Nursing Care Index

Rosewood Health Facility

Bakersfield, Kern County, California · CCN 555116 · Non-profit (Corporation) · part of Humangood (17 facilities, chain average 4.5 stars)

CMS rates Rosewood Health Facility 4 of 5 overall as of August 2026. 79 certified beds, 65 residents a day on average. 47 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,278 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay2 / 5 of 5

Staffing

Total nurse staffing4.82158 hours per resident per day
Registered nurses1.01859 hours per resident per day
Weekend total4.37387 hours per resident per day
Nursing staff turnover24.1% (registered nurses 29.4%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-12 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-20
2026-02-12 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-12 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-12 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-12 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-12 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-20
2026-02-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-20
2026-02-12 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-20
2025-12-10
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-06
2025-02-11
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-03-21
2024-12-03
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-06
2024-11-07 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-12-18
2024-11-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-18
2024-11-07 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.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-18
2024-11-07 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-18
2024-11-07 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-18
2024-11-07 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-18
2024-11-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-18
2024-11-07 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-18
2024-11-07 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-18
2024-10-15
complaint survey
Help the resident with transportation to and from laboratory services outside of the facility.
Administration Deficiencies · tag F0774
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-19
2024-09-27
complaint survey
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-31
2024-09-05
complaint survey
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-27
2024-09-05
complaint survey
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · tag F0790
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-27
2024-01-04
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-23
2023-10-30
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-08
2023-09-20
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-05
2023-09-20
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-05
2023-08-18
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2023-08-18
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2023-08-18
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2023-08-18
complaint survey
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · tag F0773
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2023-02-09 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-03-09
2023-02-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-03-09
2023-02-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-03-09
2023-02-09 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.
Resident Rights Deficiencies · tag F0578
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-09
2023-02-09 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-09
2023-02-09 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-09
2023-02-09 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Maintain 15 months of resident assessments in the resident's active clinical record.
Resident Assessment and Care Planning Deficiencies · tag F0639
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09
2023-02-09 Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · tag F0790
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-09

Fines and payment denials

DatePenaltyAmount
2025-02-11Fine$8,278
2024-09-05Payment denial for 32 days from 2024-12-05

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Humangood Norcal
Organization
5% or greater direct ownership interest100%1977-01-01
Humangood
Organization
5% or greater indirect ownership interest100%2016-05-01
U.S. Bank
Organization
5% or greater security interest2018-04-01
Baker Tilly Advisory Group Lp
Organization
adp of the snf2025-03-21
Baker Tilly Advisory Group, Lp
Organization
adp of the snf2025-03-21
Baker Tilly US LLP
Organization
adp of the snf2024-10-15
Hansen
Organization
adp of the snf2017-03-27
Humangood
Organization
adp of the snf2016-05-01
Humangood Norcal
Organization
adp of the snf1977-01-01
Humangood Socal
Organization
adp of the snf1977-01-01
Pharmerica Drug Systems LLC
Organization
adp of the snf2025-04-29
U.S. Bank
Organization
adp of the snf2018-04-01
Washington Federal
Organization
adp of the snf2020-10-27
Humangood Norcal
Organization
operational/managerial control1977-01-01
Humangood Socal
Organization
operational/managerial control1977-01-01
Balaban, Rochelle
Individual
adp of the snf2018-01-01
Dhand, Sandeep
Individual
adp of the snf2026-03-09
Kaur, Mandeep
Individual
adp of the snf2023-10-01
Memon, Parvez
Individual
adp of the snf2022-04-01
Vangelisto, Gwen
Individual
adp of the snf2021-08-30
Baker, Judith
Individual
corporate director2012-04-25
Battison, William
Individual
corporate director2016-05-01
Brown, Herman
Individual
corporate director2016-05-01
Christopherson, Joanne
Individual
corporate director2025-03-20
Feller, Irene
Individual
corporate director2021-03-12
Griffith, Alan
Individual
corporate director2019-06-30
Holmes, Michelle
Individual
corporate director2016-05-01
Kelley, Albert
Individual
corporate director2008-04-21
Roth, Sharon
Individual
corporate director2018-12-08
Brown, Herman
Individual
corporate officer2016-05-01
Cochrane, John
Individual
corporate officer2009-08-10
Ghassemi, Bethany
Individual
corporate officer2019-05-21
Mcdonald, Andrew
Individual
corporate officer2020-01-01
Ogus, Daniel
Individual
corporate officer2009-08-27
Balaban, Rochelle
Individual
operational/managerial control2018-01-01
Cochrane, John
Individual
operational/managerial control2009-08-10
Dhand, Sandeep
Individual
operational/managerial control2026-03-09
Ghassemi, Bethany
Individual
operational/managerial control2019-05-21
Gonzales, Deborah
Individual
operational/managerial control2022-12-25
Kaur, Mandeep
Individual
operational/managerial control2023-10-01
Mcdonald, Andrew
Individual
operational/managerial control2020-01-01
Memon, Parvez
Individual
operational/managerial control2022-04-01
Ogus, Daniel
Individual
operational/managerial control1995-10-17
Vangelisto, Gwen
Individual
operational/managerial control2021-08-30

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kern County.