Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ASHBY CARE CENTER

BERKELEY, CA · 31 certified beds · Last Life Safety survey May 22, 2025

CMS Certification Number 555466 · first certified May 1991

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
9
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within CA

31 citations — more than 86% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to November 2026. This facility’s last Life Safety survey was May 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility31CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
142021-0672023-10102025-05
Citations at each Life Safety survey
Survey dateCitations
June 16, 202114
October 20, 20237
May 22, 202510

Most-cited tags

Most-cited tags at this facility
K-02933K-03242K-05112K-03632K-03452K-03472K-09262K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0293Have properly located and lighted "Exit" signs.32025-05-22
K-0324Provide properly protected cooking facilities.22025-05-22
K-0511Have properly installed electrical wiring and gas equipment.22023-10-20
K-0363Install corridor and hallway doors that block smoke.22025-05-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-05-22
K-0347Properly provide smoke detection systems in areas open to corridors.22023-10-20
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.22023-10-20
K-0712Have simulated fire drills held at unexpected times.22025-05-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Egress Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Services Deficiencies3
Emergency Preparedness Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 22, 2025 — 10 citations

Citations issued on May 22, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 12, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 12, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 12, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 12, 2025)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (June 12, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 12, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 12, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 12, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 12, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 12, 2025)

October 20, 2023 — 7 citations

Citations issued on October 20, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 4, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 4, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 4, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (December 4, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 4, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 4, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (December 4, 2023)

June 16, 2021 — 14 citations

Citations issued on June 16, 2021
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 12, 2021)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 12, 2021)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 12, 2021)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (July 12, 2021)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 12, 2021)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (July 12, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 12, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 12, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 12, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 12, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 12, 2021)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (July 12, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 12, 2021)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (July 12, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.