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

CHAPARRAL HOUSE

BERKELEY, CA · 49 certified beds · Last Life Safety survey September 27, 2024

CMS Certification Number 555872 · first certified July 2011

Ownership

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

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

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

33 citations — more than 89% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 9.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (October 2025 to March 2026). Most CA facilities have been surveyed by February 2027. This facility’s last Life Safety survey was September 2024. 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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5 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

10 of the 33 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)

2 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 33 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

Citations on file over three years, compared
Measure	Citations
This facility	33
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 12, 2019	11
April 20, 2023	16
December 21, 2023	2
September 27, 2024	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-09-27
K-0363	Install corridor and hallway doors that block smoke.	2	2023-04-20
E-0041	Implement emergency and standby power systems.	2	2023-04-20
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2024-09-27
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2023-04-20
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2024-09-27
K-0919	Meet requirements for the use of electrical equipment.	2	2024-09-27
K-0161	Use approved construction type or materials.	2	2023-04-20

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Emergency Preparedness Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 4
Miscellaneous Deficiencies 2
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Emergency Preparedness Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	2
Construction Deficiencies	2
Services Deficiencies	1

Every citation on file

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

September 27, 2024 — 4 citations

Citations issued on September 27, 2024
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 8, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 8, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (October 8, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (October 8, 2024)

December 21, 2023 — 2 citations

Citations issued on December 21, 2023
Tag	What the surveyor checks	Status
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (January 17, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (January 17, 2024)

April 20, 2023 — 16 citations

Citations issued on April 20, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (May 15, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (May 15, 2023)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (May 15, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (May 15, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 15, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 15, 2023)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 15, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 15, 2023)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (May 15, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 15, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 15, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 15, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 15, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 15, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 15, 2023)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (May 15, 2023)

June 12, 2019 — 11 citations

Citations issued on June 12, 2019
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 12, 2019)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 12, 2019)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (August 12, 2019)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (August 12, 2019)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (August 12, 2019)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 12, 2019)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Deficient, Provider has date of correction (August 12, 2019)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 12, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 12, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 12, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 12, 2019)

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