Walnut Creek, CA

Rossmoor Post Acute

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1226 Rossmoor Parkway, Walnut Creek, CA

(925) 975-5000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

148

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1991-01-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.37

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.66

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.81

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,563

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.65

Composite VBP score used to determine payment impact.

Payment multiplier

1.0107

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.05

Baseline 19.69% · Performance 17.70% · Measure score 8.05 · Achievement 8.05 · Improvement 6.97

Healthcare-associated infections

7.18

Baseline 5.08% · Performance 5.69% · Measure score 7.18 · Achievement 7.18 · Improvement 0

Total nurse turnover

3.93

Baseline 57.89% · Performance 47.62% · Measure score 3.93 · Achievement 3.93 · Improvement 2.61

Adjusted total nurse staffing

3.11

Baseline 4.26 hours · Performance 3.96 hours · Measure score 3.11 · Achievement 3.11 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.8%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 357 · Observed rate 8.96% · Lower 95% interval 7.92%
Discharge to community	65.24%	50.57% 14.7 pts better	Better than the National Rate · Eligible stays 336 · Observed rate 61.9% · Lower 95% interval 60.83%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 294 · Denominator 294
Falls with major injury	0.68%	0.77% 0.1 pts better	Numerator 2 · Denominator 294
Discharge self-care score	59.26%	53.69% 5.6 pts better	Numerator 128 · Denominator 216
Discharge mobility score	56.02%	50.94% 5.1 pts better	Numerator 121 · Denominator 216
Pressure ulcers or injuries, new or worsened	1.02%	2.29% 1.3 pts better	Numerator 3 · Denominator 294 · Adjusted rate 1.15%
Healthcare-associated infections requiring hospitalization	5.69%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 241 · Observed rate 4.15% · Lower 95% interval 3.94%
Staff COVID-19 vaccination coverage	10.98%	8.2% 2.8 pts better	Numerator 18 · Denominator 164
Staff flu vaccination coverage	14.23%	42% 27.8 pts worse	Numerator 37 · Denominator 260
Discharge function score	57.41%	56.45% 1 pts better	Numerator 124 · Denominator 216
Transfer of health information to provider	99.1%	95.95% 3.1 pts better	Numerator 110 · Denominator 111
Transfer of health information to patient	97.42%	96.28% 1.1 pts better	Numerator 151 · Denominator 155
Resident COVID-19 vaccinations up to date	7.5%	25.2% 17.7 pts worse	Numerator 12 · Denominator 160

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.3 0.3 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.6 About the same	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	98.5% 1.2 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	98.2% 0.2 pts worse	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	1.6% 1.8 pts worse	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.4% · Q3 3.4% · Q4 1.1% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.3%	6.8% 6.5 pts better	11.4% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight	3.5%	4.1% 0.6 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 3.8% · Q4 6.2% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.5%	13.7% 6.2 pts better	19.6% 12.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.9% · Q3 6.2% · Q4 11.1% · 4Q avg 7.5%
Percentage of long-stay residents who received an antipsychotic medication	15.9%	14.2% 1.7 pts worse	16.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 16.7% · Q3 9.0% · Q4 17.2% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.6%	11.0% 3.4 pts better	16.3% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.9% · Q3 5.1% · Q4 12.5% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.3%	10.7% 4.4 pts better	14.9% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.4% · Q3 6.4% · Q4 6.3% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.2% 0.6 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.3%	10.9% 2.4 pts worse	19.8% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 11.4% · Q3 8.6% · Q4 13.0% · 4Q avg 13.3%
Percentage of long-stay residents with pressure ulcers	6.6%	4.7% 1.9 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.1% · Q3 4.3% · Q4 7.5% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	94.0% 5 pts better	81.7% 17.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 98.9% · Q3 99.7% · Q4 99.7% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit	13.5%	11.2% 2.3 pts worse	12.0% 1.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 11.6% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.9% · Q3 0.8% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.9%	93.2% 4.7 pts better	79.7% 18.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.3%	23.2% 4.9 pts better	23.9% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 15.6% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

2 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-12-02 · Fire 2022-12-02

16 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-04-26 · Fire 2019-04-26

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-02-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-03-11

C · Minimal harm 2025-02-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-07

D · Potential for more than minimal harm 2022-12-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-12-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-12-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-12-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-12-15

D · Potential for more than minimal harm 2019-04-26

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-07-22

D · Potential for more than minimal harm 2019-04-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-07-22

D · Potential for more than minimal harm 2019-04-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-07-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-13

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-01-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-08

D · Potential for more than minimal harm 2025-01-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-11-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-08-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-04-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-04-22

D · Potential for more than minimal harm 2024-03-10

F688 · Quality of Life and Care Deficiencies

Health

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 2024-04-11

D · Potential for more than minimal harm 2024-01-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-22

D · Potential for more than minimal harm 2023-11-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-19

D · Potential for more than minimal harm 2023-09-06

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-03-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-03-27