We Care Skilled Nursing - 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.

55.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 151 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 80 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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 99 beds and averages 90.3 residents a day — about 91% occupied, or roughly 9 beds typically open. It runs fairly full. 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 4.19 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 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 3.88 hrs/resident/day on weekends vs 4.31 on weekdays — 10% thinner on weekends. RN hours go from 0.44 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

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 unchanged from the previous inspection. 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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2026-03-23 · 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, interviews, and record review, the facility failed to ensure a safe environment by not monitoring visitors entering and exiting the facility. This failure potentially compromised the safety of the residents. During a phone interview with Resident 1's Family Member (FM) 1 on 3/20/26 at 2:35 p.m., FM1 stated that she had observed visitors entering and leaving the facility without checking in or out at the front lobby desk. FM 1 stated she was concerned about her mother's safety. During a review of Resident 1's admission record indicated the resident was admitted on [DATE] with diagnoses that included anxiety disorder. During a concurrent observation and interview on 3/23/26, at 9:30 a.m., with the Director of Nursing (DON), in the facility lobby, visitors were observed entering and exiting the facility without signing in or out at the front reception desk. DON stated that the visitors were not required to check in or out. Upon further observation, there was no designated visitor sign-in log…

  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 · D2026-01-15 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and records review the facility failed to ensure to keep one of three sample selected residents (Resident 1) privacy when, resident was taking shower, and the bathroom door was opened by staff multiple times.This deficient practice could result in causing Resident 1 to experience emotional distress, a loss of dignity, and a breakdown of trust in caregivers, potentially leading to anxiety, depression, or withdrawal from necessary medical care.A review of Resident 1's admission Record, printed on 1/15/2026, the admission record indicated Resident 1 was admitted to the facility in September 20205 with multiple diagnosis including Subacute Osteomyelitis (a serious infection and inflammation of the bone) right ankle and foot.During an interview on 1/15/26 At 9: 35 a.m. with Resident 1, Resident 1 stated, he was taking shower and asked the care givers to leave him alone in the bathroom. Resident 1 stated while Resident 1 was taking shower the staff opened the shower door multiple times and he was very upset and distressed at that time.During an interview on…

  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 · D2025-12-09 · tag F0836 — isolated
  Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and observation, facility failed to be comply with Federal, State, and Local Laws and Professional Standards for one of three sample selected residents (Resident 1) when resident 1 had unusual occurrence (Fall), skin laceration and hospitalization and the facility did not follow the state regulation (22 CCR S 72541) to report the incident to the California Department of Public Health (CDPH).This deficient practice has the potential to result in negative outcomes for residents including actual harm, serious injury, a decline in quality of life, and putting residents at high risk of similar, potentially more severe, future incidents.A review of Resident 1's admission Record indicated Resident 1 was admitted to the facility with multiple diagnosis including muscle weakness.A review of SBAR (a structured communication framework widely used in healthcare to provide a clear, concise, and organized method for conveying critical information between professionals) dated 11/5/25, indicated .At 03:16 pm resident had unwitnessed fall. LN (Licensed Nurse) was…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-05 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 provide treatment and care in accordance with professional standards of practice in four of four sampled residents (Residents 58, 44, 66 and 274) when: 1.PRAFO boot (Pressure Relief Ankle Foot Orthosis - a device worn on the ankle and foot to help manage foot and ankle issues) was not applied to Resident 58 as ordered by a physician. 2.Resident 44's lips were dry, cracked, peeling and tongue had thick build-up of whitish matter. 3.Resident 274 did not receive preferred as needed and scheduled pain medication in a timely manner. These failures had the potential to cause physical discomfort and emotional distress to Residents 58, 44, and 274. Findings: 1.A review of Resident 58's admission Record printed 12/4/24, indicated Resident 58 was admitted to the facility in 2022 with multiple diagnosis including an admitting diagnosis Cerebral Infarction (death of an area of brain tissue when a blocked blood vessel prevents delivery of an adequate blood and oxygen supply to the brain). During a concurrent observation…

  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 · E2024-12-05 · tag F0698 — failed to provide proper dialysis care — pattern
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, for one of one sampled resident (Resident 51) reviewed for dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) care, the facility failed to ensure phosphate binder (medication that binds/attaches to some of the phosphates in food, reducing one's blood phosphorus levels) was administered as ordered by the physician. This failure had the potential to result in increased blood phosphorus (mineral) levels. Findings: During a review of Resident 51's admission Record, the admission Record indicated Resident 51 was admitted to the facility in September 2024 with diagnoses that included diabetes (DM, a disorder characterized by difficulty in blood sugar control and poor wound healing), end stage renal disease (a permanent condition that occurs when the kidneys are no longer able to function properly), and dependence on renal dialysis. During a review of Resident 51's Order Summary Report dated 11/30/24, the Order Summary Report indicated a physician's order for…

  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 · E2024-12-05 · 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

  During a review of Resident 51's admission Record, the admission Record indicated Resident 51 was admitted to the facility in September 2024 with diagnoses that included diabetes (DM, a disorder characterized by difficulty in blood sugar control and poor wound healing), end stage renal disease (a permanent condition that occurs when the kidneys are no longer able to function properly), and dependence on renal dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) . During a review of Resident 51's Order Summary Report dated 11/30/24, the Order Summary Report indicated a physician's order dated 10/3/24, for Resident 51 to receive dialysis three times weekly every Tuesday, Thursday and Saturday from 5:00 a.m. until treatment is completed. The report also indicated a physician's order dated 10/3/24 for Phoslo (a phosphate binder) milligrams (mg) three capsules by mouth three times daily to be given with meals. During a review of Resident 51's Medication Administration Record (MAR) for October 2024, the MAR…

  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 before2024-12-05 · 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 safe medication storage for hazardous drugs (medications that pose short or long-term harm upon exposure to human via skin or inhalation) of five out five sampled residents (Residents 43, 325, 29, 30 and 28). These failures could contribute unsafe handling of hazardous drugs which could pose health risks to staff and residents. Findings: During a medication pass observation on 12/3/24 at 7:58 a.m. with Licensed Vocational Nurse (LVN)1, LVN1 prepared Resident 43's medications. LVN1 was observed removing a medication called finasteride (treats enlarged prostate) tablet 5 milligrams (mg) from the medication cart that was stored together with Resident 43's non-hazardous drugs. Resident 43's finasteride bubble pack (a card that packaged doses of medication within plastic bubbles or blisters) had a pharmacy labeled yellow sticker that indicated Antineoplastic (anticancer) hazardous drug .observe special handling, administration, and disposal requirements. After LVN1 prepared Resident 43's finasteride, LVN1…

  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 before2024-12-05 · 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 and record review, the facility failed to prepare food in accordance with professional standards of food service safety when: - Multiple food items, stored in reach-in refrigerators # 1 and # 2, and walk-in refrigerator, were either not dated or stored beyond their use-by dates. - Previously thawed food items were replaced in the freezer. - A scoop with the handle touching the food item was stored inside the flour bin. These failures had the potential to result in cross-contamination and food-borne illnesses. Findings: During a concurrent observation and interviews on 12/2/24 at 9:39 a.m. with [NAME] 1 and Kitchen Aide (KA) 1, in the kitchen, the following were observed: Inside reach-in refrigerator #1; - An opened gallon of milk did not have a date. - Five cups of assorted colored liquids (amber, red, orange) dated 11/27/24. - A tray of clear yellow-colored dessert in individual serving cups, a tray of several glasses of white-colored liquids and a tray of assorted colored liquids that did not have dates. Cook 1 stated the assorted colored liquids…

  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 · E2024-12-05 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 implement infection control practices for four of four sampled residents (Resident 43, 47, 325, 274 and 66) when: 1. Blood pressure (BP) cuff was not cleaned and disinfected after each use with Residents 43, 47 and 325. 2. Hand hygiene was not performed before administering the pre-filled Enoxaparin injection (a medication that uses a syringe and needle that can help reduce the risk of developing blood clots) to Resident 274. 3. Hand hygiene, wear of Personal Protective Equipment (PPE) and maintaining aseptic technique of equipment were not implemented during a medication administration to Resident 66. These deficient practices had the potential spread of infection at the facility. Findings: 1. During a medication pass observation on 12/3/24 at 7:58 a.m. with Licensed Vocational Nurse (LVN)1, LVN1 entered Resident 43's room. LVN1 was observed taking Resident 43's BP on his right arm using a manual BP cuff and a stethoscope (a medical device that allows healthcare providers to listen to sounds inside the body,…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-05 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, for one (Resident 12) of four sampled residents, the facility failed to implement a person-centered intervention that addressed Resident 12's dementia, mental and psychosocial well-being when Resident 12 was not involved in activity programs as indicated in care plan. Dementia is a general term to describe a group of symptoms related to loss of memory, judgment, language, complex motor skills, and other intellectual function, caused by the permanent damage or death of the brain's nerve cells, or neurons. However, dementia is not a specific disease. There are many types and causes of dementia with varying symptoms and rates of progression. (Adapted from: About Dementia. Alzheimer's Foundation of America. 30). This failure had the potential to increase confusion and distress with Resident 12. Finding: During a review of Resident 12's Annual Minimum Data Set (MDS - a standardized assessment tool that measures health status in nursing home residents)), dated 4/17/24 indicated Resident 12 had short-term and long-term memory problem.…

  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

“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

CMS files one row per role, so the 11 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $105K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA