John C. Fremont Healthcare District DP/SNF

Name: John C. Fremont Healthcare District DP/SNF
Address: 5189 HOSPITAL ROAD, Mariposa, CA, 95338, US
Telephone: 2099663631

5189 Hospital Road, Mariposa, CA 95338 · Mariposa County · 16 certified beds · avg 16 residents/day · certified since Jan 1, 1967

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.18

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: 2/5

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 (15)

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
Feb 10, 2026	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Feb 10, 2026	F · Potential for harm, facility-wide	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.
Feb 10, 2026	F · Potential for harm, facility-wide	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Feb 10, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 10, 2026	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.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Feb 10, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 8, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 8, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 8, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 20, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 20, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Worst severity that year
2022	2	F
2024	3	F
2026	10	F

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)

No fines or payment denials in the published 3-year window.

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)	7.18	4.31	3.95	top 2% in California; top 1% in the U.S.
Registered Nurse hours	0.68	0.61	0.69	top 26% in California; top 39% in the U.S.
Weekend total nurse staffing	6.11	3.90	3.50	top 2% in California; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.03	0.51	0.48	bottom 1% in California; bottom 1% in the U.S.
Total nursing staff turnover (%)	51.2	36.7	45.8	bottom 12% in California; bottom 34% in the U.S.
RN turnover (%)	0.0	38.1	42.9	—

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 6.53, RN 0.62, weekend 5.55. Staffing rating: 1/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
John C Fremont Healthcare District	Organization	5% or Greater Direct Ownership Interest	100%	10/07/1979
Bullis, Jesse	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/02/2024
Carter, Mimi	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2021
Carter, Mimi	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2021
Fluharty, Rose	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/02/2022
John C Fremont Healthcare District	Organization	Operational/Managerial Control	NOT APPLICABLE	10/07/1979
John C Fremont Healthcare District	Organization	ADP of the SNF	NOT APPLICABLE	10/07/1979
Johnson, Teresa	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/02/2024
Key, Rachel	Individual	Operational/Managerial Control	NOT APPLICABLE	10/28/2024
Key, Rachel	Individual	ADP of the SNF	NOT APPLICABLE	10/28/2024
Ryder-Priola, Wendy	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/02/2022

Questions to ask on your visit

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

"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What training do new hires get before working with residents, and what ongoing training do all staff receive?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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)

No other Medicare-certified nursing homes within 20 miles in the current records.

All facilities in Mariposa →

Facility data as of CMS processing date 2026-08-01. CCN 055283.

The Care File

Visit checklist — John C. Fremont Healthcare District DP/SNF

5189 Hospital Road, Mariposa, CA 95338 · 2099663631

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 055283 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)