Inspection citations
16’19
9’23
7’25
4’26
36 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Feb 23, 2026 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Feb 23, 2026 | D · potential | Honor the resident's right to manage his or her financial affairs. | Complaint |
| Feb 23, 2026 | E · potential | Give residents a notice of rights, rules, services and charges. | Complaint |
| Feb 23, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Aug 8, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 24, 2025 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Apr 24, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Apr 24, 2025 | F · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Apr 24, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 24, 2025 | E · potential | 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. | Routine |
| Mar 6, 2025 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| May 18, 2023 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 18, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| May 18, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 18, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 18, 2023 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| May 18, 2023 | D · potential | 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. | Routine |
| May 18, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 18, 2023 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| May 18, 2023 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 21, 2019 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 21, 2019 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Mar 21, 2019 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 21, 2019 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 21, 2019 | D · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Mar 21, 2019 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Mar 21, 2019 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Mar 21, 2019 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Mar 21, 2019 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 21, 2019 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Mar 21, 2019 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 21, 2019 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 21, 2019 | E · potential | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Routine |
| Mar 21, 2019 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 21, 2019 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 21, 2019 | E · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Country Drive Post Acute
2500 Country Drive, Fremont, CA 94536 · (510) 792-4242
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055885
- Certified beds
- 126
- Legal owner
- Windsor Country Drive Care Center, LLC
- Part of
- Windsor
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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