Rosewood Health Facility

1401 New Stine Road · Bakersfield, CA · 93309 · 6618340620

79 certified beds Non profit - Corporation Chain: Humangood Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 94
Staffing 20% 94
Federal penalties 15% 59
Trend 10% 76
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.903.48 min · 4.1 strong
RN hours / resident-day1.090.55–0.75
Weekend hours / resident-day4.38≈ weekday level
Nursing turnover / year23%median 45%
Fines (3-yr window)1 · $8,278

Inspection citations (47 in the current record)

  • Potential for harm · D February 12, 2026

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · E February 12, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · E February 12, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 12, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 20, 2026 · Administration

  • Potential for harm · E February 12, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 20, 2026 · Infection Control

  • Potential for harm · E February 12, 2026

    Implement a program that monitors antibiotic use.

    Corrected March 20, 2026 · Infection Control

  • Potential for harm · F February 12, 2026

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected March 20, 2026 · Infection Control

  • Potential for harm · E February 12, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 20, 2026 · Environmental

  • Potential for harm · D December 10, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Actual harm · G February 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D December 3, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 6, 2025 · Quality of Life and Care

  • Potential for harm · D November 7, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 18, 2024 · Resident Rights

  • Potential for harm · E November 7, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 18, 2024 · Quality of Life and Care

  • Potential for harm · E November 7, 2024

    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.

    Corrected December 18, 2024 · Nursing and Physician Services

  • Potential for harm · D November 7, 2024

    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.

    Corrected December 18, 2024 · Pharmacy Service

  • Potential for harm · E November 7, 2024

    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.

    Corrected December 18, 2024 · Pharmacy Service

  • Potential for harm · D November 7, 2024

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected December 18, 2024 · Nutrition and Dietary

  • Potential for harm · F November 7, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 18, 2024 · Infection Control

  • Potential for harm · D October 15, 2024 · found via complaint

    Help the resident with transportation to and from laboratory services outside of the facility.

    Corrected November 19, 2024 · Administration

  • Potential for harm · D September 27, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected October 31, 2024 · Resident Rights

  • Potential for harm · D September 5, 2024 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected September 27, 2024 · Quality of Life and Care

  • Potential for harm · D September 5, 2024 · found via complaint

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected September 27, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 11, 2025Fine$8,278
September 5, 2024Payment Denial32 days

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555116 · certified since July 9, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.