The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
ASHBY CARE CENTER
BERKELEY, CA · Medicare-certified · 31 beds
In good standing
For-profit
3 of 5 overall
ASHBY CARE CENTER has an overall rating of 3 out of 5 stars. Its strengths are staffing (4/5) and quality measures (5/5), but health inspections are lower at 2/5, reported nurse staffing is below the federal benchmark (3.67 vs. 4.1 hours per resident per day), and there were 0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6656 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6656.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.74
- Nurse aides
- 2.45
- Weekend nursing
- 3.73
Hours per resident per day.
Total staff turnover: 26%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—41.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
—4.8%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—3.5%—
Residents who were physically restrained
4.5%0%Improving
Residents needing more help with daily activities
—10%—
Residents whose ability to walk got worse
—3.2%—
Long-stay residents on antianxiety or sleep medication
—4.8%—
Residents with a long-term catheter
—6.3%—
Residents with new or worsening incontinence
—3.3%—
Residents with depressive symptoms
4.8%4.3%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—76.2%—
Long-stay residents given the pneumonia vaccine
13.6%20.8%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited October 2023 — widespread issue, potential for harm.
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F-Tag 565 — 42 CFR §483.10 — S/S: F
The home failed to provide activities that met all residents’ needs. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $66,134 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Apr 10, 2024
- $66,134
Federal fine
Apr 10, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 26.1 residents on an average day (84% of 31 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.