Fremont, CA

Fremont Healthcare Center

3-star overall rating with 3-star inspections with $12,051 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

39022 Presidio Way, Fremont, CA

(510) 792-3743

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

115

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mariner Health Care

Operator or chain grouping

Approved since

1974-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.74

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

24%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,336

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9844

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.33

Baseline 23.10% · Performance 22.60% · Measure score 0.33 · Achievement 0 · Improvement 0.33

Healthcare-associated infections

Baseline 8.14% · Performance 10.50% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.96

Baseline 26.25% · Performance 35.23% · Measure score 6.96 · Achievement 6.96 · Improvement 0

Adjusted total nurse staffing

3.54

Baseline 3.82 hours · Performance 4.09 hours · Measure score 3.54 · Achievement 3.54 · Improvement 0.86

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.71%	10.72% About the same	No Different than the National Rate · Eligible stays 229 · Observed rate 11.35% · Lower 95% interval 8.58%
Discharge to community	58.18%	50.57% 7.6 pts better	Better than the National Rate · Eligible stays 187 · Observed rate 49.73% · Lower 95% interval 51.37%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	17.69%	95.27% 77.6 pts worse	Numerator 23 · Denominator 130
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 127
Discharge self-care score	58.9%	53.69% 5.2 pts better	Numerator 43 · Denominator 73
Discharge mobility score	42.47%	50.94% 8.5 pts worse	Numerator 31 · Denominator 73
Pressure ulcers or injuries, new or worsened	0.79%	2.29% 1.5 pts better	Numerator 1 · Denominator 127 · Adjusted rate 0.6%
Healthcare-associated infections requiring hospitalization	10.5%	7.12% 3.4 pts worse	No Different than the National Rate · Eligible stays 139 · Observed rate 14.39% · Lower 95% interval 7.11%
Staff COVID-19 vaccination coverage	26.62%	8.2% 18.4 pts better	Numerator 41 · Denominator 154
Staff flu vaccination coverage	84.62%	42% 42.6 pts better	Numerator 132 · Denominator 156
Discharge function score	52.05%	56.45% 4.4 pts worse	Numerator 38 · Denominator 73
Transfer of health information to provider	93.88%	95.95% 2.1 pts worse	Numerator 46 · Denominator 49
Transfer of health information to patient	95.35%	96.28% 0.9 pts worse	Numerator 41 · Denominator 43
Resident COVID-19 vaccinations up to date	79.69%	25.2% 54.5 pts better	Numerator 51 · Denominator 64

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.3 0.7 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	1.6 1.1 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.5% 1.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.2% 1.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	1.6% 1.4 pts worse	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 4.5% · Q4 3.2% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.8% 6.8 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.0%	4.1% 0.9 pts worse	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.7% · Q3 5.1% · Q4 6.9% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.5%	13.7% 1.2 pts better	19.6% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 13.1% · Q3 13.6% · Q4 14.9% · 4Q avg 12.5%
Percentage of long-stay residents who received an antipsychotic medication	14.8%	14.2% 0.6 pts worse	16.7% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.2% · Q3 12.3% · Q4 13.8% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	16.5%	11.0% 5.5 pts worse	16.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.2% · 4Q avg 16.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.0%	10.7% 1.3 pts worse	14.9% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 9.0% · Q3 3.0% · Q4 5.4% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.2% 0.9 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.3%	10.9% 5.6 pts better	19.8% 14.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 5.8% · Q3 3.8% · Q4 2.2% · 4Q avg 5.3%
Percentage of long-stay residents with pressure ulcers	2.2%	4.7% 2.5 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.9% · Q3 2.7% · Q4 2.5% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	94.0% 2.7 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.0% · Q3 97.5% · Q4 95.0% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit	6.9%	11.2% 4.3 pts better	12.0% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 7.1% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.5% About the same	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 2.0% · Q4 2.8% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.0%	93.2% 3.8 pts better	79.7% 17.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.5%	23.2% 2.3 pts worse	23.9% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 27.8% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-17 · Fire 2025-11-17

13 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-03-01 · Fire 2024-03-01

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

12 fire-safety deficiencies

Top issue: Miscellaneous (4 deficiencies)

Cycle 3 Health 2021-12-16 · Fire 2021-12-16

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-15

F · Potential for more than minimal harm 2025-11-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-10-15

F · Potential for more than minimal harm 2025-11-17

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-11-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-11-17

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-10-15

C · Minimal harm 2025-11-17

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-10-15

C · Minimal harm 2025-11-17

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-10-15

C · Minimal harm 2025-11-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-15

J · Immediate jeopardy 2024-03-01

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-04-22

F · Potential for more than minimal harm 2024-03-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-03-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-22

D · Potential for more than minimal harm 2024-03-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-22

D · Potential for more than minimal harm 2024-03-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-22

D · Potential for more than minimal harm 2024-03-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-22

D · Potential for more than minimal harm 2024-03-01

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-04-22

F · Potential for more than minimal harm 2021-12-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-01-05

E · Potential for more than minimal harm 2021-12-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-12-16

D · Potential for more than minimal harm 2021-12-16

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-01-05

D · Potential for more than minimal harm 2021-12-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-01-05

Inspection history