Rosewood Post Acute

Name: Rosewood Post Acute
Address: 1911 OAK PARK BOULEVARD, Pleasant Hill, CA, 94523, US
Telephone: 9259356630

1911 Oak Park Boulevard, Pleasant Hill, CA 94523 · Contra Costa County · 113 certified beds · avg 99 residents/day · certified since Jul 1, 1977 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: WINDSOR (22 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.46

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (28)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 17, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
May 28, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 28, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 15, 2026	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
May 15, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 15, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 2, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Mar 2, 2026	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint
Feb 17, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 5, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 19, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 20, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Feb 28, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 28, 2025	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 28, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 28, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 28, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 28, 2025	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Aug 9, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 9, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 24, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jul 24, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 28, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 28, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 28, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 28, 2023	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2023	5	F
2024	4	D
2025	9	E
2026	10	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.46	4.31	3.95	bottom 9% in California; bottom 35% in the U.S.
Registered Nurse hours	0.84	0.61	0.69	top 16% in California; top 25% in the U.S.
Weekend total nurse staffing	3.29	3.90	3.50	bottom 16% in California; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.94	0.51	0.48	top 9% in California; top 7% in the U.S.
Total nursing staff turnover (%)	35.3	36.7	45.8	top 47% in California; top 25% in the U.S.
RN turnover (%)	48.0	38.1	42.9	bottom 30% in California; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.52, RN 1.09, weekend 4.29. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Antelope Holdings I, LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2023
Robin, Aaron	Individual	5% or Greater Indirect Ownership Interest	—	06/30/2023
Tress, Avrohom	Individual	5% or Greater Indirect Ownership Interest	—	06/30/2023
Windsor Norcal 13 Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2007
Antelope Realty Holdings I, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
Kooturu, Sri Vardhan	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2017
Kooturu, Sri Vardhan	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2017
Newgen Administrative Services, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/30/2023
Newgen Administrative Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/21/2025
Robin, Aaron	Individual	Corporate Officer	NOT APPLICABLE	08/14/2023
Shaw, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	06/30/2023
Shaw, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	06/30/2023
Tress, Avrohom	Individual	Corporate Officer	NOT APPLICABLE	08/14/2023
Youssef, Maggie	Individual	Operational/Managerial Control	NOT APPLICABLE	07/10/2023
Youssef, Maggie	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you explain health changes and treatment options to residents and their families?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pleasant Hill Post Acute	0.6 mi	Pleasant Hill, CA	★★★★☆	3/5
La Casa via Transitional Care Center	1.8 mi	Walnut Creek, CA	★★★★★	4/5
Tampico Healthcare Center	1.9 mi	Walnut Creek, CA	★★★★☆	3/5
Concord Post Acute	2.7 mi	Concord, CA	★★☆☆☆	2/5	abuse
Shadelands Post Acute	2.7 mi	Walnut Creek, CA	★★★★☆	3/5
Bayberry Skilled Nursing & Healthcare Center	3.4 mi	Concord, CA	★★★★☆	3/5
Walnut Creek Skilled Nursing & Rehabilitation Cent	3.8 mi	Walnut Creek, CA	★★☆☆☆	2/5
Rossmoor Post Acute	3.8 mi	Walnut Creek, CA	★★★★★	4/5
Tice Valley Post Acute	3.9 mi	Walnut Creek, CA	★★★★★	4/5
Legacy Post Acute Care	4.1 mi	Martinez, CA	★★★★★	4/5
Diablo Valley Post Acute	4.1 mi	Concord, CA	★★☆☆☆	1/5	abuse
Willow Pass Healthcare Center	4.3 mi	Concord, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Pleasant Hill →

Facility data as of CMS processing date 2026-08-01. CCN 056476.

The Care File

Visit checklist — Rosewood Post Acute

1911 Oak Park Boulevard, Pleasant Hill, CA 94523 · 9259356630

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056476 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)