Country Drive Post Acute
2500 COUNTRY DRIVE, FREMONT, CA 94536 · CCN 055885
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 126
- Avg residents/day
- 112.8
- Phone
- 5107924242
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-24 | 7 | 15.6 | 9.5 | -8.6 better |
| 2 | 2023-05-18 | 9 | 17.4 | 9.8 | -8.4 better |
| 3 | 2019-03-21 | 17 | 17.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Nursing and physician services | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.81 | 36.9% |
| RN staffing (reported) | 0.59 | 35.3% |
| Total nurse staffing (adjusted) | 3.63 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- WINDSOR
- Facilities in chain
- 19
- Chain avg overall
- 2.30 / 5
Inspection citations (33)1 actual harm
- EF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-24 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-24 · Health · corrected 2025-05-07
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-24 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-04-24 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0761Ensure 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.2025-04-24 · Health · corrected 2025-05-07
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-06 · Health · corrected 2025-03-14
Actual harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-25 · Health · corrected 2023-08-14
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-18 · Health · corrected 2023-06-14
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2019-03-21 · Health · corrected 2019-04-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WINDSOR NORCAL 13 HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-04-01 |
| 9560 PICO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| ANTELOPE HOLDINGS I, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-03 |
| PICO AR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| ROBIN, AARON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| TRESS, AVROHOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| ROBIN, AARON | Individual | CORPORATE OFFICER | — | 2023-08-14 |
| TRESS, AVROHOM | Individual | CORPORATE OFFICER | — | 2023-08-14 |
| SHAW, PAMELA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-06-30 |
Other facilities in FREMONT
| Name | Overall | Beds |
|---|---|---|
| MISSION VALLEY POST ACUTE | ★★★★★ | 85 |
| NILES CANYON POST ACUTE | ★★★★★ | 73 |
| CRESTWOOD TREATMENT CENTER | ★★★★★ | 88 |
| CRESTWOOD MANOR - FREMONT | ★★★★★ | 126 |
| WE CARE SKILLED NURSING - FREMONT | ★★★☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.