Brookdale North Fremont.
Memory Care Facility in Fremont's Warm Springs Area, reviewed on public record.
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Compared to 24 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
Citation history, plotted month by month.
4 deficiencies on record. Each bar is a month with a citation.
Finding distribution
4 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Brookdale North Fremont's record and state requirements.
State records show two Type A deficiencies, meaning actual harm to residents occurred — what were the specific circumstances of these citations, and what corrective actions were implemented?
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Six complaints were filed with CDSS during the inspection period — how many were substantiated, what were the subjects, and what changes resulted from those investigations?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The one Type B deficiency cited potential for harm — what Title 22 section was violated, and how has the facility addressed the underlying issue?
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Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2026-07-07Other VisitType B · 1 finding
“Based on observation, the licensee did not comply with the section cited above by having mold on the zucchinis which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/15/2026 Plan of Correction 1 2 3 4 Staff threw the item during the visit. Deficiency cleared.”
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On 07/07/2026 at 9:2 5 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Donald Thorpe, and explained the purpose of the visit. LPA toured the facility inside and out including but not limited to 7 residents' apartments, resident bathrooms, activity room, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees Fahrenheit. The hot water temperature in a sample of residents shared bathroom were measured at 106.7, 105.7, 110.8, 110.3, 109.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Carbon monoxide detector was in operating condition during visit. Annual Fire Alarm Inspection was last conducted on 06/12/2026. Fire extinguisher was last serviced on 04/22/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/23/2026. At 10:10 AM, LPA reviewed 7 residents records. At 10:50 AM, LPA reviewed 7 staff records and 7 of 7 are associated with the facility. At 3:00 PM, LPA reviewed 2 samples of residents’ medications. Continue to LIC809... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 07/14/2026: LIC 610E Emergency Disaster Plan LIC9252 Infection Control Plan The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted with Thorpe. Appeal Rights and a copy of this report provided.
2025-07-16Annual Compliance VisitNo findings
Plain-language summary
On July 16, 2025, the state conducted an unannounced inspection after the facility reported concerns about a resident's hygiene care and lack of documentation of changes in the resident's condition. Inspectors observed the resident's room had a strong urine smell, though the resident was wearing clean clothes and the mattress had clean linens when checked. No violations were found.
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On 07/16/2025 at 10:15 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a case management visit due to receiving a self report of an SOC341 of a resident's hygiene needs not being met and the lack of documentation of resident's change in condition. LPA met with Health and Wellness Director, Jeffery Jackson, and explained the purpose of the visit. During the visit, LPA observed Resident 1's (R1's) room having a strong smell of urine. However, LPA observed R1's mattress in clean linens and R1 in clean clothing in the dining hall. LPA interviewed Health and Wellness Director and 4 staff. LPA attempted to interview 3 other staff but was unavailable during today's visit. LPA reviewed and obtained R1's after visit summary, internal incident report, physician's report, personal service plan, prescription order, progress notes, third party collaboration notes, staff schedule, staff contact list, and SOC341. LPA may return at a later time. No deficiencies cited. Exit interview conducted and a copy of this report provided.
2025-06-25Other VisitType A · 3 findings
Plain-language summary
This was the facility's required annual inspection on June 25, 2025, which found the building clean and safe overall, with adequate lighting, proper water temperature, working fire safety equipment, and current staff training and medication records. The inspector identified three issues: germicidal cleaning wipes stored near food in the kitchen, a medication cart left unlocked and unattended while staff assisted a resident, and staff unable to locate emergency drill documentation. The facility was asked to submit updated insurance and administrator paperwork by July 9, 2025, and was given the opportunity to respond to the findings.
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“Based on observation, the licensee did not comply with the section cited above by having the medication cart unlocked and unattended while the staff was assisting another resident which posed an immediate health and safety risk to persons in care. POC Due Date: 06/26/2025 Plan of Correction 1 2 3 4 Staff locked the medication cart during the visit. Deficiency cleared.”
“Based on observation, the licensee did not comply with the section cited above by having germicidal wipes near the food counter in the kitchen which posed an immediate health and safety risk to persons in care. POC Due Date: 06/26/2025 Plan of Correction 1 2 3 4 Staff removed the germicidal wipes during the visit. Deficiency cleared.”
“Based on interview, the licensee did not comply with the section cited above by not having the emergency drills documentation accessible during the visit which poses a potential safety risk to persons in care. POC Due Date: 07/09/2025 Plan of Correction 1 2 3 4 The Administrator agrees to send proof of the emergency drills conducted by POC date.”
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On 06/25/2025 at 9:15 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Health and Wellness Director, Jeffery Jackson, and explained the purpose of the visit. The Interim Executive Director was unable to come for today's visit and gave authorization for staff to sign the report. LPA toured the facility inside and out including but not limited to 6 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a sample of residents’ shared bathroom were measured at 108, 106.2, 109.5, 108.3, 109.9, and 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pan. Fire extinguisher was last serviced on 04/07/2025. Emergency Disaster Plan was last posted on 06/25/2025. First aid kit was observed to be complete. At 10:56 AM, LPA reviewed 6 residents records. At 11:30 AM, LPA reviewed 6 staff records and all have current first aid training and associated to the facility. At 2:00 PM, LPA reviewed 3 samples of residents' medications. All records were observed to be complete and up to date. Continue to LIC809-C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCLD 07/09/2025: Liability Insurance Current Administrator’s Certificate THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:12 AM, LPA observed the germicidal wipes near the food counter in the kitchen. At 10:16 AM, LPA observed the medication cart unlocked and unattended while Medtech staff was assisting another resident. At 2:27 PM, interviews with staff revealed that the facility does not know where the emergency drill documentation are stored. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.
2025-06-19Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint investigation looked into four allegations: that residents weren't being showered or changed often enough, that staffing shortages prevented laundry from being done and forced other staff into cooking duties, and that COVID-19 protocols weren't being followed. Staff confirmed residents are showered and changed regularly, laundry is managed consistently with outside services as backup, the cook position was filled with a dedicated employee rather than pulling care staff away, and COVID-positive residents are isolated with no cross-over of staff between positive and negative residents—no violations were found.
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Page 2 Allegation: Residents are not being showered timely. All 5 staff interviewed stated the residents are showered 2 or 3x per week depending on the resident’s Care Plan. If resident refused, they endorse and report to their supervisor and med-tech and the next shift care staff will try to provide shower. During investigation, LPA observed the residents were clean. Due to medical diagnosis, LPA was not able to obtain information from the 2 residents. Therefore, the allegation is closed as unsubstantiated. Allegation: Residents are not being changed timely. All the 5 staff interviewed stated residents are changed 2 to 3x times during their shift and as needed. PED stated there are some residents who still can go to the bathroom but residents are checked every 2 hours and diapers are changed as needed. LPA didn’t observe resident with urine odor. Due to medical diagnosis, LPA was not able to obtain information from the 2 residents. Therefore, the allegation is closed as unsubstantiated. Allegation: Residents needs are not being met due to a lack of staffing Reporting party (RP) stated that the laundry was not being done. RP also stated the activity director is cooking, because the cook quit and sometimes care staff were pulled to cook. All the 5 staff interviewed stated they were never pulled from the floor to cook. When the cook quit, S1 came on board to do the cooking. LPA interviewed S1 who confirmed he was the pro tem cook at that time. ........continued on 9099C (page 3) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 3 The 5 staff including the PED stated the residents never run out of clean clothing. The PED also stated the facility has 2 washers and it never happened that both are broken at the same time. When one is broken, it gets fixed right away. Two of the 5 staff stated they remember there was a year when the laundry machines were broken but the residents never run out of clean clothing because the laundry were dropped off and picked-up from the laundry service location by care staff assigned and were already washed and folded when picked-up. The 5 staff stated that during the previous years when facility had COVID-19 outbreaks and staff called off, the facility contracted with staffing agency. The PED stated that when she came on board in 2024, they didn't have problem with staffing and didn't utilize staffing agency. Due to medical diagnosis, LPA was not able to obtain information from the 2 residents. Therefore, the allegation is closed as unsubstantiated. Allegation: Staff are not following COVID protocols. RP stated there’s no designated area for the COVID-19 positive residents and staff work on both positive and negative residents. All 5 staff interviewed stated there was no cross-over of care staff from positive residents to negative residents or vice versa. The facility followed the protocol and guidance from Public Health, Community Care Licensing and Brookdale corporate. All these staff including the PED stated residents who tested positive of COVID-19 were isolated. They stated some residents who were on isolation due to medical diagnosis came out of isolation but when this happened, they redirected the residents back to their rooms or separate them from the negative residents in the common area. Due to medical diagnosis, LPA was not able to obtain information from the 2 residents. Therefore, the allegation is closed as unsubstantiated. ......continued on 9099C (page 4) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 4 Based on interviews, observation and records reviews, the four allegations were closed as unsubstantiated as t here is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted and copy of this report provided.
2025-06-06Annual Compliance VisitNo findings
Plain-language summary
On June 6, 2025, an inspector arrived unannounced to investigate a death report: a resident was found unresponsive during room checks around 2:53 AM and pronounced dead. The resident had experienced multiple falls in the preceding months with no apparent injuries; the facility had already increased nightly check-ins in response. No violations were cited during this visit.
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On 06/06/2025 at 11:50 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a case management visit in regards to death report received on 06/02/2025. LPA met with Executive Director, Simone Hall, and explained the purpose of the visit. Death Report indicated that Resident 1 (R1) was found unresponsive during room rounds and first responders pronounced R1 deceased at around 2:53 AM. LPA obtained R1's Physician's Report, Service Plan Report, and Physician's Fax Report of Falls. R1 had sustained multiple falls within the last couple months with no apparent injuries. Executive Director stated that the facility implemented for staff to do more check-ins with R1 at night, and usually R1 would be in the activity room throughout the day. Executive Director will reach out and obtain a death certificate. Executive Director will notify LPA once obtained. LPA may return at a later time. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.
2025-02-19Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint investigation was conducted at the facility. The investigator was unable to interview the resident due to dementia and found insufficient evidence to confirm the complaint, so no violation was substantiated. No deficiencies were cited during the visit.
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Continued from LIC9099 The facility followed protocol by investigating, notified R1's responsible party (RP), CLLD and hospice agencies involved. LPAs was unable to interview R1 during visit due to a dementia diagnosis. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore this allegation is UNSUBSTANTIATED. No deficiencies cited during visit. Exit interview conducted. A copy of this report provided.
2025-02-11Complaint InvestigationUnsubstantiatedNo findings
2025-01-30Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
This complaint investigation examined six allegations including staff yelling at residents, rough handling during medication administration, improper medication timing, and unmet diaper and hygiene needs, as well as understaffing concerns. All allegations were found to be unsubstantiated — inspectors could not find sufficient evidence to prove the complaints occurred, though they reviewed medication records, interviewed staff and witnesses, and observed conditions at the facility. No violations were cited.
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Page 2 Allegation: Staff (S1) yelled at residents. Reporting party (RP) stated that S1 yells at residents. One out of the 3 staff stated observing S1's voice escalates while the other 2 staff stated not observing S1 yelled at any residents. These 3 staff stated some of the residents are hard on hearing so they have to speak loud at times. One out the 2 witnesses stated observing S1 raised voice to other residents while the other witness and FM stated not observing staff yelled at residents. Resident (R1) stated the staff do not yell at him. LPA was unable to obtain information from S1. Therefore, the allegation in unsubstantiated. Allegation: Staff handled residents in a rough manner. RP stated S1 was rough with administering medications and shoved medication in the mouth of residents. All 3 staff stated not observing S1 being rough and shoving medications in the residents' mouth. One of the witnesses stated observing S1 being rough to resident R2. Due to medical diagnosis, LPA was unable to obtain information from R2. LPA was also unable to obtain information from S1. Therefore, the allegation in unsubstantiated. Allegation: Staff were mismanaging resident's medication. RP stated that S1 administers Melatonin to R2 before or during dinner time when it should be given at bedtime. RP further stated by the time RP arrives to the facility at 6:00 pm, R2 was already sleepy. One of the 3 staff interviewed stated observing S1 administers medications at 7:00 pm but this staff does not know the medications being given. The other staff stated she knew R2 has Melatonin medication but has not observed S1 administer it in the afternoon. Review of MAR showed the Melatonin is administered at night. R2's personal companion stated not observing the med-tech give Melatonin to R2 before 8:00 pm. Due to medical diagnosis, LPA was unable to obtain information from R2. LPA was unable to obtain information from S1. Therefore, the allegation in unsubstantiated. .....continued on 9099C (page 3) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 3 Allegation: Resident's diapering needs were not being met. RP stated the residents were walking around with heavy diapers. The 2 care staff stated they changed the residents' diapers at least 2 times and as needed during their shift. The 2 witnesses (R2's personal companion and Home Health staff) and FM stated not observing residents not changed nor smelly. FM stated not observing R2's diaper's wet. LPA did not observed any residents in heavy diapers nor smelly. Resident (R1) stated the staff assist when he needed help. LPA was unable to obtain information from R2 due to medical diagnosis. LPA was also unable to obtain information from the other care staff (S2). Therefore, the allegation in unsubstantiated. Allegation: Resident's hygiene needs were not being met. RP stated observing staff (S2) not wiping when changing residents and noticed residents were starting to smell. FM stated he visited almost everyday and had not observed R2 smelly and that R2 was always clean. The two witnesses stated not observing the residents smelly. Resident (R1) stated the staff assist when he needed help. LPA was unable to obtain information from the other care staff (S2). Therefore, the allegation in unsubstantiated. Allegation: Facility is short staffed. RP stated there were only 2 to 4 caregivers for 35 residents. One of the caregivers interviewed stated there were time when work was overwhelming but still able to provide the care needs of the residents. The other caregiver stated that with the staffing ratio, work was manageable. The med-tech stated facility was short-staffed when staff call-in-sick, so they work extended hours. If they find somebody to cover, it's covered, otherwise they have to adjust their schedule and work overtime. Review of LIC500 Personnel Report showed staff schedules varies which confirmed the med-tech's statement. During LPA's initial visit, the facility's census was 26 residents and LPA observed at least 3 staff on the floor and a staff from the temp agency was also present. R2 stated when he needed help, the staff assisted him. Based on all information gathered, all 6 allegations are unsubstantiate d. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted and copy of this report provided. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 2 The previous ED stated S2 is not a med-tech and does not administer medications. The 2 staff (S3 and S4) stated not observing S2 administered medications. S5 stated she's a med-tech and has completed the required medication training which LPA confirmed S5 is a med-tech upon review of LIC500 Personnel Report. Review of training records confirmed S5 has the required medication training. The resident's personal companion also stated not observing S2 administered medications. Based on information obtained, the allegation is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiency cited. Exit interview conducted and copy of this report provided.
2024-07-23Annual Compliance VisitNo findings
Plain-language summary
On July 23, 2024, inspectors conducted a routine unannounced inspection and found the facility in compliance with no violations. The physical plant, bedrooms, bathrooms, kitchen, dining areas, and outdoor spaces were all adequately equipped and furnished; food supplies, hygiene items, linens, medications, and safety equipment including fire extinguishers were properly maintained and secured. Staff background clearances were verified and resident records were reviewed.
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On 7/23/24 at 10:20 am Licensing Program Analysts (LPA) J. Clancy-Czuleger P. Manalo arrived unannounced to do an annual inspection. LPA meet with Executive Director Simone Hall and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, courtyard. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 4/31/2024. At 11:02 am LPA reviewed 6 residents records. At 12:05 pm, LPA reviewed 4 staff records and 4 of 4 were fingerprint cleared and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-06-13Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint about a resident's change in condition following a fall in May 2024. The facility's records showed that the hospice agency followed up on the fall and staff discussed the resident's increased needs with the family, and no violations were found.
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Continued from LIC9099. R1's change of condition. LPA reviewed progress notes from the facility and the hospice agency. Hospice notes dated 5/12/2024 stated there would be a follow-up visitor for R1's fall which occurred on 5/11/2024. Progress notes dated 5/30/2024 indicated there was a conversation with R1's responsible party about increased needs. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
4 older inspections from 2021 are not shown above.
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