Ashby Care Center
2270 Ashby Avenue · Berkeley, CA · 94705 · 5108419494
31 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 26% | median 45% |
| Fines (3-yr window) | 1 · $66,134 |
Inspection citations (38 in the current record)
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Potential for harm · E March 5, 2026 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · E March 5, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 16, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 22, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 22, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 16, 2025 · Nursing and Physician Services
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Potential for harm · F May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 16, 2025 · Pharmacy Service
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Potential for harm · E May 22, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 16, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 16, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 16, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected June 16, 2025 · Infection Control
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No harm found · B May 22, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 16, 2025 · Environmental
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Potential for harm · D May 8, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 8, 2025 · Pharmacy Service
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Potential for harm · D May 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 8, 2025 · Infection Control
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Actual harm · G April 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · F October 20, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 20, 2023 · Resident Rights
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Potential for harm · E October 20, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected November 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 20, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected November 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 20, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · F October 20, 2023
Provide activities to meet all resident's needs.
Corrected November 20, 2023 · Quality of Life and Care
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Potential for harm · D October 20, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected November 20, 2023 · Quality of Life and Care
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Potential for harm · F October 20, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 20, 2023 · Pharmacy Service
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Potential for harm · D October 20, 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.
Corrected November 20, 2023 · Pharmacy Service
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Potential for harm · D October 20, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 20, 2023 · Pharmacy Service
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Potential for harm · F October 20, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 20, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 10, 2024 | Fine | $66,134 |
| April 10, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555466 · certified since May 13, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.