01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-24 | 10 | 2025-04-24 | 9 |
| Cycle 2 | 2023-05-18 | 10 | 2023-05-18 | 12 |
| Cycle 3 | 2019-03-21 | 16 | 2019-03-21 | 4 |
CMS CCN 0558852026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Country Drive Post Acute
2500 Country Drive · Fremont, CA 94536 · Alameda County
Certified beds126CMS provider file
Recent citation rows61current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
61 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 13 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-23 · HEALTHF0559Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2026-02-23 · HEALTHF0567Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2026-02-23 · HEALTHF0572Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2026-02-23 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2025-08-08 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint2025-04-24 · FIREE0030Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREE0031Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREE0032Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-05-072025-04-24 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-05-072025-04-24 · HEALTHF0725Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2025-05-072025-04-24 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-05-072025-04-24 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-072025-04-24 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-24 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-03-06 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2023-05-18 · FIREE0039Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-06-282023-05-18 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2023-06-142023-05-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-06-142023-05-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-06-1403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ANTELOPE HOLDINGS I, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/30/2023
- ANTELOPE REALTY HOLDINGS I, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 11/08/2024
- WINDSOR NORCAL 13 HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 04/01/2007
- ROBIN, AARONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 06/30/2023
- TRESS, AVROHOMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 06/30/2023
- ROBIN, AARONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/14/2023
- TRESS, AVROHOMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/14/2023
- COUTO, DOROTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/20/2024
- SHAW, PAMELAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2023
- WIN, HTAYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2024
- NEWGEN ADMINISTRATIVE SERVICES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/30/2023
- COUTO, DOROTHYIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/20/2024
- SHAW, PAMELAIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/23/2023
- WIN, HTAYIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.75per resident day
RN hours0.69per resident day
Weekend nurse hours3.61per resident day
Staff turnover31.8%CMS reported field
06 / LOCAL RECORDS
Open the Fremont ledger →Other published facilities nearby
Crestwood Manor - Fremont126 beds · CMS overall 5/528 citation rowsCrestwood Treatment Center88 beds · CMS overall 5/525 citation rowsFremont Healthcare Center115 beds · CMS overall 4/559 citation rowsMission Valley Post Acute85 beds · CMS overall 4/561 citation rowsNiles Canyon Post Acute73 beds · CMS overall 5/537 citation rowsWe Care Skilled Nursing - Fremont99 beds · CMS overall 3/548 citation rows