The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROSEWOOD HEALTH FACILITY
BAKERSFIELD, CA · Medicare-certified · 79 beds
Needs attention
Non-profitChain member
4 of 5 overall
Rosewood Health Facility in Bakersfield has an overall 4-star rating, with strong staffing (5 stars; 4.90 hours per resident per day versus the 4.1 federal benchmark) and quality measures (4 stars), but a middling health inspection score (3 stars) and a recent federal penalty with $8,278 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
4.8971 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8971.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.81
- Weekend nursing
- 4.38
Hours per resident per day.
Total staff turnover: 23%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.6%8.3%Worsening
Residents with a fall causing major injury
0%5.9%Worsening
Residents with pressure ulcers (bedsores)
9.4%7.8%Improving
Residents with a urinary tract infection
2.4%6.2%Worsening
Residents who lost too much weight
8.6%17.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.4%21.4%Worsening
Residents whose ability to walk got worse
—22.5%—
Long-stay residents on antianxiety or sleep medication
20%19.4%Improving
Short-stay residents newly given an antipsychotic
0%0.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.6%18.4%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99%—
Short-stay residents given the pneumonia vaccine
99%98.7%No change
What the inspectors found
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines · 1 payment denial.
- $8,278
Federal fine
Feb 11, 2025
- 32 days
Medicare/Medicaid payment denial
Sep 5, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of HUMANGOOD · 17 homes · 4.5 stars avg
- Occupancy
- 61.8 residents on an average day (78% of 79 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.