Starfile / California

Rosewood Post Acute

1911 OAK PARK BOULEVARD, PLEASANT HILL, CA 94523 · CCN 056476

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (37)

1. DF0584Honor 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.2026-01-05 · Health · corrected 2026-01-29

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-19 · Health

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-20 · Health · corrected 2025-06-23

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-09 · Health · corrected 2024-08-28

   Potential for more than minimal harm

5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-09 · Health · corrected 2024-08-28

   Potential for more than minimal harm

6. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-24 · Health · corrected 2024-08-24

   Potential for more than minimal harm

7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-24 · Health · corrected 2024-08-24

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2023-09-28 · Health · corrected 2023-10-19

   Potential for more than minimal harm

9. EF0759Ensure medication error rates are not 5 percent or greater.2023-09-28 · Health · corrected 2023-10-19

   Potential for more than minimal harm

10. EF0761Ensure 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.2023-09-28 · Health · corrected 2023-10-19

    Potential for more than minimal harm

11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-28 · Health · corrected 2023-10-19

    Potential for more than minimal harm

12. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-09-28 · Health · corrected 2023-10-19

    Potential for minimal harm

13. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

14. EF0584Honor 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.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

15. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

16. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

18. DF0687Provide appropriate foot care.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

20. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

21. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

22. EF0814Dispose of garbage and refuse properly.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

23. DF0825Provide or get specialized rehabilitative services as required for a resident.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

25. DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2020-03-12 · Health · corrected 2020-04-10

    Potential for more than minimal harm

26. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

27. BF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-02-01 · Health · corrected 2019-03-01

    Potential for minimal harm

28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

29. DF0641Ensure each resident receives an accurate assessment.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

31. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

32. DF0759Ensure medication error rates are not 5 percent or greater.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

33. EF0761Ensure 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.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

34. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

35. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-02-01 · Health · corrected 2019-03-01

    Potential for minimal harm

36. DF0880Provide and implement an infection prevention and control program.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

37. EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2019-02-01 · Health · corrected 2019-03-01

    Potential for more than minimal harm

Ownership

Other facilities in PLEASANT HILL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.