Nursing homeActive

Fremont Healthcare Center

39022 Presidio Way, Fremont, CA 945385107923743115 certified beds · 103 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
30
1290
Penalties · 3 yrs
$12,051
1 fine
Last survey
2026-03-18
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-18Complaint010CMS-2567 (Care Compare)
2025-11-17Standard0130CMS-2567 (Care Compare)
2024-03-01Standard070CMS-2567 (Care Compare)
2024-02-28Complaint010CMS-2567 (Care Compare)
2021-12-16Standard170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-18Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-20Record 056422-20260318-F609
2025-11-17Standard survey · 13 deficienciesOfficial report
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F605
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F610
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F645
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F689
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F801
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F802
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F908
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 056422-20251117-F921
2024-03-01Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 056422-20240301-F880
2024-02-28Complaint survey · 1 deficiencyOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 056422-20240228-F582
2021-12-16Standard survey · 8 deficienciesOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F553
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F584
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F640
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F687
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F812
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 056422-20211216-F926
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2022-01-05Record 056422-20211216-F732

Penalties & enforcement

DateActionAmountSource
2024-03-06Civil money penalty$12,051CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.68
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.12
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.82
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover36%
Facility
California
National
California 37% · National 46%
Registered nurse turnover24%
Facility
California
National
California 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.7%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.7%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.0%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
5.5%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.9%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.0%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Gc Holding Company 2 LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST99%
Grancare LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Grunstein, Emily
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Mariner Health Care, Inc.
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Mhc Holding Company
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Mhc West Holding Company
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
National Senior Care, Inc.
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Caramba, Espinito
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ghimire, Shankar
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sarcauga, Dennis
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ubando, Julius
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Caramba, Espinito
Individual
ADP OF THE SNFNOT APPLICABLE
Caramba, Espinito
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Fremont Holding Company Gp LLC
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Gc Holding Company 2 LLC
Organization
LIMITED PARTNERSHIP INTERESTNOT APPLICABLE
Ghimire, Shankar
Individual
ADP OF THE SNFNOT APPLICABLE
Sarcauga, Dennis
Individual
ADP OF THE SNFNOT APPLICABLE
Sarcauga, Dennis
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ubando, Julius
Individual
ADP OF THE SNFNOT APPLICABLE
Ubando, Julius
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Part of a chain
Mariner Health Care17 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Alameda.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Crestwood Manor - Fremont
Fremont
0.7 mi2025-06-100121
Crestwood Treatment Center
Fremont
1.0 mi2026-05-22050
Country Drive Post Acute
Fremont
1.1 mi2026-02-230101
We Care Skilled Nursing - Fremont
Fremont
1.1 mi2026-03-230110
Mission Valley Post Acute
Fremont
1.2 mi2026-06-111150
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01