Location | 7447 Sepulveda Blvd, Van Nuys, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 133 |
| Occupancy Rate | 90.38% |
| Medicare ID (CCN) | 555738 |
| Legal Business Name | Windsor Terrace Healthcare LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Windsor (22 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1780835611 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Windsor Terrace Healthcare LLC |
| Doing Business As | Windsor Terrace Healthcare Center |
| Address | 7447 Sepulveda Blvd, Van Nuys, CA 91405 |
| Phone Number | 818-787-3400 |
| NPI Number | 1033394259 |
| Match | Possible same name, address or phone number |
| Organization Name | Windsor Terrace Healthcare, LLC |
| Doing Business As | Windsor Terrace Healthcare Center |
| Address | 7447 Sepulveda Blvd, Van Nuys, CA 91405 |
| Phone Number | 818-787-3400 |
| NPI Number | 1073690384 |
| Match | Possible same name, address or phone number |
| Organization Name | Assisted Living Foundation of America, Van Nuys, LLC |
| Doing Business As | Windsor Terrace Healthcare Center |
| Address | 7447 Sepulveda Blvd, Van Nuys, CA 91405 |
| Phone Number | 818-787-3400 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.43 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.95 | 0.86 |
| Nurse aide hours per resident per day | 2.49 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.67 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 25.7% | 45.8% |
| Registered nurse turnover | 35.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $94,094 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 4, 2026 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 11, 2026 |
| Apr 21, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Apr 23, 2026 |
| Apr 21, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 23, 2026 |
| Apr 8, 2026 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Mar 6, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Jan 15, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Jan 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Aug 26, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Aug 27, 2025 |
| Aug 19, 2025 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Aug 22, 2025 |
| May 19, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 6, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 12, 2025 |
| May 6, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 12, 2025 |
| Mar 7, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 17, 2025 |
| Feb 8, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Feb 20, 2025 |
| Jan 30, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 30, 2025 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. F0772, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Dec 17, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 20, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.11 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.53 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.22 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.25 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.91 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.24 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.53 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.83 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.49 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.38 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.28 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.07 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.96 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.36 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.44 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.76 | 15.38 |
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