| Mission Valley Post Acute | |
| 2400 Parkside Drive, Fremont, California 94536 | |
| (510) 793-7222 | |
| Name | Mission Valley Post Acute |
|---|---|
| Location | 2400 Parkside Drive, Fremont, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 85 |
| Occupancy Rate | 95.41% |
| Medicare ID (CCN) | 055276 |
| Legal Business Name | Fremont SNF Healthcare, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1245946938 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fremont SNF Healthcare, LLC |
| Doing Business As | Mission Valley Post Acute |
| Address | 2400 Parkside Dr, Fremont, CA 94536 |
| Phone Number | 510-793-7222 |
| NPI Number | 1285781013 |
| Match | Possible same name, address or phone number |
| Organization Name | Windsor Convalescent and Rehabilitation Center of Fremont, LLC |
| Doing Business As | Windsor Park Care Center of Fremont |
| Address | 2400 Parkside Dr, Fremont, CA 94536 |
| Phone Number | 510-793-7222 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.06 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.77 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.85 | 0.86 |
| Nurse aide hours per resident per day | 2.43 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.67 | 3.42 |
| RN hours per resident per day on the weekend | 0.61 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 33.3% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2026 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839, Administration, Complaint inspection | Potential for harm, widespread | No plan of correction |
| Jun 11, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | No plan of correction |
| May 21, 2026 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jun 21, 2026 |
| May 21, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2026 |
| May 21, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2026 |
| May 21, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2026 |
| May 21, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2026 |
| May 21, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 21, 2026 |
| Oct 10, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 28, 2024 |
| Oct 10, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Waiver has been granted |
| Mar 27, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 6, 2024 |
| Oct 21, 2021 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Oct 21, 2021 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.12 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 16.48 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.61 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.11 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.74 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.93 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.58 | 15.38 |
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