Berkley East Healthcare Center
2021 Arizona Ave · Santa Monica, CA · 90404 · 3108295377
207 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 4.66 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $58,205 |
Inspection citations (120 in the current record)
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Potential for harm · E March 6, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Ensure each resident receives an accurate assessment.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 26, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 26, 2026 · Environmental
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Potential for harm · D June 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · D April 29, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E December 19, 2024
Keep residents' personal and medical records private and confidential.
Corrected January 10, 2025 · Resident Rights
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Potential for harm · D December 19, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
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.
Corrected January 10, 2025 · Nursing and Physician Services
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Potential for harm · E December 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 10, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
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 January 10, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
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 January 10, 2025 · Pharmacy Service
-
Potential for harm · E December 19, 2024
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.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · D December 19, 2024
Keep all essential equipment working safely.
Corrected January 10, 2025 · Environmental
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Potential for harm · D November 21, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 15, 2024 · found via complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 5, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 6, 2024 | Fine | $42,770 |
| June 6, 2024 | Payment Denial | 2 days |
| January 16, 2024 | Fine | $15,435 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555748 · certified since October 21, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.