SNF
Rosewood Post Acute
CCN: 056476 · PLEASANT HILL, CA 94523 · Contra Costa County
Inspection > 2 years ago
Overview
- Address
- 1911 OAK PARK BOULEVARD, PLEASANT HILL, CA 94523
- Phone
- 9259356630
- Certified beds
- 113
- Avg daily residents
- 97 (86% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1977-07-01
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.37 | 5.25 | 3.21 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.89 | 0.92 | 0.65 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.41 | 1.17 | 1.03 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.07 | 3.17 | 1.53 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.29 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.13
hrs / resident / day
RN (weekend)
0.70
hrs / resident / day
Total nurse (adjusted, weekend)
3.04
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
46.3%
annual
RN turnover
48.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.86
higher acuity than avg
Case-Mix Index Ratio
1.35
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2023-09-28 | 8 | 5 | 3 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2020-03-12 | 17 | 13 | 4 | 80 | 1 | 80 |
Total weighted health score
56.0
lower is better
Deficiencies (37)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
3 A/B/C No actual harm — minor
34 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0584 | 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. | D | 2026-01-05 | 2026-01-29 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-19 | — |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-06-20 | 2025-06-23 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-09 | 2024-08-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-09 | 2024-08-28 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-24 | 2024-08-24 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-07-24 | 2024-08-24 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-09-28 | 2023-10-19 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-09-28 | 2023-10-19 |
| 0761 | 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. | E | 2023-09-28 | 2023-10-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-28 | 2023-10-19 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2023-09-28 | 2023-10-19 |
| 0578 | Honor 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. | D | 2020-03-12 | 2020-04-10 |
| 0584 | 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. | E | 2020-03-12 | 2020-04-10 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2020-03-12 | 2020-04-10 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2020-03-12 | 2020-04-10 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2020-03-12 | 2020-04-10 |
| 0687 | Provide appropriate foot care. | D | 2020-03-12 | 2020-04-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2020-03-12 | 2020-04-10 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2020-03-12 | 2020-04-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2020-03-12 | 2020-04-10 |
| 0814 | Dispose of garbage and refuse properly. | E | 2020-03-12 | 2020-04-10 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2020-03-12 | 2020-04-10 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2020-03-12 | 2020-04-10 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2020-03-12 | 2020-04-10 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-02-01 | 2019-03-01 |
| 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2019-02-01 | 2019-03-01 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2019-02-01 | 2019-03-01 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2019-02-01 | 2019-03-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-02-01 | 2019-03-01 |
| 0693 | Ensure 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. | D | 2019-02-01 | 2019-03-01 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-02-01 | 2019-03-01 |
| 0761 | 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. | E | 2019-02-01 | 2019-03-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2019-02-01 | 2019-03-01 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2019-02-01 | 2019-03-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-02-01 | 2019-03-01 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2019-02-01 | 2019-03-01 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.8% Medicaid 84.7% Other 11.5%
Operating performance
Operating Margin
-9.0%
Total Margin
-5.3%
Occupancy Rate
80.3%
Cost per Resident Day
$33
Revenue & costs
Net Patient Revenue
$14.7M
Total Costs
$1.1M
Net Income
-$803K
Balance sheet
Total Assets
$18.8M
Total Liabilities
$17.6M
Fund Balance
$1.1M
Current Ratio
0.55
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: WINDSOR
- Chain ID
566- Facilities in chain
- 19
- Legal business name
- WINDSOR ROSEWOOD CARE CENTER, LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.1
Staffing
2.8
QM
3.8
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| WINDSOR NORCAL 13 HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 04/01/2007 |
| 9560 PICO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| ANTELOPE HOLDINGS I, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| PICO AR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2023 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| ROBIN, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| TRESS, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2023 |
| KOOTURU, SRI VARDHAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2017 |
| SHAW, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2023 |
| YOUSSEF, MAGGIE | OPERATIONAL/MANAGERIAL CONTROL | since 07/10/2023 |
| ROBIN, AARON | CORPORATE OFFICER | since 08/14/2023 |
| TRESS, AVROHOM | CORPORATE OFFICER | since 08/14/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $33 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.55 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 84.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-802,601 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $14,665,938 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 80.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $18,772,084 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,079,402 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,134,919 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $17,637,165 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -5.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.03487 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.52546 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.65209 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.21242 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.03886 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 97.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.16515 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.16662 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.91839 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.25016 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.62747 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.8 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 566 | Chain ID |
| Provider Information | Chain Name | WINDSOR | Chain Name |
| Provider Information | City/Town | PLEASANT HILL | City/Town |
| Provider Information | CMS Certification Number (CCN) | 056476 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Contra Costa | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1977-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.9337 | Latitude |
| Provider Information | Legal Business Name | WINDSOR ROSEWOOD CARE CENTER, LLC | Legal Business Name |
| Provider Information | Location | 1911 OAK PARK BOULEVARD,PLEASANT HILL,CA,94523 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.07 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 113 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 19 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.85990 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.35005 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1911 OAK PARK BOULEVARD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Rosewood Post Acute | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 060 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2023-09-28 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 13 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2020-03-12 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 80 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 4 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 80 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 17 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.70092 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 48.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.29396 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.40724 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.07435 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03944 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.88672 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.36831 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9259356630 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.13230 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 46.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 56.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 94523 | ZIP Code |