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Berkeley Pines Skilled Nursing Center

2223 Ashby Avenue, Berkeley, CA 94705 · For profit - Corporation · 36 certified beds · (510) 649-6670 Medicare & Medicaid certified

Call the home — (510) 649-6670 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 21 lower-level deficiencies on record (see below)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 17% of its spending goes to commonly-owned related companies
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3031 Telegraph Ave Ste 234 · (510) 548-9114 · Call to confirm hours
Pharmacy
2929 Telegraph Ave · (510) 843-3201 · Call to confirm hours
Grocery
3000 Telegraph Ave · (510) 649-1333 · Call to confirm hours
Park
3039 Halcyon Ct · (510) 849-1969 · Typically dawn to dusk
Place of worship
3100 Telegraph Ave · (510) 848-8821

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.9%10.2%15.4%better
Long-stay residents who lose too much weight4.3%4.0%5.4%better
Long-stay residents with a catheter left in their bladder6.2%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms5.5%7.3%6.5%better
Long-stay residents who were physically restrained0.0%0.4%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.5%1.6%3.3%typical for the state — see note marked double-dagger below the table
Long-stay residents whose ability to walk worsened16.6%9.8%16.1%typical
Long-stay residents on antianxiety or hypnotic medication4.1%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine97.1%98.2%95.3%typical
Long-stay residents with pressure ulcers9.5%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control4.5%10.2%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table13.1%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.06U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.83
LPN hours/ resident / day
2.65
Aide hours/ resident / day
3.93
Total nurse hours/ resident / day
0.40
RN hoursweekends
43.6%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 36 beds and averages 35.2 residents a day — about 98% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.94 hrs/resident/day on weekends vs 3.93 on weekdays — about the same on weekends as weekdays. RN hours go from 0.49 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

14
deficiencies at the latest standard inspection (2024-03-14)
3
at the previous standard inspection (2022-05-12)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Fcited before2024-03-14 · tag F0727 — failed to provide required RN coverage — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to have a registered nurse (RN) on duty for eight hours a day, seven days a week, when there was no RN coverage for 149 days from October 2022 through December 2023. This failure had the potential to place all 36 residents at risk during emergencies when RNs were not available to provide assessment and licensed nursing services. Findings: During an interview on 3/12/24, at 4:10 p.m., with licensed vocational nurse (LVN) 2, LVN 2 stated there were no RNs on duty on the weekends. LVN 2 stated RN coverage was important for initial resident assessments and for emergency resident assessments. During an interview on 3/12/24, at 4:28 p.m. with Administrator (ADM), ADM stated they did not have an RN on duty on the weekends. During a concurrent interview and record reviews on 3/13/24, at 10:30 a.m., with ADM, the documents titled, PBJ (Payroll Based Journal) Staffing Data Report from 10/1/22 through 12/31/23 were reviewed. ADM stated they could not unsubstantiate any days listed on the reports that indicated there was no RN coverage.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0801 — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, and review of facility documents, the facility failed to: 1. Comply with Federal regulations related to the oversight of food service operations when the facility did not have a full-time dietitian and the requirements were not met as specified in established standards (California Code, Health and Safety Code - HSC § 1265.4) for food service managers which required, employment of a full-time, qualified dietetic supervisor when the dietitian was not full time. The lack of a qualified, competent, full-time supervisor resulted in staff not having adequate supervision, training, and knowledge to carry out Food and Nutrition Services in a safe and sanitary manner. 2. Ensure the Registered Dietitian (RD) provided sufficient consultation to the Food and Nutrition Services department. The lack of full-time, competent oversight of food and nutrition staff and lack of sufficient consultation from the RD placed 35 residents who received food from the kitchen at risk for food borne illness (illness caused by food contaminated with bacteria, viruses,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0802 — failed to prepare enough nourishing food — widespread
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility document review, the facility did not ensure proper kitchen staff competency for testing sanitizer strength, checking the dish machine temperature, and the use of the 2-compartment ware washing sink. The failure to ensure staff competency for kitchen tasks related to safety and sanitation in the kitchen placed 35 residents who received food from the kitchen at risk for illness from cross contamination of utensils, as well as food borne illness. Findings: 1. During a concurrent observation and interview with [NAME] 1 on 03/12/24 at 1:26 p.m., [NAME] 1 demonstrated how to test the strength of the quaternary ammonia (quat) sanitizer solution used for sanitizing surfaces in throughout the kitchen, including food contact surfaces. [NAME] 1 filled the red sanitizer bucket from a quat sanitizer dispensing hose by the dirty side of the dish machine. The dispensing hose was connected to a box labeled Quaternary. The sanitizer in the red bucket was very foamy. [NAME] 1, dipped sanitizer test strip into bucket for 5 seconds. It could not be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0803 — failed to meet residents' dietary needs — widespread
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure: 1. A Vegetarian menu was available for a Vegetarian resident; and 2. Residents received what was on the lunch menu including: a. Broccoli Salad b. Tropical Fruit Mold c. Oven Roasted Potatoes d. Green Beans with Red Peppers These failures had the potential to result in decreased nutrient intake resulting in weight loss and/or malnutrition for 35 residents who received food from the kitchen. Findings: 1. Review of the admission Record for Resident 22, showed she was admitted to the facility on [DATE] with diagnoses including but not limited to prediabetes, and deficiency of B group vitamins. A record review of Resident 22's physician's orders showed her current diet was Regular, no meat, no chicken, no seafood, only vegetarian. The record showed the diet order was started on 12/27/21. A record review of Resident 22's Nutrition Care Plan, dated, 11/05/21, showed the physician prescribed diet was Regular Vegetarian Diet Allergy -…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility document review, the facility failed to ensure food was palatable in regard to taste and temperature. This failure had the potential to result in decreased food consumption for 35 residents who received food from the kitchen. Findings: During and interview on 3/11/24 at 9:44 a.m., Resident 5 stated food should be hotter. Resident 5 further added breakfasts especially comes cold. During an interview on 3/11/24 at 1:16 p.m., Resident 10 stated all the food was bland. During an observation of trayline food service and a concurrent interview with [NAME] 1 on 3/11/24 at 11:40 a.m., [NAME] 1 stated he did not measure the temperature of the chicken when it was removed from the oven, and he did not measure the temperature of any food on trayline. [NAME] 1 stated he took the temperature of food sometimes. The temperature of three random pieces of chicken on trayline were measured with a calibrated thermometer and were 100.2 degrees Fahrenheit (F), 127 degrees F, and 129.4 degrees F. On 3/11/24 at 12:28 p.m., a test-tray was sampled in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-03-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review and observation, the facility did not ensure that food was stored, prepared, and served in a safe and sanitary manner when the following was noted: 1. Time Temperature Control for Safety (TCS; food which requires time and temperature controls to limit the growth of illness causing bacteria) food temperatures were not measured after food was cooked. 2. The food thermometers were not sanitized. 3. The food thermometers were not calibrated. 4. Fish was not thawed safely. 5. The kitchen cabinets, shelving, drawers, and walls were not clean and had peeling paint. 6. The floor in the dry storage room was not clean. 7. The kitchen ceiling lights were not in clean condition. 8. Food preparation utensils and equipment were not cleaned and/or maintained in good condition. 9. A kitchen microwave was not maintained in clean condition. 10. A wooden countertop was not in clean condition. 11. An industrial can opener was not maintained in clean condition. 12. Two cutting boards were not maintained in clean or good condition. 13. Coolers (refrigerator and freezers)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-14 · tag F0813 — widespread
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility document review, the facility failed to safely store food brought in by family and visitors for residents. This failure had the potential to result in decreased intake of food as well as result in foodborne illness for 35 residents who ate food by mouth. Findings: Review of the facility's undated policy and procedure titled Foods Brought by Family/Visitors, showed perishable foods must be stored in re-sealable containers with tight fitting lids in the refrigerator. Containers will be labeled with the resident's name, the item and the use by date. The nursing staff is responsible for discarding perishable foods on or before the use by date. Home-prepared and home-preserved foods are permitted if brought by the family or visitors for the individual resident. This P&P did not provide guidance regarding timeframes for use-by dates. An observation and consecutive interview with [NAME] 1 on 3/11/24 at 10:41 a.m., showed a paper bag with Resident 16's name and room number were handwritten on the outside of the bag stored in the reach-in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-14 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to store controlled medications (medications with a high potential for abuse and addiction) in a secure manner to limit potential for diversion, ensure two emergency kits (e-kit; a kit/box containing medications and supplies for immediate use during a medical emergency) were replaced timely after being opened or contents used/expired, and medication cart controlled drug accountability sheets (a record used to reconcile inventory of controlled medications in the medication cart by the outgoing and incoming nurse during a shift change) were signed for the outgoing and incoming nursing shifts. The facility failed to develop and implement a policy and procedure (P&P) to secure chain of custody of discontinued controlled medications, and ensure controlled substance medications were accurately accounted for on the medication administration record (MAR) and the Controlled Drug Record (CDR) for one of five randomly selected residents (Residents 35).…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-14 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility had a 10.34% error rate when three medication errors out of 29 opportunities were observed during a medication pass for seven residents (Residents 7, 28, and 29). This failure resulted in medications not being given in accordance with the prescriber's orders and the manufacturer's specifications, with the potential to affect the residents' clinical conditions. Findings: During a medication pass observation on 3/11/24 at 11:30 a.m. with Licensed Vocational Nurse 1 (LVN 1), LVN 1 was observed preparing Humulin N insulin (a medication to treat diabetes, the body's inability to regulate blood sugar) 10 units for Resident 28. LVN 1 removed the vial from medication cart and drew up the medication into the syringe without mixing/rolling the vial first. A review of Resident 28's medical record indicated a physician's order, dated 1/5/24, for Humulin N 100 units/milliliter (u/ml, a unit of measurement) pen, inject 10 units subcutaneously (under the skin)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-14 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to monitor and log medication refrigerator temperatures twice daily, to store food items separately from medications in the medication storage room refrigerator, to timely dispose of refused/unused medications, to remove an expired insulin (a medication for the regulation of blood sugar) pen from the medication cart, to ensure nursing staff locked medication carts when unattended, and to store discontinued controlled substances in a permanently affixed storage space. The deficient practices had the potential for unauthorized staff and residents to access medications, for residents to receive medications with unsafe and reduced potency, and for residents to suffer hazardous cross-contamination to their medications. Findings: During a concurrent observation and interview with the Director of Nursing (DON) in the medication room on 3/11/24 at 10 a.m., the medication refrigerator temperature logs dated March 2024 were reviewed. The logs indicated on seven occasions in March 2024, both a.m. and p.m. temperatures were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · E2024-03-14 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility failed to prepare pureed food in a form appropriate for a pureed diet. This failure had the potential for four residents who received a pureed therapeutic diet to aspirate (to inhale food into the lungs resulting in choking and/or aspiration pneumonia) while their eating food. Findings: An observation during trayline food service on 3/11/24 at 11:40 a.m., showed [NAME] 2 placed all pureed diets on divided plates (a plate divided into 3 sections by raised dividers; a divided plate can separate food as well as provide additional surfaces to push against when trying to get food on a fork or a spoon). The tray tickets for Residents 4, 14, 16, and 19 showed they were on a pureed diet and the tray tickets did not indicate the residents required a divided plate. On 3/11/24 at 12:28 p.m., a test-tray was sampled in the presence of the Food and Nutrition Services Director (FNSD). The texture of the pureed green beans was very thin and runny. In an interview on 3/12/24 at 10:15 a.m., RD1 stated pureed food should be firm and hold its shape. RD1 also stated pureed food should be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-14 · tag F0808 — failed to follow doctor-ordered diets — pattern
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure residents (Residents 4, 6, 8, 12, 16, 19, 21, 25, 29, 30, 31, 34) received physician prescribed Fortified Diets. The failure to ensure 12 residents received Physician prescribed Fortified Diets placed them at potential risk for decreased caloric intake and possible malnutrition and/or weight loss. Findings: A record review showed Physician's Order Sheets showed the following residents were prescribed a diet including Fortified and the date the diet was prescribed: Resident 4 - Fortified ordered 11/8/23 Resident 6 - Fortified ordered 2/13/24 Resident 8 -Fortified, ordered 12/19/23 Resident 12 Fortified ordered 3/27/23 Resident 16 - Fortified, ordered 6/19/23 Resident 19 Fortified, ordered 1/30/24 Resident 21 - Fortified, ordered 7/9/23 Resident 25 Fortified, ordered 12/9/22 Resident 29 - Fortified, ordered 2/13/24 Resident 30 - Fortified ordered 8/18/22 Resident 31 - Fortified ordered 3/5/24 Resident 34 - Fortified ordered 9/29/23 During an observation of lunch tray line food service on 03/11/24 at 11:40…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-14 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain an effective pest control program when ants were observed in the the residents ' dining/ activity room on 3/12/24 through 3/14/24. This failure had the potential to result in the transfer of bacteria and placed a risk for food-borne illness to the residents who used the dining/ activity room. During multiple observations on 3/12/24, and 3/13/24, in the resident dining/activity room, multiple ants were observed crawling on the walls and tables. During an interview on 3/13/24, at 10:28 a.m., with Administrator (ADM), ADM was notified there were ants in the resident dining/activity room. ADM stated pest control comes monthly. During a concurrent observation and interview on 3/14/24, at 11:00 a.m., with Certified Nursing Assistant (CNA) 2, in the resident dining/activity room, CNA 2 stated residents used the room for dining and activity. CNA 2 stated there was a good amount of ants on the walls and residents may not like it. During a concurrent observation and interview on 3/14/24, at 11:05 a.m., with…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-14 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview and facility document review, the facility failed to ensure essential equipment was maintained when there were no stopper/plugs available for the two-compartment sink. This failure did not allow for one piece of equipment to used for dishwashing as intended. Findings: During and interview and observation on 3/12/23 at 1:46 p.m., [NAME] 1 described how he would use the two-compartment sink for warewashing in the case the dish machine was out of order. He stated the sinks would be filled, one with water for washing, and one with a sanitizer solution for sanitizing. However, he stated there were no stoppers to plug the drain holes for the sinks to be filled. Review of the facility policy and procedure titled 3-Compartment Procedure for Manual Dishwashing dated 2023, showed three compartment sink washing procedures are to be initiated when the dishwasher is inoperable. Supplies needed included but were not limited to drain stoppers.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-05-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure that food was stored under sanitary conditions when multiple undated and expired food items were stored in the freezer, refrigerator and the dry storage room. This deficient practice had the potential of putting residents at risk for food-borne illness. Findings: During an observation on 5/9/22 at 9:25 a.m. in the kitchen, an unlabeled container of purple liquid and an open can of condensed milk with no open dates or use by dates were observed on a shelf. During an observation and concurrent interview with the Dietary Supervisor (DS) on 5/9/22 at 9:27 a.m. in the kitchen, the following was observed in freezer #1: one bag of sweet potatoes, one box containing nine mini chocolate cakes, one sandwich bag with a slice of banana cream pie, one grilled cheese sandwich, one bag containing eight blueberry muffins, one bag with five English muffins, five bags containing six slices of French toast each, and one bag of tortillas with no received dates or use by dates; three pie shells with a use by date of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-05-12 · tag F0727 — failed to provide required RN coverage — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to schedule a registered nurse (RN) for at least eight consecutive hours a day, seven days a week. This failure had the potential to place residents at risk during emergencies. Findings: During an interview on 05/12/22 7:46 a.m. with Administrator (ADM), ADM stated that the facility does not have an RN to schedule on weekends. ADM stated that the RN's role is supervision. ADM stated the Director of Nursing (DON) is available on-call on the weekends and does not stay for eight hours. During an interview on 05/12/22 8:43 a.m. with ADM, ADM stated the last time an RN worked on the weekend, was 4/9/22. ADM stated the RN's role is for resident assessments and emergencies. ADM stated there was always a potential for emergencies. ADM stated for emergencies on the weekend, the DON can be there in 15 to 20 minutes. During a record review of Licensed Nurse Schedule, dated April 2022, the schedule indicated a registered nurse was not scheduled to work on 4/3/22, 4/10, 4/16, 4/17, 4/23, 4/24, and 4/30/22. During a record review of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to monitor the hours of sleep for one of one (Resident 30) sampled residents who used Trazadone (a medication used to treat depression and decrease anxiety and insomnia related to depression). This deficient practice had the potential to result in Resident 30 taking Trazadone unnecessarily. Findings: During a review of the Resident 30's admission Record, dated 5/11/22, the admission record indicated Resident 30 was admitted to the facility on [DATE] with multiple diagnosis that included major depressive disorder ( a mood disorder that causes a persistent feeling of sadness, loss of interest and can interfere with daily functioning). During a review of Resident 30's Physician's Orders, dated May 2022, the physcian orders indicated Resident 30 had an order for Trazadone 25 mg ( start date 1/14/22) by mouth every night at bedtime for depression manifested by lack of sleep. During an interview and concurrent record review with the Director of Nursing (DON) on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-09-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review, the facility failed to store food in a sanitary manner when thawing meat was not stored below and separately from other foods. This failure had the potential to result in foodborne illness. Findings: During an observation and concurrent interview on 9/10/19, at 9:25 a.m., a box of pasteurized eggs and an open box of four-ounce cartons of strawberry milk shakes were stored on the bottom shelf of the refrigerator next to thawing raw chicken. Dietary Supervisor (DS) stated the milk shakes were served directly to residents. The DS stated cross-contamination of raw foods on the surfaces of ready-to-drink/eat foods can occur and make residents sick. Review of the facility's policy and procedure titled, Food Preparation, dated 2018, indicated directions to store raw poultry (chicken) separately from ready-to-eat food to prevent cross contamination. Review of the facility's policy and procedure titled, Thawing of Meats, dated 2018, indicated directions to thaw meat on the bottom shelf below ready-to-eat foods.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-09-13 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, record review, the facility failed to ensure the garbage storage area was maintained in a sanitary condition when one of two garbage dumpsters located outside the building did not have a closed lid and was overflowing with garbage bags. This failure had the potential to lure and harbor disease carrying pests to spread germs. Findings: During an observation on 9/10/19, at 8:45 a.m., one of two dumpsters had an open lid with garbage bags overflowing. During an observation on 9/10/19, at 4 p.m., one of two dumpsters had an open lid with garbage bags overflowing. During an observation on 9/11/19, at 8:45 a.m., one of two dumpsters had an open lid with garbage bags overflowing. During an interview on 9/11/19, at 8:58 a.m., the Dietary Supervisor (DS) stated the lids on the garbage dumpsters should be closed to eliminate spread of infection. Review of the facility's undated policy titled, Garbage Storage Areas indicated .garbage container lids should be closed

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-09-13 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, for one of 12 (Resident 27) sampled residents, the facility failed to ensure accurate labeling of a medication when there was inaccurate labeling for Resident 12's Lantus (medication for high blood sugar). This failure had the potential for Resident 27 to receive the wrong medication dose. Findings: Review of Resident 27's admission Record indicated Resident 27 was admitted to the facility with diagnoses that included Diabetes Mellitus (a disorder that causes high blood sugar in the bloodstream). Review of the Physician's Orders (POs), dated 8/6/19, indicated an order for Resident 12 to receive 38 units of Lantus 100 units/milliliter (u/mL) subcutaneously (below the skin) every morning. The POs also indicated Resident 12 was to receive 30 units of Lantus 100 u/mL subcutaneously every evening. During an observation and concurrent interview on 9/11/19, at 9:37 a.m., Licensed Vocational Nurse (LVN) 1 held Resident 12's Lantus 100 unit/ml that indicated Resident 12 was to receive 32 units of Lantus every morning. LVN 1 stated Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-09-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, for one (Resident 135) of 12 sampled residents, the facility failed to follow infection control practices to prevent spread of infection. Licensed Vocational Nurse (LVN 1) did not perform hand hygiene (wash hands with soap and water or use an alcohol-based hand rub) in between multiple glove changes. For Resident 135, this deficient practice had the potential to result in infection. Findings: Review of the admission Record, printed 8/29/19, indicated Resident 135 was admitted to the facility with diagnoses that included a broken leg. Review of Resident 135's Physician's Order, dated 9/10/19, to receive wound care dressing change to the sacrum (a large, triangular bone at the base of the spine) every day and as needed for soiling or dislodgement. During an observation and concurrent interview on 9/12/19, at 1:05 p.m., Licensed Vocational Nurse (LVN) 1 first removed the old wound dressing, then changed gloves, applied new gloves, and cleaned the wound. Then LVN 1 changed gloves a second time, and applied a medication to the wound.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
LEUNG, ALLENIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL34%since 01/01/2015
LEUNG, BELINDAIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2015
LEUNG, KENNETHIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2015

CMS files one row per role, so the 13 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$4.6M
Net patient revenuemost recent cost report
-16.4%
Operating marginrevenue minus expenses
$920K
Related-party expense17% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 14%Other / private 2%

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $920K paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$452per resident / day
operating cost
$13,744per month
≈ monthly operating cost
$388per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the California Medicaid page.

Typical monthly cost in California
$12,167/mo
Nursing home (semi-private)
$15,178/mo
Nursing home (private)
$7,000/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 055892. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-03-14, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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