Federal inspection record · CMS data as of October 1, 2026
Fremont Healthcare Center
39022 Presidio Way, Fremont, CA · (510) 792-3743
- Certified beds
- 115
- Residents per day
- 104
- Ownership
- For-Profit
- Chain
- Mariner Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1974
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Fremont Healthcare Center carries 89 inspection points. That is fewer than 48% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary8E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate foot care.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Respond appropriately to all alleged violations.
Environmental3E
- E
Keep all essential equipment working safely.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Have policies on smoking.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2025-11-17
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2024-03-01
7 health deficiencies · 12 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-12-16
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 12 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 32% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,051 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-06 | Fine | $12,051 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.3 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 1.9% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 6.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse | 13.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts better | 10.7% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts better | 7.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better | 5.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts better | 3.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 95.3% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better | 10.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 95.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse | 25.7% | 22.6% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gc Holding Company 2 LLC | 5% Or Greater Direct Ownership Interest · Organization | 99% | 8 facilities |
| Beduya, Rowena | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Beduya, Rowena | Adp Of The SNF · Individual | 0% | 16 facilities |
| Caramba, Espinito | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Caramba, Espinito | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Caramba, Espinito | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fremont Holding Company Gp LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Gc Holding Company 2 LLC | Limited Partnership Interest · Organization | 0% | 8 facilities |
| Ghimire, Shankar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ghimire, Shankar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Grancare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Grunstein, Emily | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Mariner Health Care, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Mhc Holding Company | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Mhc West Holding Company | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| National Senior Care, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Sarcauga, Dennis | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Sarcauga, Dennis | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Sarcauga, Dennis | Adp Of The SNF · Individual | 0% | 16 facilities |
| Ubando, Julius | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ubando, Julius | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ubando, Julius | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- C
Properly provide smoke detection systems in areas open to corridors.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Meet requirements for the use of electrical equipment.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous5E
- C
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct testing and exercise requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1D
- D
Use approved construction type or materials.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Crestwood Manor - Fremont
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
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- $0
-
Crestwood Treatment Center
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- Nursing / resident / day
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-
Country Drive Post Acute
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- G
- Nursing / resident / day
- 3 h 49 min
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