John C. Fremont Healthcare District Dp/Snf
5189 Hospital Road · Mariposa, CA · 95338 · 2099663631
16 certified beds Government - Hospital district Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
96% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 6.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 5.83 | ≈ weekday level |
| Nursing turnover / year | 96% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D February 10, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 28, 2026 · Resident Rights
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Potential for harm · D February 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 10, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2026
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.
Corrected February 28, 2026 · Pharmacy Service
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Potential for harm · F February 10, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 28, 2026 · Nutrition and Dietary
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Potential for harm · E February 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2026 · Nutrition and Dietary
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Potential for harm · F February 10, 2026
Provide and implement an infection prevention and control program.
Corrected February 28, 2026 · Infection Control
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Potential for harm · D February 10, 2026
Keep all essential equipment working safely.
Corrected February 28, 2026 · Environmental
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Potential for harm · F February 10, 2026
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 28, 2026 · Administration
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Potential for harm · E August 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · F August 8, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 3, 2024 · Nursing and Physician Services
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Potential for harm · F October 20, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 21, 2022 · Nursing and Physician Services
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Potential for harm · D October 20, 2022
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.
Corrected November 21, 2022 · Pharmacy Service
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055283 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.