Crestwood Manor - Fremont

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show <0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 126 beds and averages 105.0 residents a day — about 83% occupied, or roughly 21 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.10 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.41 hrs/resident/day on weekends vs 5.22 on weekdays — 16% thinner on weekends. RN hours go from 0.93 to 0.82 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · G2023-09-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure nursing staff followed policy and procedure for use of a mechanical lift (an assistive device for lifting and transferring people from one surface to another) for one of two residents (Resident 1) when two staff members attempted transfer of Resident 1 instead of the four staff members as per Resident 1's care plan. These failures resulted in the mechanical lift tipping over, causing Resident 1 to fall and break her femur (the thigh bone) during a transfer from her bed to her wheelchair. Resident 1 ' s broken femur resulted in a five-day hospitalization, pain and emotional distress. Findings: During a review of Resident 1 ' s admission Record (AR), undated, the AR indicated the facility admitted Resident 1 in 2015 with diagnoses of obesity, difficulty walking, and general weakness. The AR indicated Resident 1 had a conservator (a person appointed through legal proceedings to make healthcare and/or financial decisions for a person…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-10 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to provide care in a manner that maintains dignity and respect for one resident (Resident 1) of three sampled residents when: Registered Nurse (RN 1) grabbed and struggled with Resident 1 ' s arm to take away a cup of water. This failure caused Resident 1 to feel like a child, emotional distress, and injury. Findings: During a review of Resident 1's Minimum Data Set (MDS - Resident assessment and care guide tool), dated 3/4/25, the MDS indicated Resident 1 had no verbal or behavioral symptoms directed towards others e.g., hitting, kicking, pushing, scratching, grabbing, threatening others, screaming at others. MDS indicated Resident 1 had clear speech, able to express his ideas and wants, and understood what others said to him. MDS indicated Resident 1's diagnoses included schizoaffective disorder (a mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions). During an interview on 6/10/25, at 11:40 a.m., with Resident 1, Resident 1 stated that RN 1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, facility document review, and facility policy review, the facility failed to ensure the temperature of the [NAME] Hall nourishment refrigerator was maintained at 41 degrees Fahrenheit (F) or below and food items in the nourishment refrigerator were dated and labeled for the 64 of the 111 residents who resided on the [NAME] Hall. Findings included: A facility policy titled, Labeling and Dating of Foods, dated 2023, revealed, Policy: All food items in the storeroom, refrigerator, and freezer need to be labeled and dated. The policy specified, Leftovers will be covered, labeled, and dated. A facility policy titled, Cold Storage Temperature Monitoring and Record Keeping dated 2023, revealed, Policy: Food & Nutrition Services staff shall review and record temperatures of all refrigerators and freezers to ensure they are at the correct temperature for food storage and handling. The policy specified, 3. If temperatures are not within standards, Food & Nutrition Services staff will notify the FNS [Food Nutrition Services] Director. In the Director's absence,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, facility document review, and facility policy review, the facility failed to protect a resident's right to be free from abuse perpetrated by staff for 1 (Resident #103) of 1 sampled resident reviewed for abuse. Findings included: A facility policy titled, Elder and Dependent Adult Abuse/Suspicion of a Crime, revised 01/10/2019, indicated, First and foremost, [facility name] believes every person served, or resident has the right to be free of: a) Physical abuse, neglect, financial abuse, abandonment, isolation, abduction, exploitation, or other treatment with resulting physical harm or pain or mental suffering. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. b) Deprivation of goods or services that is necessary to avoid physical harm or mental suffering. An admission Record indicated the facility admitted Resident #103 on 04/04/2024. According to the admission Record, the resident had a medical history that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, facility document review, and facility policy review, the facility failed to implement their policy to complete a thorough investigation, which affected 1 (Resident #103) of 1 sampled resident reviewed for abuse. Specifically, the facility failed to interview additional cognitively intact residents to determine if there was a history of inappropriate behaviors by Certified Nursing Assistant (CNA) #3 or other staff following an incident of abuse which involved CNA #3 and Resident #103. Findings included: A facility policy titled, Elder and Dependent Adult Abuse/Suspicion of a Crime, revised 01/10/2019, indicated, II. Investigation & Protection A. All incidents require a thorough investigation in an attempt to determine what occurred and to make changes, as needed, to prevent reoccurrence. A thorough investigation is a systemic (consistent and ordered) collection of information (evidence) that describes and explains an event or a series of events. The policy specified, (g) Interview other cognitively alert persons served to determine if there is a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-18 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, facility document review, and facility policy review, the facility failed to report an allegation of misappropriation of resident property to the state survey agency for one (Resident #93) of 22 sampled residents. The facility further failed to timely report an allegation of abuse to the state survey agency and submit the results of the investigation to the state survey agency for 1 (Resident #103) of 1 sampled resident reviewed for abuse. Findings included: A facility policy titled, Elder and Dependent Adult Abuse/Suspicion of a Crime, revised 01/10/2019, indicated, If the alleged violation involves abuse OR results in serious bodily injury: Immediately but no later than 2 hours to the State & local police. The policy specified, Results of all investigations of allegation violations: Within 5 working days of the incident. 1. An admission Record revealed the facility admitted Resident #93 on 03/06/2024. According to the admission Record, the resident had a medical history that included a diagnosis of schizoaffective disorder. An annual Minimum Data…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-29 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, the facility failed to notify the physician of a change in the medical condition for one of 23 sampled residents (Resident 74). The failure to notify the physician about marked increase in swelling of Resident 74 's right leg and right ankle delayed treatment and had the potential to result in Resident 74's condition worsening. Findings: A review of Resident 74's admission record indicated Resident 74 was admitted to the facility in 2019 with diagnoses that included peripheral vascular disease (PVD is narrowing or blockage of the blood vessels that carry blood from the heart to the legs, impeding circulation.) A review of the Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan.) dated 7/6/23, the MDS indicated Resident 74 had a score of 15 on the Brief Interview for Mental Status exam. (BIMS is a scoring system used to determine the resident's cognitive status regarding attention, orientation, and ability to register and recall information. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-29 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure: 1. The consultant pharmacist (CP) established and implemented a system to provide for disposition of expired/discontinued to prevent unauthorized access and use of controlled medications (substances that have an accepted medical use, medications which fall under US Drug Enforcement Agency (DEA) Schedules II-V, and have a potential for abuse, ranging from low to high, and may also lead to physical or psychological dependence) when: there was no permanently affixed, locked container for storage of the expired/discontinued controlled medications, and individual, unpackaged tablets were not destroyed or stored in a sealed, tamper-resistant, locked container before transfer to the disposal company. 2. The [NAME] Side medication cart contained Resident 19's expired Incruse Ellipta inhaler (a device to provide inhaled medication used to treat a long-term lung disease which causes difficulty breathing). The facility failures to provide a permanently affixed, locked container for storage of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-29 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to keep the medication error rate at less than five percent. 1. Registered Nurse (RN) 1 attempted to administer furosemide (a medication used to reduce extra fluid in the body) 20 milligrams (mg-a unit of measure) instead of 40 mg as prescribed to Resident 33. 2. RN 1 administered two puffs of the metered-dose inhaler (MDI) Ventolin Hydrofluoroalkane (HFA) (an inhaled medication used to prevent and treat wheezing and shortness of breath caused by breathing problems) 90 micrograms (mcg, a unit of measure) per actuation (act, a single inhaled dose) to Resident 33 without first shaking the cannister per manufacturer's instructions. These failures resulted in two medication errors during 36 medication administration observations. Calculation of the error rate: Two errors divided by 36 observations multiplied by 100 resulted in a 5.5 percent error rate. Findings: During a review of Resident 33's admission record titled, Resident Face Sheet, undated, the face sheet indicated Resident 33 was admitted to the facility in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-09-29 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the secure storage of controlled substances (substances that have an accepted medical use, medications which fall under US Drug Enforcement Agency (DEA) Schedules II-V, and have a potential for abuse, ranging from low to high, and may also lead to physical or psychological dependence) when the East Side nursing station medication room had the following controlled substances in unsecured locations: 1. A unlocked drawer contained an unlocked box with controlled substances (schedule II-V medication with high risk of abuse and addiction) and narcotic medications (medications used to treat pain with high risk of abuse and addiction) 2. An unlocked refrigerator contained an unlocked container with 41vials of lorazepam (a schedule IV-controlled medication used to treat anxiety, insomnia, and seizures). These failures had the potential to result in untraceable loss and unauthorized access and use or diversion of controlled substances. Findings: 1. During a concurrent observation and interview on 9/26/23 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-29 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to facilitate and promote the rights of two (Resident 79 and Resident 21) of 23 sampled residents who requested privacy for meetings together. The facility failure to provide a private space for intimate meetings despite requests by Resident 79 and Resident 21 resulted in public displays of affection between Resident 79 and Resident 21 which caused Resident 79 to feel embarrassed and guilty for the public displays, and Resident 79 to feel ignored and disrespected by the facility. Findings: During a review of the admission Record (AR) for Resident 79, undated, the AR indicated Resident 79 was admitted in 2021, with a diagnosis of a mental condition which made it difficult to think clearly, have normal emotional responses, act normally in social situations, and tell the difference between what is real and what is not real. During a review of Resident 79's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in CA