Is your loved one at Berkley West Healthcare Center?
If they fell, developed a bed sore, lost weight, were hurt or abused at Berkley West Healthcare Center, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.
Free consultation · English y Español · No fees or costs unless we win
Berkley West Healthcare Center at a glance: owner, beds and ratings
* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.
Records: Cal Health Find ↗ · Medicare Care Compare ↗
Berkley West Healthcare Center citations and inspection findings
Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.
| Date | Source | Finding | Record |
|---|---|---|---|
| July 28, 2026 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| June 25, 2026 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| June 12, 2026 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| March 19, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| February 6, 2025 | State (CDPH) | Class AA citation (Patient Care), penalty $120,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 17, 2024 | Federal (CMS-2567), Complaint | F757 – Drug Regimen is Free from Unnecessary Drugs, severity K (immediate jeopardy, a pattern) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 4, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| November 29, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| June 21, 2024 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| May 16, 2024 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| April 27, 2023 | Federal (CMS-2567), Complaint | F695 – Respiratory/Tracheostomy Care and Suctioning, severity G (actual harm, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| April 14, 2023 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
What inspectors found at Berkley West Healthcare Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
February 2025: Class AA citation and F757 (severity K) over blood pressure and pulse checks for a resident's heart medications
According to the citation, CDPH investigated a complaint involving Resident 1, who was admitted in October 2024 with heart failure, atrial fibrillation (an irregular heartbeat) and a history of a heart attack. Her physician ordered amiodarone, metoprolol, spironolactone and Entresto, each to be held if her blood pressure or pulse fell below set limits. CDPH found that in November and December 2024 nurses repeatedly held doses without recording her blood pressure or pulse, gave doses when her blood pressure was below the limits, and did not document the apical pulse (taken over the heart) ordered for amiodarone. Her physician told inspectors she was not told the medications were held or given outside the limits.
Inspectors found the electronic record had flagged a severe interaction between amiodarone and metoprolol that can cause a very slow heart rate, low blood pressure and cardiac arrest. The director of nursing acknowledged she had cleared one of the warnings and had not notified a physician. On December 9, 2024, Resident 1 received all four heart medications in the morning, and about 1 p.m. a second lidocaine pain patch with no record that the first was removed. A licensed vocational nurse stated she did not recheck vital signs before the resident left at 1:20 p.m. Staff at the assisted living facility said she showed no sign of life when she arrived, and she was pronounced dead that afternoon.
CDPH issued a Class AA citation and assessed a $120,000 penalty, which the facility has appealed. CDPH determined the violations were a substantial factor in her death. The 2567 report cited F757 (Drug Regimen is Free from Unnecessary Drugs) at severity K for the same complaint.
April 2023: F695 (severity G) after the facility had no nonrebreather oxygen mask for a resident with low oxygen levels
The 2567 report states that inspectors investigated the care of Resident 1, who was admitted in February 2023 with acute respiratory failure and congestive heart failure. On April 24, 2023, at about 5:23 p.m., she became short of breath and her oxygen saturation (the amount of oxygen in the blood) was 79 to 83 percent on room air. A licensed vocational nurse gave oxygen through a nasal cannula and then a simple face mask, but her level did not rise above 90 percent, and the nurse called 911 at 5:30 p.m.
Inspectors found the facility did not have a nonrebreather mask, a device used to deliver a high, constant flow of oxygen in an emergency. A paramedic told inspectors that when he asked for one, the nurse showed him a bag valve mask (a hand-held breathing bag) instead. Paramedics arrived at 6:09 p.m., found her oxygen level at 88 percent and placed their own nonrebreather mask, and her level rose to 96 percent. She was taken to a hospital, where a chest X-ray showed fluid or other material in the lungs. The director of nursing confirmed the facility had no nonrebreather masks at the time and said they were delivered within 24 hours after the incident.
The 2567 report states the facility did not follow its own emergency supplies policy, which called for medical supplies to be kept in adequate amounts and easy to reach. Inspectors found the missing equipment delayed a lifesaving intervention until paramedics arrived, and cited F695 (Respiratory/Tracheostomy Care and Suctioning) at severity G.
Complaints against Berkley West Healthcare Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 9 | 8 | 1 | 6 |
| 2024 | 15 | 14 | 1 | 6 |
| 2025 | 5 | 4 | 1 | 2 |
| 2026 | 7 | 5 | 2 | 1 |
Cal Health Find lists 36 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 15 of them. 7 intakes involved an allegation in CDPH’s abuse category, and 1 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.
Sexual abuse reports at Berkley West Healthcare Center
Cal Health Find lists no complaint or facility-reported incident for Berkley West Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse. That covers only what was reported to the state; if you suspect sexual abuse, report it even if nothing appears here.
Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →
Berkley West Healthcare Center lawsuits and criminal cases
Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Berkley West Healthcare Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.
What this record means for your family
California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.
Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.
Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Berkley West Healthcare Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
Free nursing home case review
We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.
Questions families ask
Has Berkley West Healthcare Center been cited by the State of California?
Cal Health Find lists 7 state citations for Berkley West Healthcare Center since 2023, including 1 Class AA and 0 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Berkley West Healthcare Center?
From 2023 through October 30, 2026, Cal Health Find lists 36 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 15 of them.
Does Medicare flag Berkley West Healthcare Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Berkley West Healthcare Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Berkley West Healthcare Center?
Cal Health Find lists no complaint or incident at Berkley West Healthcare Center since 2023 that included an allegation CDPH classified as sexual abuse. That reflects only what was reported to the state.
Where can I read reviews and complaints about Berkley West Healthcare Center?
Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.
How many beds does Berkley West Healthcare Center have?
Berkley West Healthcare Center is licensed by CDPH for 54 beds and has a CMS overall rating of 3 out of 5 stars.
Who owns or operates Berkley West Healthcare Center?
CDPH lists the licensee as ASBW, LLC. CMS lists the facility under the chain or affiliated entity Aspen Skilled Healthcare.
My parent was hurt at Berkley West Healthcare Center. What should I do?
Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.
Ask a question
Not ready to call? Write your question and someone on our team will answer. No cost, no commitment.
Hurt at Berkley West Healthcare Center? — Beverly Law
If your loved one was hurt at Berkley West Healthcare Center, talk to a California elder abuse attorney. Free, confidential, English or Spanish. You pay no fees and no costs unless we win.
Other nursing homes near Berkley West Healthcare Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Ocean Pointe Healthcare Center | Santa Monica | 0.1 mi | 3/5 | 1 | 2 |
| Pacific Post – Acute | Santa Monica | 0.1 mi | 5/5 | 0 | 0 |
| Beachwood Post-Acute & Rehab | Santa Monica | 0.2 mi | 1/5 | 3 | 5 |
| Santa Monica Health Care Center | Santa Monica | 0.2 mi | 4/5 | 1 | 3 |
| Santa Monica Rehabilitation Center | Santa Monica | 0.2 mi | 1/5 | 6 | 7 |
| Berkley East Healthcare Center | Santa Monica | 0.3 mi | 2/5 | 3 | 7 |
Methodology and sources
We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.
Sources
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
☰ Contents