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Reviews of Windsor Country Drive Care Center are sharply divided, with some families praising individual staff members and a clean, well-run visit, while others describe serious lapses in basic care such as slow response times, unclean rooms, and missed meals or medications. The community's 2.9 out of 5 rating across 87 Google reviews reflects this inconsistency.
AI-generated from reviews and community data.
Windsor Country Drive Care Center is a senior living community in Fremont, California offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 2.9 out of 5 across 87 reviews.
Windsor Country Drive Care Center is a skilled nursing and long-term care facility in Fremont, California, with a licensed capacity of 126 residents.
Family experiences at the center are sharply divided. Some visitors report warmly received staff, clean environments, and attentive care, one family noted their patient received "flawless care during her recovery." However, other families describe significant concerns: admission processes marked by confusion and delays, inadequate staffing that leaves residents waiting long periods for bathroom assistance, cold and unappealing food leading to weight loss, and physical layout challenges including severe room overcrowding (three beds in single rooms with minimal visitor space), limited wheelchair-accessible parking, and doors without automatic openers. One family reported their ambulatory relative was placed in diapers and discouraged from walking to the bathroom.
With a 2.9 out of 5 Google rating across 87 reviews, Windsor Country Drive Care Center shows inconsistent care quality. Prospective families should carefully evaluate current conditions and staffing practices before admission, particularly if their loved one has mobility or assistance needs.
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Help Me Choose2.9overall · 87 ratings combined
2.9★ on Google (87)
steve earl
Jul 2026
During my visit to Country Drive Post Acute this morning, the facility today and was warmly received by the staff. Staff were engaged in their work and residents appeared happy and well taken care of. The facility was free of clutter and smelled clean. I met Dorothy, the administrator. She was responsive and helpful.
shannon shannon
Jul 2026
Windsor country drive care center delivers! Our patient got a flawless care during her recovery. The care at Windsor country is memorable because of Vicky Bessabe. Our client came back to Windsor country right after her second surgery. AAAAA++++
Katherine Rubie
May 2026
I am disabled and found minimal parking available in general, and handicapped parking even less available. The sidewalk is wheelchair accessible, but there is not an automatic opener on the door. Rooms are severely overcrowded. I visited a friend there and they had 3 beds in her room with no room for a visitor to sit/stand except along the foot of the beds, which was narrow and served as the walking path from one bed to another. A large lounge with lots of seating is available, but if someone is watching the TV then it is too noisy to visit. The staff seemed friendly and available from my perspective, but my friend reported having some staff members failing to show up at all. I'm told the food there is very bland, with limited choices, and may even start out as a dehydrated product (i.e., scrambled eggs made from powder).
Liz Paz
Feb 2026
If I could give negative stars I would. My dad was sent there from Kaiser. He was in really bad shape, damn near on his death bed, but fought hard to get out of kaiser to go home. His Dr said he needed to go to rehab no later than 2 weeks. He arrived on a Tuesday. Was supposed to be at 11am. They came to get him and take him to Windsor he got there around 4:30pm. They didn't know who he was, no bed was ready for him. They put him in a dirty, smelly, dusty room with 2 other men. Day after day, my dad would call my mom to tell him what happened the night before. Then my mom would call me all panicked. Things like my dad pushed the button, no one came in and he sat in soiled gowns and sheets for hours, they didn't check on him, didn't give him his meds, he can't hear very well so they screamed in his ear when my mom told them to talk loud and slow. My dad just hears mumbling. He can read lips and if you talk slower he understands. He went days without eeping or eating and he can't afford to with his health. My mom has gone down there almost everyday to are sure he eats, sleeps, gets his meds and gets changed. On days she can't go it all goes to hell! So instead of a few steps forward, he goes a few backward. My mom calls and they say he's sleeping. He asked for help to call my mom His phone cord didn't work and she was told she could talk to him on Monday morning so from Friday afternoon to Monday morning she had to stress and worry at home not knowing what was going on because maintenance wasn't available to change a cord. It's crazy to me that they treat elders the way they do. Its disgusting. If they don't have the patience and understanding that it takes for this job, then it's the wrong job for them. There was one kind nurse that helped as much as she couldn't but she wasn't the one working everyday. My mom had called the social worker and she said she would take care of it. It was taken care of for a day or 2 max! My dad had started PT and was moving good from the last time we had saw him. So she was taking a video so she could send it to my siblings my kids and I since we all live out of state. She was told oh no videos allowed. What the hell, why not? A family friend had his aunt there for about 10 years and when he came to pick up my mom he told her it has went way down hill since he was there. I have been trying to write this review weeks ago, but everyday it was something new and worse then the last! So my dad was moved to another room a day or 2 ago. He was finally able to sleep good. He said they were nicer on that side. He even ate the food. Which means he'll be healthier. Sleep and food when youre ill promote good health! There's alot more to this story but I'm not allowed to spill that much..do to privacy laws. All I know is if you love someone, someone like a parent, a spouse or grandparents then do NOT send them here! Rehab is for helping you get back to a better you, learn to walk again and use your upper body.
Lo
Feb 2026
Not thrilled with the care my aunt had here. Even though she is ambulatory they put her in diapers and told her not to walk to the bathroom. She would have to wait forever to use the restroom. Food was cold and unappealing. She lost weight. We got her out as soon as we could. Feel bad for the ladies that have lived there for so long.
7 inspection visits in the last three years, 62 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Give residents a notice of rights, rules, services and charges.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 20, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 20, 2026
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 20, 2026
Honor the resident's right to manage his or her financial affairs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 20, 2026
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 29, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 7, 2025
Properly provide smoke detection systems in areas open to corridors.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 30, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 7, 2025
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2025
Install corridor and hallway doors that block smoke.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2025
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2025
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 7, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 7, 2025
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 7, 2025
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2025
List the names and contact information of those in the facility.
Severity C of L: potential for minimal harm, widespreadCorrected Apr 30, 2025
Provide primary/alternate means for communication.
Severity C of L: potential for minimal harm, widespreadCorrected Apr 30, 2025
Provide emergency officials' contact information.
Severity C of L: potential for minimal harm, widespreadCorrected Apr 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 14, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 14, 2023
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 28, 2023
Properly provide smoke detection systems in areas open to corridors.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 14, 2023
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 14, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 14, 2023
Install corridor and hallway doors that block smoke.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2023
Conduct testing and exercise requirements.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Install emergency lighting that can last at least 1 1/2 hours.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Have properly located and lighted "Exit" signs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Provide properly protected cooking facilities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Have simulated fire drills held at unexpected times.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 28, 2023
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 20, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Keep all essential equipment working safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2019
Provide safe, appropriate pain management for a resident who requires such services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2019
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2019
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2019
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2019
Have simulated fire drills held at unexpected times.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 20, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2019
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2019
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Windsor Country Drive Care Center offers Skilled Nursing / Long Term Care.
Windsor Country Drive Care Center is located at 2500 Country Drive in Fremont, California.
Reviews of Windsor Country Drive Care Center are sharply divided, with some families praising individual staff members and a clean, well-run visit, while others describe serious lapses in basic care such as slow response times, unclean rooms, and missed meals or medications. The community's 2.9 out of 5 rating across 87 Google reviews reflects this inconsistency.
Windsor Country Drive Care Center had 7 government inspection visits in the last three years, with 62 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
Submit the Request Information form on this page to connect with Windsor Country Drive Care Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
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