| Broadway Healthcare Center | |
| 112 E. Broadway, San Gabriel, California 91776 | |
| (626) 285-2165 | |
| Name | Broadway Healthcare Center |
|---|---|
| Location | 112 E. Broadway, San Gabriel, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 59 |
| Occupancy Rate | 95.42% |
| Medicare ID (CCN) | 056201 |
| Legal Business Name | Ag San Gabriel LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Cambridge Healthcare Services (32 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1477547024 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ag San Gabriel, LLC |
| Doing Business As | Broadway Healthcare Center |
| Address | 112 East Broadway, San Gabriel, CA 91776 |
| Phone Number | 626-285-2165 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.86 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.37 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.07 | 0.86 |
| Nurse aide hours per resident per day | 2.42 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.76 | 3.42 |
| RN hours per resident per day on the weekend | 0.27 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 21.4% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $3,145 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 6, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 27, 2026 |
| Jan 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2025 |
| Jan 24, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 24, 2025 |
| Jan 24, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 24, 2025 |
| Jan 19, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2024 |
| Jan 19, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2024 |
| Jan 19, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.29 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.68 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.54 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 4.88 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.52 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.33 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.42 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.17 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.91 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.57 | 15.38 |
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