Rosewood Rehabilitation and Nursing Center

284 Troy Road · Rensselaer, NY · 12144 · 5182861621

80 certified beds For profit - Partnership

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $118,415 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$118,415 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

72% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 9
Serious harm & abuse 20% 34
Staffing 20% 44
Federal penalties 15% 0
Trend 10% 18
Context 5% 35

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.243.48 min · 4.1 strong
RN hours / resident-day0.260.55–0.75
Weekend hours / resident-day2.84≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)9 · $150,230

Inspection citations (46 in the current record)

  • Immediate jeopardy · K February 25, 2026 · found via complaint

    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.

    Corrected April 13, 2026 · Resident Rights

  • Immediate jeopardy · J February 25, 2026 · found via complaint

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

    Deficient, Provider has plan of correction · Quality of Life and Care

  • Actual harm · G February 25, 2026 · found via complaint

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

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 10, 2026 · Resident Rights

  • Potential for harm · F February 25, 2026

    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.

    Corrected April 13, 2026 · Resident Rights

  • Potential for harm · F February 25, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 30, 2026 · Resident Rights

  • Potential for harm · F February 25, 2026

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

    Corrected April 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 25, 2026

    Honor each resident's preferences, choices, values and beliefs.

    Corrected April 15, 2026 · Quality of Life and Care

  • Potential for harm · F February 25, 2026

    Provide activities to meet all resident's needs.

    Corrected April 24, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · E February 25, 2026

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected April 30, 2026 · Nursing and Physician Services

  • Potential for harm · F February 25, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Deficient, Provider has plan of correction · Pharmacy Service

  • Potential for harm · F February 25, 2026

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · D February 25, 2026

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · F February 25, 2026

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

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · D February 25, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 30, 2026 · Infection Control

  • Potential for harm · F February 25, 2026

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · F February 25, 2026

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · F February 25, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 18, 2026 · Resident Rights

  • Potential for harm · D February 25, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 13, 2026 · Resident Rights

  • Potential for harm · D February 25, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F February 25, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F February 25, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Deficient, Provider has plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F February 25, 2026 · 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 April 11, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F February 25, 2026 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Deficient, Provider has plan of correction · Nursing and Physician Services

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

Federal penalties

DateTypeAmount / length
February 25, 2026Fine$118,415
October 30, 2023Fine$2,727
October 23, 2023Fine$4,545
October 17, 2023Fine$4,545
October 10, 2023Fine$4,545
October 2, 2023Fine$4,545
September 25, 2023Fine$4,545
September 18, 2023Fine$4,545
August 28, 2023Fine$1,818

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335693 · certified since May 24, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.