Chaparral House
1309 Allston Way, Berkeley, CA 94702 · Alameda County · 49 certified beds · avg 47 residents/day · certified since Jul 14, 2011
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (25)
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 |
|---|---|---|
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Jun 2, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 26, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Dec 26, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 27, 2024 | E · Potential for harm, repeated | 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. |
| Sep 27, 2024 | 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 27, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Apr 20, 2023 | E · Potential for harm, repeated | 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. |
| Apr 20, 2023 | 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. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 20, 2023 | D · Potential for harm, one-off | 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. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jun 12, 2019 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 12, 2019 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 12, 2019 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | E |
| 2023 | 8 | 0 | E |
| 2024 | 10 | 0 | E |
| 2025 | 2 | 0 | D |
| 2026 | 2 | 0 | D |
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) | 3.86 | 4.31 | 3.95 | bottom 32% in California; top 45% in the U.S. |
| Registered Nurse hours | 0.83 | 0.61 | 0.69 | top 16% in California; top 25% in the U.S. |
| Weekend total nurse staffing | 3.49 | 3.90 | 3.50 | bottom 30% in California; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.66 | 0.51 | 0.48 | top 17% in California; top 19% in the U.S. |
| Total nursing staff turnover (%) | 48.0 | 36.7 | 45.8 | bottom 18% in California; bottom 42% in the U.S. |
| RN turnover (%) | 50.0 | 38.1 | 42.9 | bottom 29% in California; bottom 39% 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 4.24, RN 0.91, weekend 3.83. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chaparral Foundation | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/08/1971 |
| Baker, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 10/01/2010 |
| Baker, Elizabeth | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2025 |
| Dillingham, Beata | Individual | Corporate Director | NOT APPLICABLE | 01/29/2025 |
| Jamali, Mehran | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/21/2025 |
| Jamali, Mehran | Individual | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Lawrence, Michele | Individual | Corporate Director | NOT APPLICABLE | 06/27/2024 |
| Ly, Son | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Ly, Son | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Mateo, Onofre | Individual | Corporate Director | NOT APPLICABLE | 06/27/2024 |
| Mateo, Onofre | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2025 |
| McNenny, Howard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| McNenny, Howard | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2025 |
| Miyazaki, Junichi | Individual | Corporate Director | NOT APPLICABLE | 10/18/2010 |
| Miyazaki, Junichi | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2025 |
| Outis, Robert | Individual | Corporate Director | NOT APPLICABLE | 05/22/2025 |
| Richardson, Ashleigh | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Stroh, Suzanne | Individual | Corporate Director | NOT APPLICABLE | 06/27/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Kyakameena Care Center | 1.2 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Elmwood Care Center | 1.3 mi | Berkeley, CA | ★★★☆☆ | 3/5 | |
| Ashby Care Center | 1.4 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Berkeley Pines Skilled Nursing Center | 1.8 mi | Berkeley, CA | ★★☆☆☆ | 2/5 | |
| Shields Nursing Center | 2.5 mi | El Cerrito, CA | ★★★★☆ | 3/5 | |
| The Rehabilitation Center of Oakland | 3.2 mi | Oakland, CA | ★☆☆☆☆ | 1/5 | |
| McClure Post Acute | 3.5 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Piedmont Gardens Health Facility | 3.5 mi | Oakland, CA | ★★★★★ | 5/5 | |
| Medical Hill Healthcare Center | 3.6 mi | Oakland, CA | ★★★★★ | 4/5 | |
| Oakland Healthcare & Wellness Center | 3.7 mi | Oakland, CA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555872.