Nursing home

Rosewood Post Acute

1911 Oak Park Boulevard, Pleasant Hill, CA 94523

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle12
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds113

Inspection findings

Inspectors recorded 29 findings in the last three inspection cycles.

27 No harm, but a risk of harm2 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 4, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern · from a complaint
Corrected: Aug 6, 2026
Jun 17, 2026Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 31, 2026
May 28, 2026Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 10, 2026
May 28, 2026Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 10, 2026
Earlier inspections (25)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
May 15, 2026AdministrationConduct 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. (F0838)No harm, but a risk of harm
widespread
Corrected: May 22, 2026
May 15, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: May 22, 2026
May 15, 2026Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
isolated
Corrected: May 22, 2026
Mar 2, 2026Resident rightsAllow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 16, 2026
Mar 2, 2026Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 16, 2026
Feb 17, 2026Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 24, 2026
Jan 5, 2026Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 29, 2026
Dec 19, 2025Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 22, 2025
Jun 20, 2025Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 23, 2025
Feb 28, 2025Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Mar 7, 2025
Feb 28, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Mar 7, 2025
Feb 28, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Mar 7, 2025
Feb 28, 2025Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: Mar 7, 2025
Feb 28, 2025Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
pattern
Corrected: Mar 7, 2025
Feb 28, 2025Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
pattern
Corrected: Mar 7, 2025
Feb 28, 2025Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Mar 7, 2025
Aug 9, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 28, 2024
Aug 9, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 28, 2024
Jul 24, 2024Abuse, neglect and exploitationDevelop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 24, 2024
Jul 24, 2024Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 24, 2024
Sep 28, 2023Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Oct 19, 2023
Sep 28, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Oct 19, 2023
Sep 28, 2023Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
pattern
Corrected: Oct 19, 2023
Sep 28, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Oct 19, 2023
Sep 28, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Oct 19, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.59California median: 4.27
Registered nurse hours per resident per day1.10California median: 0.52
Nurse staff hours on weekends4.33California median: 3.85
Nursing staff who left within a year37.1%California median: 36.0%

About this home

Beds113
Residents per day, average100.7
OwnershipFor-profit, corporation
Legal business nameWindsor Rosewood Care Center, LLC
ChainWindsor (22 homes)
In Medicare/Medicaid sinceJul 1, 1977

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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