Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at We Care Skilled Nursing - Fremont during CMS and state inspections, most recent first.
The facility did not monitor visitors entering and exiting the building, as visitors were observed coming and going without signing in or out at the front desk. A family member of a resident with an anxiety disorder reported seeing visitors bypass the front lobby desk and voiced concern for the resident’s safety. The DON and front lobby receptionist confirmed there was no requirement for visitors to check in or out, and there was no visitor sign-in log in place, despite a facility visitation policy that allows for reasonable clinical and safety restrictions to protect residents’ health, safety, security, and rights.
A resident with multiple diagnoses, including subacute osteomyelitis of the right ankle and foot, reported that while showering and having requested to be left alone, staff opened the shower room door multiple times, causing distress. A CNA acknowledged opening the door despite a sign indicating the shower was in use and hearing the resident yell before quickly closing it. An LVN also opened the shower room door after seeing a shower wheelchair in the hallway, assuming the room was empty, and only then changed the sign to "in use" when the resident yelled. These actions conflicted with the facility’s dignity policy requiring respect for residents’ private space.
A resident with multiple diagnoses, including muscle weakness, experienced an unwitnessed fall resulting in a head laceration and hospitalization. Licensed nurses responded and called emergency services, but the DON did not report the incident to CDPH, contrary to state regulations and facility policy.
Failure to Monitor Visitor Entry and Exit to Ensure Resident Safety
Penalty
Summary
The facility failed to ensure a safe environment by not monitoring visitors entering and exiting the building. A family member of a resident with an anxiety disorder reported observing visitors coming into and leaving the facility without checking in or out at the front lobby desk and expressed concern for her mother's safety. Review of the resident’s admission record confirmed the diagnosis of anxiety disorder. During an observation in the lobby with the DON, surveyors saw visitors entering and exiting without signing in or out, and there was no designated visitor sign-in log at the front desk. The DON stated that visitors were not required to check in or out, and the front lobby receptionist confirmed there was no such requirement. Review of the facility’s Visitation policy, dated 2001, showed that visitation may be subject to reasonable clinical and safety restrictions to protect residents’ health, safety, security, and rights, but the facility was not implementing a visitor sign-in/sign-out process at the time of the observations and interviews.
Failure to Protect Resident Privacy During Shower
Penalty
Summary
The facility failed to maintain a resident's privacy during showering. The resident, admitted in September 2025 with multiple diagnoses including subacute osteomyelitis of the right ankle and foot, reported that while he was taking a shower and had asked caregivers to leave him alone in the bathroom, staff opened the shower door multiple times. The resident stated he was very upset and distressed when this occurred. The incident involved staff entering the shower room despite the resident's expressed desire for privacy while bathing. Interviews with staff confirmed that the shower room door was opened while the resident was inside. A CNA stated she was walking in the hallway, saw the shower wheelchair outside the room and a sign on the door indicating the shower was in use, but opened the door anyway; the resident immediately began yelling, and she then closed the door quickly, acknowledging that staff should not open the shower door when the sign shows it is in use. An LVN stated she also saw the shower wheelchair in the hallway, thought no one was in the shower room, and opened the door, at which point the resident started to yell and she changed the sign to "in use" and left. The facility’s dignity policy, revised February 2021, states that each resident shall be cared for in a manner that promotes well-being, self-worth, and self-esteem, and that residents’ private space and property are to be respected at all times.
Failure to Report Resident Fall with Injury to State Authorities
Penalty
Summary
The facility failed to comply with Federal, State, and local laws and professional standards when it did not report an unusual occurrence involving a resident to the California Department of Public Health (CDPH) as required by state regulation (22 CCR S 72541). The incident involved a resident with multiple diagnoses, including muscle weakness, who experienced an unwitnessed fall. The fall resulted in a 2 cm laceration with moderate bleeding to the back of the resident's head. Licensed nurses responded to the incident after hearing a loud noise, found the resident on the floor, and noted active bleeding. Emergency services were called, and the resident was transported to the hospital for evaluation and returned to the facility the following day. During an interview, the Director of Nursing (DON) confirmed that the incident was not reported to CDPH, stating the belief that the injury was not significant enough to require reporting. However, the facility's own policy and procedure for Unusual Occurrence Reporting, as well as state regulations, require reporting of such events that affect the health, safety, or welfare of residents. The failure to report this incident constituted noncompliance with applicable laws and professional standards.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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Illustrative
What surveyors actually found near you
We read the 682 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fremont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Valley Post Acute | 0.1 mi | ★★★★★ | 0 | 0 |
| Country Drive Post Acute | 0.1 mi | ★★★★★ | 4 | 0 |
| Crestwood Treatment Center | 0.1 mi | ★★★★★ | 1 | 0 |
| Niles Canyon Post Acute | 1 mi | ★★★★★ | 6 | 0 |
| Fremont Healthcare Center | 1.1 mi | ★★★★★ | 30 | 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 July 2026) and official state health department websites.