Throughout her life, Rose had a close friendship with her governess Minna Noll, called Nelli, a pious and educated woman. It was mainly through her influence that she converted from the Jewish to the Protestant faith. Rose was friends with the painter Wilhelm Steinhausen and his family. She was his patron, gave and arranged commissions and organised exhibitions. The painting of the Lukaskirche was financed by her. She supported social associations, people in special need and artists. Her name is on the donor's plaque of the Städel Picture Gallery.
After the death of her mother and her friend Minna Noll in 1909, Rose Livingston decided to build a home for single old ladies. With the building on the site of the Frankfurter Diakonissenhaus in Cronstettenstrasse, she commissioned the famous architect Bruno Paul, who also built the Villa Herxheimer in Zeppelinstr. 47 for her sister Fanny Herxheimer. She named the home "Nellinistift" after her friend Minna Noll, called Nelli.
Rose Livingston died on 18 December 1914. Inflation in 1923 led to the loss of the foundation's capital. The Nellinistift was contractually taken over by the Frankfurter Diakonissenhaus.