39022 Presidio Way, Fremont, CA 94538 (opens Google Maps) · Alameda County · (510) 792-3743· 115 certified beds · avg 103 residents/day · certified since Feb 1, 1974 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MARINER HEALTH CARE (17 facilities, chain avg rating 3.6★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.
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 F-0609
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. F-0605
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 18, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0605 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0805 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Nov 17, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Nov 17, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Nov 17, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Feb 28, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0582 |
| Dec 16, 2021 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 16, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0640 |
| Dec 16, 2021 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 16, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Dec 16, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0553 |
| Dec 16, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0687 |
| Dec 16, 2021 | D · Potential for more than minimal harm, isolated | The facility did not have policies on smoking. · F-0926 |
| Dec 16, 2021 | B · Potential for minimal harm, pattern | 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. · F-0732 |
Citations from standard inspections increased between the last two inspection cycles (7 → 13).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 8 | 0 | E |
| 2024 | 8 | 0 | E |
| 2025 | 13 | 0 | E |
| 2026 | 1 | 0 | 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.
How to file a complaint about care →
1 fine totaling $12,051.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Mar 6, 2024 | Fine | $12,051 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.12 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Fremont Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Mariner Health Care — 17 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 16 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Crestwood Manor - Fremont | 0.8 mi | Fremont, CA | ★★★★★ | 5/5 | |
| Crestwood Treatment Center | 1.1 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 | |
| Milpitas Care Center | 9.4 mi | Milpitas, CA | ★★☆☆☆ | 2/5 | |
| Hayward Healthcare & Wellness Center | 9.9 mi | Hayward, CA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Alameda, CA — 69 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 056422.
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