Fremont Healthcare Center

Name: Fremont Healthcare Center
Address: 39022 PRESIDIO WAY, Fremont, CA, 94538, US
Telephone: 5107923743

39022 Presidio Way, Fremont, CA 94538 · Alameda County · 115 certified beds · avg 103 residents/day · certified since Feb 1, 1974

Part of chain: MARINER HEALTH CARE (17 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

$12,051

Fines, last 3 years

4.64

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (30)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 18, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 17, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Nov 17, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 1, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 28, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Dec 16, 2021	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not have policies on smoking.
Dec 16, 2021	B · Minimal risk, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 13).

Year	Citations	Worst severity that year
2021	8	E
2024	8	E
2025	13	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,051.

Date	Type	Amount / length
Mar 6, 2024	Fine	$12,051

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.64	4.31	3.95	top 23% in California; top 20% in the U.S.
Registered Nurse hours	0.76	0.61	0.69	top 19% in California; top 30% in the U.S.
Weekend total nurse staffing	4.29	3.90	3.50	top 21% in California; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.51	0.48	top 35% in California; top 37% in the U.S.
Total nursing staff turnover (%)	36.0	36.7	45.8	top 49% in California; top 26% in the U.S.
RN turnover (%)	23.8	38.1	42.9	top 25% in California; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.12, RN 0.68, weekend 3.82. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
GC Holding Company 2 LLC	Organization	5% or Greater Direct Ownership Interest	99%	06/30/2015
Grancare LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2015
Grunstein, Emily	Individual	5% or Greater Indirect Ownership Interest	—	02/06/2019
Mariner Health Care, INC.	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2015
MHC Holding Company	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2015
MHC West Holding Company	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2015
National Senior Care, INC.	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2015
Caramba, Espinito	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/29/2023
Caramba, Espinito	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2023
Caramba, Espinito	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2023
Fremont Holding Company GP LLC	Organization	General Partnership Interest	NOT APPLICABLE	06/30/2015
GC Holding Company 2 LLC	Organization	Limited Partnership Interest	NOT APPLICABLE	06/30/2015
Ghimire, Shankar	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2019
Ghimire, Shankar	Individual	ADP of the SNF	NOT APPLICABLE	03/10/2019
Sarcauga, Dennis	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/06/2025
Sarcauga, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	02/06/2025
Sarcauga, Dennis	Individual	ADP of the SNF	NOT APPLICABLE	02/06/2025
Ubando, Julius	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2015
Ubando, Julius	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2015
Ubando, Julius	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Crestwood Manor - Fremont	0.7 mi	Fremont, CA	★★★★★	5/5
Crestwood Treatment Center	1.0 mi	Fremont, CA	★★★★★	4/5
Country Drive Post Acute	1.1 mi	Fremont, CA	★★★☆☆	3/5
We Care Skilled Nursing - Fremont	1.1 mi	Fremont, CA	★★★☆☆	3/5
Mission Valley Post Acute	1.2 mi	Fremont, CA	★★★★☆	3/5
Niles Canyon Post Acute	2.1 mi	Fremont, CA	★★★★★	5/5
Masonic Home	4.0 mi	Union City, CA	★★★★☆	4/5
Eden Healthcare Center	7.9 mi	Hayward, CA	★★☆☆☆	2/5	abuse
Emmanuel Post Acute Care - Hayward	8.3 mi	Hayward, CA	★★★☆☆	2/5
Hayward Post Acute	8.6 mi	Hayward, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Fremont →

Facility data as of CMS processing date 2026-08-01. CCN 056422.

The Care File

Visit checklist — Fremont Healthcare Center

39022 Presidio Way, Fremont, CA 94538 · 5107923743

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $12,051

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056422 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)