Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fremont Healthcare Center during CMS and state inspections, most recent first.
The facility failed to ensure successful and timely reporting of an alleged physical altercation between two residents to required agencies. One resident with osteoarthritis and a history of MI reported being slapped and yelled at by another resident with Alzheimer’s disease, schizophrenia, and bipolar disorder. Although incident documentation was completed and faxed Elder Abuse Report Forms were attempted to the state agency and a local agency, fax communication result reports showed the pages were not sent due to no answer. Staff did not verify successful transmission, and the licensing agency did not receive notice of the alleged abuse until days later, contrary to the facility’s abuse reporting P&P.
A resident with intact cognition and a history of schizophrenia alleged that staff mistreated her during a discharge planning meeting, resulting in her calling 911. Despite the resident's report and police involvement, facility staff and the administrator did not initiate an internal investigation or report the incident as required by policy, constituting a failure to follow abuse investigation and reporting procedures.
Failure to Ensure Successful and Timely Reporting of Alleged Resident-to-Resident Abuse
Penalty
Summary
The deficiency involves the facility’s failure to follow its Abuse Investigation and Reporting policy by not ensuring that an alleged physical altercation between two residents was successfully reported to the state licensing/certification agency and a local agency. One resident, with diagnoses including osteoarthritis and myocardial infarction, reported that another resident, with diagnoses including Alzheimer’s disease, schizophrenia, and bipolar disorder, slapped her on the left shoulder and yelled at her to move out. An incident report dated 2/24/26 documented this allegation. The facility’s policy required that all alleged violations involving abuse be promptly reported to specified agencies, including the state licensing/certification agency, the Ombudsman, and law enforcement, within defined time frames depending on the nature and severity of the alleged abuse. Record review showed that on 2/25/26 the facility attempted to fax the Elder Abuse Report Form (SOC 341) and cover sheet to the state agency district manager and a local agency, but both fax transmissions failed, with the communication result reports indicating “Page Not Sent” and “No answer.” The Director of Nursing acknowledged that the fax did not go through and that the communication result reports showed an error. The Administrator confirmed that both faxes resulted in failed communication and that the error was not identified at the time, and the Unit Manager stated that someone must have placed the fax communication result report in the Administrator’s box without checking whether the fax had gone through. As a result, the licensing agency did not become aware of the physical altercation until after receiving the facility’s Abuse Investigation Summary on 2/27/26, contrary to the facility’s policy requiring immediate reporting within specified time frames.
Failure to Investigate and Report Resident Abuse Allegation
Penalty
Summary
The facility failed to follow its abuse policy and procedures by not investigating or reporting a resident's allegation of abuse to the appropriate local, state, and federal agencies. During an incident involving a resident with intact cognitive status and a diagnosis of schizophrenia, three staff members met with the resident to discuss discharge planning. The resident reported that one staff member told her she was not wanted in the facility, swung her around in her wheelchair, and hurt her left arm, prompting her to call 911. Staff interviews confirmed a meeting took place and that the resident became agitated and screamed, but staff denied the alleged abuse. Despite the resident's clear report and the involvement of law enforcement, no internal investigation was initiated, and the incident was not reported as required by facility policy. The administrator acknowledged hearing the resident scream and being aware of the police response but chose not to investigate further, citing the resident's dislike of him and his belief that no abuse had occurred. The facility's policy required assignment of an investigation for any reported or suspected incident of abuse, mistreatment, neglect, or injury of unknown source, but this process was not followed. The failure to investigate and report the resident's allegation constituted a breach of the facility's abuse investigation and reporting procedures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fremont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crestwood Manor - Fremont | 0.7 mi | — | 0 | 0 |
| Crestwood Treatment Center | 1 mi | — | 0 | 0 |
| Country Drive Post Acute | 1.1 mi | — | 4 | 0 |
| We Care Skilled Nursing - Fremont | 1.1 mi | — | 3 | 0 |
| Mission Valley Post Acute | 1.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.