Federal inspection record · CMS data as of October 1, 2026

Rosewood Post Acute

1911 Oak Park Boulevard, Pleasant Hill, CA · (925) 935-6630

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
113
Residents per day
101
Ownership
For-Profit
Chain
Windsor
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1977

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Rosewood Post Acute carries 66 inspection points. That is fewer than 66% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 66 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 8 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care7E
  1. D

    Provide enough food/fluids to maintain a resident's health.

    June 17, 2026 · Complaint · F692 · Corrected July 31, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 28, 2026 · Complaint · F689 · Corrected June 10, 2026

  3. D

    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.

    May 15, 2026 · Standard · F688 · Corrected May 22, 2026

  4. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 28, 2025 · Standard · F677 · Corrected March 7, 2025

  5. E

    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.

    February 28, 2025 · Standard · F688 · Corrected March 7, 2025

  6. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 9, 2024 · Complaint · F684 · Corrected August 28, 2024

  7. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 9, 2024 · Complaint · F689 · Corrected August 28, 2024

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 28, 2026 · Complaint · F609 · Corrected June 10, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 17, 2026 · Complaint · F600 · Corrected February 24, 2026

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 19, 2025 · Complaint · F609 · Corrected December 22, 2025

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 24, 2024 · Complaint · F600 · Corrected August 24, 2024

  5. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 24, 2024 · Complaint · F607 · Corrected August 24, 2024

Resident Rights5D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 2, 2026 · Complaint · F552 · Corrected March 16, 2026

  2. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    March 2, 2026 · Complaint · F553 · Corrected March 16, 2026

  3. D

    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.

    January 5, 2026 · Complaint · F584 · Corrected January 29, 2026

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 20, 2025 · Complaint · F580 · Corrected June 23, 2025

  5. D

    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.

    February 28, 2025 · Standard · F584 · Corrected March 7, 2025

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 15, 2026 · Standard · F812 · Corrected May 22, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 28, 2025 · Standard · F812 · Corrected March 7, 2025

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 28, 2023 · Standard · F812 · Corrected October 19, 2023

Pharmacy Service3E
  1. D

    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.

    February 28, 2025 · Standard · F761 · Corrected March 7, 2025

  2. E

    Ensure medication error rates are not 5 percent or greater.

    September 28, 2023 · Standard · F759 · Corrected October 19, 2023

  3. E

    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.

    September 28, 2023 · Standard · F761 · Corrected October 19, 2023

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    August 4, 2026 · Complaint · F880 · Corrected August 6, 2026

  2. E

    Provide and implement an infection prevention and control program.

    February 28, 2025 · Standard · F880 · Corrected March 7, 2025

Environmental2B
  1. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    February 28, 2025 · Standard · F912 · Corrected March 7, 2025

  2. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    September 28, 2023 · Standard · F912 · Corrected October 19, 2023

Administration1F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    May 15, 2026 · Standard · F838 · Corrected May 22, 2026

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    September 28, 2023 · Standard · F641 · Corrected October 19, 2023

Inspection history

  1. 2026-05-15

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2025-02-28

    8 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-09-28

    9 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 36 min of nursing staff time a day, 1 h 6 min of it from a registered nurse.

This home

4 h 36 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 48% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better1.32.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.11.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts worse92.1%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better0.8%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms1.3 pts better6.3%7.6%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts worse4.8%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better12.2%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.4 pts better4.9%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better7.4%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better9.1%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.1%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts better0.9%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts better7.0%9.8%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts worse5.7%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts worse75.9%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better10.0%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better0.0%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.8 pts worse84.3%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse23.4%22.6%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Antelope Holdings I, LLC5% Or Greater Indirect Ownership Interest · Organization100%16 facilities
Windsor Norcal 13 Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%10 facilities
Antelope Realty Holdings I, LLCAdp Of The SNF · Organization0%13 facilities
Kooturu, Sri VardhanOperational/Managerial Control · Individual0%3 facilities
Kooturu, Sri VardhanAdp Of The SNF · Individual0%3 facilities
Newgen Administrative Services, LLCOperational/Managerial Control · Organization0%30 facilities
Newgen Administrative Services, LLCAdp Of The SNF · Organization0%30 facilities
Robin, AaronCorporate Officer · Individual0%29 facilities
Shaw, PamelaOperational/Managerial Control · Individual0%39 facilities
Shaw, PamelaAdp Of The SNF · Individual0%39 facilities
Tress, AvrohomCorporate Officer · Individual0%30 facilities
Youssef, MaggieOperational/Managerial Control · Individual0%1 facilities
Youssef, MaggieAdp Of The SNF · Individual0%1 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. F

    Have properly installed hallway dispensers for alcohol-based hand rub.

    May 15, 2026 · K325 · Corrected June 15, 2026

  2. D

    Install corridor and hallway doors that block smoke.

    May 15, 2026 · K363 · Corrected June 15, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 28, 2025 · K353 · Corrected March 14, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    February 28, 2025 · K363 · Corrected March 14, 2025

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 28, 2025 · K321 · Corrected March 14, 2025

  6. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 28, 2025 · K372 · Corrected March 14, 2025

  7. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 28, 2023 · K345 · Corrected October 16, 2023

  8. E

    Install corridor and hallway doors that block smoke.

    September 28, 2023 · K363 · Corrected October 16, 2023

  9. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 28, 2023 · K353 · Corrected October 16, 2023

  10. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 28, 2023 · K372 · Corrected October 16, 2023

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 15, 2026 · K918 · Corrected June 8, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    May 15, 2026 · K920 · Corrected June 15, 2026

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 28, 2025 · K918 · Corrected March 14, 2025

  4. E

    Ensure proper usage of power strips and extension cords.

    February 28, 2025 · K920 · Corrected March 14, 2025

  5. E

    Ensure proper usage of power strips and extension cords.

    September 28, 2023 · K920 · Corrected October 16, 2023

Emergency Preparedness2E
  1. C

    Conduct testing and exercise requirements.

    February 28, 2025 · E39 · Corrected March 14, 2025

  2. E

    Establish staff and initial training requirements.

    September 28, 2023 · E37 · Corrected October 16, 2023

Miscellaneous2D
  1. C

    Have simulated fire drills held at unexpected times.

    February 28, 2025 · K712 · Corrected March 14, 2025

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    September 28, 2023 · K741 · Corrected October 16, 2023

·

Other homes nearby

  1. Pleasant Hill Post Acute

    Pleasant Hill, CA · Pacs Group

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 13 min
    Fines
    $0
  2. La Casa Via Transitional Care Center

    Walnut Creek, CA · Aspen Skilled Healthcare

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 4 min
    Fines
    $0
  3. Tampico Healthcare Center

    Walnut Creek, CA · Aaron Mayer

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 30 min
    Fines
    $0