Berkeley Pines Skilled Nursing Center
2223 Ashby Avenue, Berkeley, CA 94705 · Alameda County · 36 certified beds · avg 35 residents/day · certified since Feb 14, 1968
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 14, 2024 | F · Potential for harm, facility-wide | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| May 12, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 13, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 13, 2019 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Sep 13, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 13, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2022 | 3 | 0 | E |
| 2024 | 14 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.31 | 4.31 | 3.95 | top 38% in California; top 29% in the U.S. |
| Registered Nurse hours | 0.50 | 0.61 | 0.69 | top 46% in California; bottom 38% in the U.S. |
| Weekend total nurse staffing | 4.32 | 3.90 | 3.50 | top 20% in California; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.51 | 0.48 | top 45% in California; top 49% in the U.S. |
| Total nursing staff turnover (%) | 43.6 | 36.7 | 45.8 | bottom 28% in California; top 46% in the U.S. |
| RN turnover (%) | 20.0 | 38.1 | 42.9 | top 19% in California; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.93, RN 0.46, weekend 3.94. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Leung, Allen | Individual | 5% or Greater Direct Ownership Interest | 34% | 01/01/2015 |
| Leung, Allen | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Leung, Allen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Leung, Allen | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Leung, Allen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Leung, Belinda | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Leung, Belinda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Leung, Belinda | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Leung, Belinda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Leung, Kenneth | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Leung, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Leung, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Leung, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ashby Care Center | 0.5 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Elmwood Care Center | 0.6 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Kyakameena Care Center | 0.7 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Chaparral House | 1.8 mi | Berkeley, CA | ★★★★★ | 4/5 | |
| The Rehabilitation Center of Oakland | 2.0 mi | Oakland, CA | ★☆☆☆☆ | 1/5 | |
| Piedmont Gardens Health Facility | 2.1 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Oakland Healthcare & Wellness Center | 2.5 mi | Oakland, CA | ★★★★★ | 4/5 | |
| McClure Post Acute | 2.7 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Medical Hill Healthcare Center | 2.7 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Lake Merritt Healthcare Center LLC | 2.9 mi | Oakland, CA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055892.