Skilled Nursing

Rosewood Post Acute

1911 OAK PARK BOULEVARD, PLEASANT HILL, CA 94523

113beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

4.3h

Hrs/resident · weekday

Expected: 3.3h

3.2h

Hrs/resident · weekend

vs 4.3h on weekdays

Lower weekend staffing is common — large gaps may indicate residents receive less attention on weekends.

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
41%
LPNs
CNAs
35%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

22 standard deficiencies in the last 3 years

View all
0553Severity DMar 2, 2026

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

0552Severity DMar 2, 2026

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

0600Severity DFeb 17, 2026

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

0584Severity DJan 5, 2026

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.

0609Severity DDec 19, 2025

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

0580Severity DJun 20, 2025

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

0912Severity BFeb 28, 2025

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

0880Severity EFeb 28, 2025

Provide and implement an infection prevention and control program.

0812Severity EFeb 28, 2025

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

0761Severity DFeb 28, 2025

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.

0688Severity EFeb 28, 2025

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.

0677Severity EFeb 28, 2025

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

0584Severity DFeb 28, 2025

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.

0689Severity DAug 9, 2024

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

0684Severity DAug 9, 2024

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

0607Severity DJul 24, 2024

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

0600Severity DJul 24, 2024

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

0912Severity BSep 28, 2023

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

0812Severity FSep 28, 2023

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

0761Severity ESep 28, 2023

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.

0759Severity ESep 28, 2023

Ensure medication error rates are not 5 percent or greater.

0641Severity DSep 28, 2023

Ensure each resident receives an accurate assessment.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

WINDSOR ROSEWOOD CARE CENTER, LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

Reviews

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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