Fremont Healthcare Center - Fremont Nursing Home
General Information
UPDATEFederal Provider Number
56422
Provider Name
FREMONT HEALTHCARE CENTER
Provider Address
39022 PRESIDIO WAY
FREMONT, CA 94538
FREMONT, CA 94538
Provider Phone Number
(510) 792-3743
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1974-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.26147
Reported LPN Staffing Hours per Resident per Day
0.68486
Reported RN Staffing Hours per Resident per Day
1.33303
Reported Licensed Staffing Hours per Resident per Day
2.01789
Reported Total Nurse Staffing Hours per Resident per Day
4.27936
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07615
Expected CNA Staffing Hours per Resident per Day
2.59915
Expected LPN Staffing Hours per Resident per Day
0.72003
Expected RN Staffing Hours per Resident per Day
1.16278
Expected Total Nurse Staffing Hours per Resident per Day
4.48196
Adjusted CNA Staffing Hours per Resident per Day
2.13491
Adjusted LPN Staffing Hours per Resident per Day
0.78946
Adjusted RN Staffing Hours per Resident per Day
0.85660
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84869
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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