Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055136

Berkley West Healthcare Center

77 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $101,046.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
77
Total citations
77
Last 3 years
2
Actual harm+
1
Federal penalties
$101,046
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning17 Quality of Care14 Medication & Pharmacy13 Resident Rights12 Nutrition & Dietary5

Most common F-tags at this facility

F8804 F7614 F6903 F7603 F6373

Citation history

77 on record
SurveyF-TagViolationSeveritySource
Jan 8, 2026F880Provide and implement an infection prevention and control program.DStandard
Jan 8, 2026F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Jan 8, 2026F760Ensure that residents are free from significant medication errors.DStandard
Jan 8, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 8, 2026F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jan 8, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 8, 2026F583Keep residents' personal and medical records private and confidential.DStandard
Jun 20, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Mar 3, 2025F660Plan the resident's discharge to meet the resident's goals and needs.EComplaint
Dec 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Dec 22, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Dec 22, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.KComplaint
Dec 22, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Dec 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Nov 10, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Nov 10, 2024F880Provide and implement an infection prevention and control program.DStandard
Nov 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Nov 10, 2024F803Ensure 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.EStandard
Nov 10, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Nov 10, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Nov 10, 2024F761Ensure 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.EStandard
Nov 10, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Nov 10, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Nov 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Nov 10, 2024F637Assess the resident when there is a significant change in conditionDStandard
Nov 10, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Nov 10, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Nov 10, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Nov 10, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Aug 7, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 26, 2024F641Ensure each resident receives an accurate assessment.EComplaint
May 22, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
May 17, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 15, 2024F687Provide appropriate foot care.DComplaint
May 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
May 15, 2024F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.FComplaint
Feb 2, 2024F761Ensure 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.DComplaint
Feb 2, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Feb 2, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Feb 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 2, 2024F637Assess the resident when there is a significant change in conditionDComplaint
Feb 2, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Dec 21, 2023F908Keep all essential equipment working safely.EComplaint
Dec 21, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
Oct 16, 2023F880Provide and implement an infection prevention and control program.EStandard
Oct 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 16, 2023F761Ensure 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.EStandard
Oct 16, 2023F758Implement 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.EStandard
Oct 16, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Oct 16, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Oct 16, 2023F732Post nurse staffing information every day.DStandard
Oct 16, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Oct 16, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 16, 2023F687Provide appropriate foot care.DStandard
Oct 16, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Oct 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 16, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Oct 16, 2023F637Assess the resident when there is a significant change in conditionDStandard
Oct 16, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Oct 16, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 16, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jun 9, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jun 9, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 24, 2023F761Ensure 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.EComplaint
May 24, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 10, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
May 10, 2023F695Provide safe and appropriate respiratory care for a resident when needed.GComplaint
Apr 26, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Apr 25, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $101,046 .

DateTypeFinePayment denial
Dec 22, 2024Fine$101,046—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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