The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Country Drive Post Acute
FREMONT, CA · Medicare-certified · 126 beds
In good standing
For-profitChain member
3 of 5 overall
Country Drive Post Acute in Fremont has an overall 3 out of 5 stars. Its staffing and quality ratings are 4 stars, health inspections are 3 stars, reported nurse staffing is slightly below the federal benchmark (3.98 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9803 hrs/resident/day
Quality measures
Last inspection: February 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9803.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.60
- Nurse aides
- 2.61
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 24%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.5%6.2%Worsening
Residents with a fall causing major injury
1.2%0%Improving
Residents with pressure ulcers (bedsores)
9%5.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.5%10.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%9.3%Worsening
Residents whose ability to walk got worse
13.1%8.9%Improving
Long-stay residents on antianxiety or sleep medication
7.7%4.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.5%21.5%Worsening
Residents with depressive symptoms
2.8%69%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.2%—
Long-stay residents given the pneumonia vaccine
86%90.8%Improving
Short-stay residents given the seasonal flu vaccine
—63.4%—
Short-stay residents given the pneumonia vaccine
55.8%67.7%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to give residents clear notice of their rights, rules, services, and charges. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 572 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of WINDSOR · 23 homes · 2.5 stars avg
- Occupancy
- 112 residents on an average day (89% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.