Watermark at Rosewood Gardens, the.
Watermark at Rosewood Gardens, the is Ranked in the top 46% of California memory care with 5 CDSS citations on record; last inspected Jan 2026.
Memory Care and Assisted Living in Downtown Livermore, reviewed on public record.
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Compared to 91 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Watermark at Rosewood Gardens, the has 5 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
5 deficiencies on record. Each bar is a month with a citation.
Finding distribution
5 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Watermark at Rosewood Gardens, the's record and state requirements.
State records show two Type A deficiencies, meaning actual harm to residents occurred — what were the circumstances of these citations, and what corrective actions were implemented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Six complaints were filed with CDSS during the inspection period — what were the subjects of those complaints, and which were substantiated by investigators?
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The two Type B deficiencies indicate potential for harm was identified — which Title 22 sections were cited, and how has the facility addressed those specific concerns?
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Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-01-09Other VisitNo findings
2025-12-15Annual Compliance VisitNo findings
Plain-language summary
On December 15, 2025, state licensing conducted an unannounced inspection following a death reported on December 7, 2025. A resident collapsed in the hallway after eating, became unresponsive, and staff called 911 and performed CPR until paramedics arrived; the resident could not be revived and local police determined the death was from natural causes. The inspector reviewed the resident's file, care plan, and related documents, and may conduct a follow-up visit.
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On 12/15/2025 at 3:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 12/7/2025. LPA met with Executive Director, Chelsea Espinoza and explained the purpose of the visit. LPA received death report on 12/7/2025 for resident (R1). Death report revealed that R1 ate a few bites before walking around and suddenly sat down on a chair in the hallway. Staff noticed R1 turned pale and became unresponsive. Staff called 911 and began CPR until paramedics arrived. Paramedics continued CPR and unable to revive R1. Local police indicated no foul play and R1 died of natural causes. During visit, LPA reviewed R1's file and obtain emergency information, physician's report, care plan, staff contact information, and local police officer's information. LPA may return at a later time. Exit interview conducted. A copy of this report provided.
2025-07-02Other VisitType A · 1 finding
Plain-language summary
During an unannounced annual inspection on July 2, 2025, inspectors found the facility's safety features in good order, including working smoke detectors, fire extinguishers, grab bars, and proper food and water temperatures, and reviewed resident and staff records which were complete. However, inspectors found bleach and carpet cleaner unlocked and unattended in the laundry room; staff locked these items up during the inspection. This violation was cited under state regulations.
“Based on observation, the licensee did not comply with the section cited above by having unlocked bleach and carpet cleaner in laundry area which poses an immediate health and safety risk to persons in care. POC Due Date: 07/03/2025 Plan of Correction 1 2 3 4 Staff locked up the items during inspection. Deficiency cleared.”
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On 7/2/2025 at 9:30AM, Licensing Program Analysts (LPAs) G. Luk and A. Christy arrived unannounced to conduct a Required - 1 Year inspection. LPAs met with Executive Director, Chelsea Espinoza and explained the reason for the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/17/2025. There were evacuation chairs in each stairwells. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 32 degrees F. Hot water temperature was measured at 111.1 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid materials were observed in showers. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Last fire drill was conducted on 5/20/2025. LPAs reviewed 5 residents and 5 staff records during inspection. All residents and staff records were complete. All staff are fingerprint cleared and associated to the facility. LPAs reviewed a sample of resident's medication and medication administration records. LPAs interviewed some staff and residents during inspection. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 10:30AM, LPAs observed unlocked bleach and carpet cleaner in the laundry room. Staff was not stationed in the laundry room. Staff locked up the items during inspection. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted with Chelsea. A copy of this report and appeal rights provided.
2024-08-14Annual Compliance VisitNo findings
Plain-language summary
An unannounced annual inspection took place on August 14, 2024, during which the inspector reviewed resident and staff files, observed training records, and interviewed residents and staff. The facility's records were complete, staff had current certifications in first aid and CPR, and staff training covered dementia care, medication management, resident rights, and other required topics. No violations were found.
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On 8/14/2024 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Executive Director, Chelsea Espinoza and explained the purpose of the visit. During visit, LPA reviewed 5 residents' files and 5 staff files. LPA observed resident's files were complete and staff files were complete. Staff have current first aid and CPR training. LPA observed staff completed training which includes dementia, food safety, resident rights, medication, ADL (Activities of Daily Living) care, and other topics. Last disaster drill was conducted on 5/24/2024. LPA reviewed a sample of resident's medications at around 4:15PM. LPA interviewed 4 residents and 4 staff starting at 1:00PM. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report were provided.
2024-07-31Other VisitNo findings
Plain-language summary
An inspector made an unannounced routine inspection on July 31, 2024, and found the facility's safety equipment, food storage, temperature controls, and living spaces all in proper working order. Medications were securely locked, fire safety systems were functional, bathrooms had grab bars and non-skid mats, and rooms were clean and well-lit. No violations were cited, though the inspector noted they would return at a later time to complete the full inspection.
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On 7/31/2024 at 3:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Chelsea Espinoza and explained the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 1/5/2024. There were evacuation chairs in the stairwells. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 120 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. LPA will return at a later time to complete the inspection. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2024-03-06Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that facility staff had not received required medication training before assisting with medications. The investigator reviewed training records for all medication staff and found that each person completed required hands-on shadowing and video training certifications before working independently, with no evidence supporting the complaint.
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Allegation: Facility staff have not received required training prior to assisting with medications Investigation Finding: Unsubstantiated During investigation, medication technicians' staff (S2, S3) confirmed with LPA that they completed all required medication administration training (shadowing & Relias trainings) prior to independently working as full time medication technicians. ADM stated that new medical technicians are required to complete 16 hours of medication administration on the job shadowing with experienced medical technicians. ADM stated each medical technician is also required to complete a Medication Pass Fundamentals Video Training which covers the safe preparation, security and proper administration of controlled substances, prescriptions and over the counter medications. Staff (S1) oversees the completion of each medical technicians' required on the job training and signs off on the medication pass certifications prior to releasing each new medical technician for work duty. At 1PM, LPA reviewed staff (S1, S2, S3, S4, S5, S6) medication administration training records dated 01/01/23 to 03/01/24. LPA observed that all medical technicians completed their required job training certifications prior to working as full time medical technicians. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that facility staff have not received required training prior to assisting with medications is unsubstantiated. No deficiencies observed during visit. Exit Interview conducted and a copy of this report provided.
2024-01-05Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged the facility failed to meet a resident's hygiene needs, did not cut the resident's nails, and did not seek medical attention for an infection. The facility's records showed the resident did not require assistance with bathing, dressing, or nail care based on their assessment, and there was no documentation of an infection or change in condition. The complaint was not substantiated.
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Facility did not meet resident's hygiene needs while in care. Interview with staff revealed that R1 would refuse assistance with shower and dressing. LPA observed R1's assessment dated 9/29/2021 indicated that R1 does not need assistance with grooming, bathing, dressing, eating, toileting, and transferring. Facility did not ensure that resident's nails were cut while in care. Interview with residents revealed there was services residents can sign up for to get assistance with finger and toe nails trimming. R1's assessment dated 9/29/2021 did not indicate that R1 needed assistance with finger and toe nails trimming. Facility did not seek resident medical attention for an infection while in care. Interview with residents revealed that when call button is activated, staff would come and assist residents. S2 stated there's no recollection of R1 having an infection that needed medical attention. R1's assessment and 24 hour reports does not indicate that R1 had a change in condition. There was lack of evidence to prove facility did not seek medical attention for R1. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2023-11-28Annual Compliance VisitType A · 2 findings
Plain-language summary
On November 28, 2023, state licensing inspectors conducted a routine annual inspection and found that the facility was providing care to six residents on hospice but was using an outdated hospice waiver approval letter from a different facility dating back to 2013. The inspectors also found that one resident was missing five prescribed medications and the facility did not have documented discontinuation orders when medications were stopped or switched to different ones. The facility was cited for these violations and informed that failure to correct them could result in penalties.
“Based on observation and record review, the licensee did not comply with the section cited above by not having R3's prescribed medications available which poses an immediate health and safety risk to persons in care. POC Due Date: 11/29/2023 Plan of Correction 1 2 3 4 Facility has ordered 4 out of 5 medications during visit and provided documents to LPA. Executive Director (ED) has agreed to order R3's medication (Lorazepam) and contact the R3's doctor for discontinue order for Culturelle P/F. ED will submit document proof to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having a hospice waiver which poses a potential health and safety risk to persons in care. POC Due Date: 12/08/2023 Plan of Correction 1 2 3 4 Executive Director has agreed to submit hospice waiver request to CCLD by POC date.”
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On 11/28/2023 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Executive Director, Chelsea Espinoza and explained the purpose of the visit. During visit, LPA reviewed 5 staff files and staff training. LPA observed staff completed training which includes dementia, food service, resident rights, medication, ADL (Activities of Daily Living) care, and other topics. Last fire drill was conducted on 10/16/2023. LPA reviewed a sample of resident's medications at around 1:15PM. LPA interviewed 4 residents and 4 staff starting at 3:00PM. At 12:00PM, LPA observed facility does not have a hospice waiver. Facility currently has 6 residents on hospice care. Facility provided an Approved Hospice Waiver. However, LPA observed the approval letter was for previous facility (015601492) and dated 12/27/2013. At 1:45PM, LPA observed R3 does not have the following medications at the facility including: Loperamide, Meclizine HCL, Quetiapine Fumarate, Senna, and Lorazepam. LPA observed R3 does not have discontinue orders for the five PRN medications. Additionally, LPA was informed that R3's Culturelle P/F was replaced with Florastor, but facility does not have a discontinue order for Culturelle P/F. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
2023-11-08Other VisitType A · 1 finding
Plain-language summary
On November 8, 2023, state regulators conducted a follow-up visit after a resident received incorrect medications on October 27, 2023; the resident was taken to the hospital for evaluation and returned the same day, and is doing well. The facility called 911, notified the resident's family and doctor, and provided the medication technician with additional training. Regulators found a violation and told the facility that failure to correct it could result in civil penalties.
“Based on interview, licensee did not comply with the section cited above by not administering the correct medications to R1 which poses an immediate health and safety risk to the persons in care.”
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On 11/8/2023 at 2:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 10/27/2023. LPA met with Executive Director, Chelsea Espinoza and informed her the reason for the visit. Based on the incident report received on 10/27/2023, resident (R1) was given the incorrect medications. Facility called 911 and R1 was sent to the hospital for evaluation and returned back to the facility the same day. R1's family and doctor was notified. Med tech received additional training to avoid medication errors. During visit, LPA reviewed R1's file including discharge documents, care notes, incident report, and training materials. Interview with R1 revealed that R1 is doing well after taking incorrect medications. Interview with S1 revealed that S1 had hands on training after medication error. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.
2023-07-13Annual Compliance VisitType B · 1 finding
Plain-language summary
This was a routine annual inspection conducted on July 13, 2023. The facility met requirements for fire safety, emergency preparedness, food storage, sanitation, and resident room conditions, but two residents were missing chest X-ray results that should have been in their files.
“Based on record review, the licensee did not comply with the section cited above by not having chest x-ray results for R2 and R3 which poses a potential health and safety risk to persons in care. POC Due Date: 08/04/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain chest x-ray for R2 and R3. Facility will submit copies to CCLD by POC date.”
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On 7/13/2023 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Assisted Living Program Director, Ranjeeta Kumar. The facility’s fire clearance was approved for 115 non-ambulatory residents and 10 residents may be bedridden. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 2/14/2023. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -10 degree F while the refrigerator’s temperature was recorded at 30 degrees F. Comfortable temperature was maintained inside the facility. Hot water temperature was measured at 120 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. (Continue on 809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed 5 resident records starting at 12:00 PM. At 2:00PM, LPA observed R2 and R3 does not have chest x-ray results on file during record review. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. LPA will return at a later time to complete the inspection. Exit interview conducted. A copy of this report and appeal rights were provided.
7 older inspections from 2021 are not shown in the free view.
7 older inspections from 2021 are not shown in the free view.
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