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Nursing Home Investigative

Berkley East Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2021 Arizona Ave, Mid-City · Santa Monica, CA 90404207 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 149 Google reviews

5
4
3
2
1
Berkley East Healthcare Center Nursing Home in Santa Monica, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (16 vs median 13.0)

Below average in CA · Critically understaffed (RN) · Above recommended total nurse staffing · Below chain average · $58,205 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as their rehab programs are consistently rated as top-tier. However, families should be vigilant about monitoring call light response times and ensure that communication with the nursing staff remains consistent, as some reviewers have noted delays in assistance during night shifts.

Google Reviews

Google Reviews

149 reviews on Google
Berkley East Healthcare Center is highly regarded for its exceptional physical and occupational therapy programs and a clean, modern, hotel-like environment. While many families praise the compassionate nursing and CNA staff, there are recurring reports of slow response times to call buttons and occasional difficulties with communication from administration.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean9.0Activities7.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Clean and well-maintained modern facility
  • Compassionate and professional nursing staff
  • High-quality rehabilitation services

Concerns

  • Slow response times to call buttons (mentioned by 5 reviewers)
  • Understaffing leading to brusque care (mentioned by 3 reviewers)
  • Difficulty reaching administration/social services via phone (mentioned by 3 reviewers)
  • Inconsistent food quality (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'15(1)'18(2)'21(8)'24(24)'26(24)

Distribution · 154 analyzed

5
102
4
11
3
3
2
2
1
36
12 reviews posted between Jun 29, 2020Jul 2, 2020 · 12 were 5-star

How They Respond to Reviews

93%response rate
Good

The owner provides highly personalized responses to positive reviews, frequently naming specific staff members and acknowledging details about patient recovery. For negative reviews, the owner maintains a professional tone, acknowledging concerns and offering direct contact with administration to resolve issues.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; how do you tailor those rehabilitation services to a resident's specific goals?
  • 2Since it's important to us that our loved one stays connected with family, what is the best way for us to reach the administration or social services team if we have a quick question?
  • 3How do you ensure that call buttons are answered promptly, especially during the busier shifts or overnight hours?
  • 4Could you tell us more about the daily dining experience and how the menu is planned to ensure consistent, high-quality meals for everyone?
  • 5What specific protocols are in place to ensure medication management is handled accurately and consistently every day?
  • 6In the event of a medical emergency after hours, what is the process for notifying the family and coordinating with outside physicians?

Personalized based on this facility's data


Key Review Excerpts

The facility is first rate and the care is fantastic. Also, the physical therapy was really good and helped my recovery immensely.

Rehab patient · 2026★★★★★

The staff was kind, patient, and truly supportive, which gave our family so much peace of mind. They treated him with dignity and compassion every day.

Memory care family member · 2026★★★★★

The nurses on the 4th floor where my mom is are angels every single one of them are the most wonderful people I have ever met.

Long-term resident's family · 2025★★★★★
Source: 149 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
4.92hrs
OK
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
15.3%
CA
10.5%
Los angeles
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.5%
Mixed vs Avgs
Here
13.5%
US
19.5%
CA
13.7%
Los angeles
10.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
15.5%
CA
11.7%
Los angeles
11.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.8%
CA
93.2%
Los angeles
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
3penalties
Near state avg (15.4)
82 complaint-triggered
$58,205 in fines

This facility has serious concerns with frequent family-filed complaints triggering most deficiencies across multiple care areas. The most recurring problems involve medication management errors, safety hazards and accident prevention, and care planning failures. While all issues show correction dates, the persistent pattern of complaint-driven deficiencies indicates ongoing quality problems, with families repeatedly having to report concerns about abuse protection, nursing care competency, and infection control.

Mar 6, 2026Routine
14
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jun 9, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

May 1, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Apr 29, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Mar 24, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 19, 2024Routine
16
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Federal Penalties

Fine

Jun 6, 2024

$42,770

Payment Denial

Jun 6, 2024

2-day denial

Fine

Jan 16, 2024

$15,435

Ownership & Operations

Who Operates This Facility

Owner / Operator

Berkley East Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Aspen Skilled Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 3.5/5 · Rank 31 of 34

Ownership & Management

Owners

Asmb, LLC

Owner · Organization

100%

Aspen Skilled Healthcare INC

Owner (parent company) · Organization

Jacaranda Healthcare Group LLC

Owner (parent company) · Organization

Key personnel

Caslmon, TimothyManaging Control - Governing BodyThompson, StephenManaging Control - Governing BodyBradshaw, JeffreyOfficer / DirectorBrady, VernOfficer / DirectorCase, RyanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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