Rosewood Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 78 Google reviews
Watch Rosewood Rehabilitation Center
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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (26 vs median 8.0)
- High RN turnover (78%)
Bottom 25% in NV · Critically understaffed (RN) · Worst in THE ENSIGN GROUP chain · No penalties on record · Special Focus Facility (CMS)
What this means for your family
Rosewood offers a highly effective therapy program that many families find beneficial for recovery, but the facility suffers from significant consistency issues. Before choosing this facility, we strongly recommend that you verify their current medication management protocols and observe how quickly staff respond to call lights during a visit. It is essential to remain present and advocate for your loved one daily, as multiple reviewers noted that care quality can fluctuate significantly.
Google Reviews
Google Reviews
78 reviews on Google“Rosewood Rehabilitation Center receives highly polarized feedback, with many patients praising the physical therapy and nursing staff for their dedication and professionalism. However, a significant number of families report serious concerns regarding medication errors, slow response times to call lights, and inconsistent communication from management. Potential families should be aware that while many report excellent recovery experiences, there is a recurring pattern of complaints regarding basic patient safety and administrative responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Compassionate and attentive nursing staff
- Clean and well-managed facility environment
- Professional and helpful administrative support
Concerns
- Slow response times to call lights and patient alerts (mentioned by 5 reviewers)
- Medication management errors and improper dosing (mentioned by 4 reviewers)
- Rude or dismissive staff behavior toward patients and families (mentioned by 4 reviewers)
- Poor food quality and lack of dietary oversight for diabetics (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 82 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent focus on improving communication, what is the best way for our family to stay updated on our loved one's daily progress and care plan?
- 2Can you walk us through the current protocols for medication administration to ensure accuracy and prevent dosing errors?
- 3I noticed some concerns regarding response times to call lights; what is your current staffing strategy to ensure residents receive timely assistance?
- 4How does the dietary team tailor meal plans for residents with specific health needs, such as diabetes, and how is intake monitored?
- 5What steps are you taking to foster a supportive and patient-centered culture among your staff to ensure every resident feels heard and respected?
- 6Since therapy is a known strength here, how do you integrate physical and occupational therapy goals into the resident's daily routine and activities?
Personalized based on this facility's data
Key Review Excerpts
“The PT and OT staff were excellent and worked hard to get her motivated and participating in rehab. I would select this facility again if care is needed.”
“The nurses are kind and knowledgeable, and they treated me like family. We are thankful for them and all of their hard work.”
“I wish nurses would response to beepers when activated. I timed it it take any where from 10 minutes to almost an hour. One incident when my room mate fell off the bed, activate the button it was taking more than 5 minutes.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
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
Residents who lost too much weight
Residents whose walking got worse
Residents vaccinated for the flu
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families should carefully consider multiple complaint-triggered issues at this facility, where 25 out of 97 deficiencies stemmed from families reporting concerns to authorities. The three most recurring problem areas are abuse/neglect protection, care planning, and infection control, with some issues like infection control and care planning appearing repeatedly across multiple years. While all deficiencies show correction dates, the pattern of complaints and recurring problems in critical safety areas warrants thorough investigation during any visit.
Dec 11, 2025Routine21
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
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Dec 11, 2025Complaint9
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Apr 24, 2025Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 18, 2024Complaint1
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Oct 10, 2024Routine18
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Oct 10, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Rosewood Rehabilitation Center
for profit
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 3.2/5 · Rank 294 of 328 (Worst)
Ownership & Management
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
78 reviews from families & visitors
Official Website
Visit rosewoodreno.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.
Northern Nevada State Veterans Home
1.2 miNursing Home · Sparks, NV
Advanced Health Care of Reno
1.5 miNursing Home · Reno, NV
Alpine Skilled Nursing and Rehabilitation Center
4.1 miNursing Home · Reno, NV
Hearthstone
4.2 miNursing Home · Sparks, NV
Alta Skilled Nursing and Rehabilitation Center
5.3 miNursing Home · Reno, NV
Wingfield Skilled Nursing and Rehabilitation Cente
6.2 miNursing Home · Sparks, NV