Complaint Investigation

Elmwood Care Center

September 18, 2025 · Berkeley, CA · 2829 Shattuck Avenue

Citations 2

CMS Rating 3/5

Beds 74

Provider ID 555819

Healthcare Facility

Elmwood Care Center

Berkeley, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

ELMWOOD CARE CENTER in BERKELEY, CA — inspection on September 18, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0573

Resident Rights Deficiencies

Potential for More Than Minimal Harm

Federal health inspectors cited ELMWOOD CARE CENTER in BERKELEY, CA for a deficiency under regulatory tag F-F0573 during a complaint investigation conducted on 2025-09-18.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of ELMWOOD CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-15.

FF0880

Infection Control Deficiencies

Potential for More Than Minimal Harm

During an interview on 9/18/25 at 1:42 p.m. with Infection Preventionist (IP), IP stated the doors to COVD-19 isolation rooms should have been kept closed and that Resident 2 and Resident 3 should have remained in their rooms until completing the required 10-day isolation period to prevent the spread of COVID-19 to other residents and staff. IP further stated without adherence to COVID-19 prevention practices, cases could increase, and the outbreak would continue.

During a record review of the facility's undated policy and procedure (P&P), titled, COVID-19 Clinical Protocol, the P&P indicated, 5.

Exposed resident/s to symptomatic resident or staff with potential or positive COVD-19 should remain in their respective room.13.

Ensure staff adhere to hand hygiene and appropriate use of PPE when going in and coming out of isolation room.19.

Room door should be kept closed except when entering or leaving the room, and entry and exit should be minimized.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BERKELEY, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ELMWOOD CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.