Rosewood Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 54 Google reviews
Watch Rosewood Post Acute
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
Above average in CA · Meets national RN staffing standard · Above recommended total nurse staffing · Chain outperformer · No penalties on record
What this means for your family
While some families report exceptional care and a friendly atmosphere, there is a significant and recurring pattern of serious medical neglect and unresponsive staff. If you choose this facility, you must implement a strict daily check-in routine to personally verify that call buttons are being answered and medications are being administered correctly.
Google Reviews
Google Reviews
54 reviews on Google“Families considering Rosewood Post Acute will find a deeply polarized environment. While many long-term residents' families praise the compassionate nursing staff and clean atmosphere, there are serious, recurring allegations of medical neglect, unresponsive call buttons, and poor hygiene. Prospective families should prioritize direct inspections of room maintenance and staffing responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Clean and well-maintained facility
- Professional administration and leadership
- Supportive environment for long-term residents
Concerns
- Unresponsive call buttons and slow staff response (mentioned by 4 reviewers)
- Inadequate staffing levels (mentioned by 2 reviewers)
- Issues with medication management and timing (mentioned by 2 reviewers)
- Poor food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 54 analyzed
How They Respond to Reviews
The owner uses highly standardized, template-based responses that follow a repetitive structure of thanking the reviewer and requesting an offline discussion. While they occasionally use the reviewer's name, they fail to address the specific allegations of neglect, pests, or hygiene.
Questions for Your Tour
- 1We've heard wonderful things about how compassionate the nursing staff is here; how do you ensure that level of care remains consistent during shift changes?
- 2With the facility being so well-maintained, could you tell us more about the daily dining experience and how much input residents have regarding the menu?
- 3How does the team manage medication schedules to ensure everything is administered accurately and on time?
- 4What is the protocol for responding to call buttons, and how do you ensure staff can reach a resident quickly if they need assistance?
- 5How does the administration stay in touch with families to keep us updated on any changes in our loved one's health or daily needs?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“My loved one has been here for 4 years. Issues have been minimal and the ones that have come up have been addressed in a timely manner.”
“The staff are great to work with and it is even obvious that they care about their work and residents. Highly recommend.”
“My aunt would consistently get ignored and would never get attention when she pressed her CALL BUTTON! I and múltiple family members had to physically got out and get a nurse to change her until the nurse got FED up and taught us how to clean her.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
3
measures
6
measures
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed seven complaints against this facility, triggering investigations that found serious issues including failure to report suspected abuse and protect residents from harm. The most recurring problems involve medication management, fire safety systems, and resident rights violations. While most deficiencies show correction dates, one recent abuse-related issue remains without a correction plan, raising ongoing safety concerns.
Mar 2, 2026Complaint2
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Feb 17, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 5, 2026Complaint1
Resident Rights Deficiencies
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.
Dec 19, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 20, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Feb 28, 2025Routine15
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Ownership & Operations
Who Operates This Facility
Rosewood Post Acute
for profit
Chain Affiliation
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 3 of 19
Ownership & Management
Owners
Windsor Norcal 13 Holdings LLC
Owner · Organization
Antelope Holdings I, LLC
Owner (parent company) · Organization
Tress, Avrohom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
54 reviews from families & visitors
Official Website
Visit windsorrosewood.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Chateau III
< 1 miAssisted Living · Pleasant Hill, CA
Walnut Creek Senior Living
2.1 miAssisted Living · Walnut Creek, CA
La Casa Via Transitional Care Center
2.2 miNursing Home · Walnut Creek, CA
Heatherwood Memory Care
2.5 miAssisted Living · Walnut Creek, CA
Tiffany Court
3.0 miAssisted Living · Walnut Creek, CA
Abraham Rest Home
3.5 miAssisted Living · Walnut Creek, CA