The nursing home failed to keep medication mistakes below the allowed level. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Nursing home report
MISSION VALLEY POST ACUTE
FREMONT, CA · Medicare-certified · 85 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Mission Valley Post Acute in Fremont has an overall 5-star rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. It reported 4.06 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent cited issues included medication errors and food service standards.
Facility ratings
Health inspections
Staffing
4.0553 hrs/resident/day
Quality measures
Last inspection: October 10, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0553.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.43
- Weekend nursing
- 3.67
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 33%
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
2.6%7.1%Worsening
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
1.5%2.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.5%5%Improving
Residents whose ability to walk got worse
—8.6%—
Long-stay residents on antianxiety or sleep medication
8.5%8.9%No change
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
17.9%18.6%Worsening
Residents with depressive symptoms
14.9%12.5%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Mission Valley Post Acute, previously Windsor Park Care Center of Fremont.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 81.1 residents on an average day (95% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 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.