Find a nursing home

Home / California / San Gabriel

Broadway Healthcare Center

112 E. Broadway, San Gabriel, CA 91776 · Los Angeles County · (626) 285-2165

59 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 056201 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 6, 2026, inspectors cited 13 health deficiencies (the California average is 15.6, the national average 9.2).

Of 43 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.86 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

21.4% of nursing staff left within the year CMS measured (California average 36.7%).

CMS links it to Cambridge Healthcare Services, an affiliated group of 32 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
25D
9E
1F
Potential for minimal harm
0A
7B
0C
February 6, 2026Standard inspection · 13 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interview and record review, the facility did not implement water sample testing (to collect and deliver for analysis a sample of water representative of the bulk of water being examined) to validate the facility's water management program control measures (actions that can be taken to reduce the potential of exposure to a hazard) on an ongoing basis to ensure the facility's water was free of waterborne (carried or transmitted by water and especially by drinking water) pathogens (any organism that can cause disease) such as legionella (a bacterium which cases legionnaires' disease [a severe form of pneumonia - lung inflammation usually caused by infection]). This failure had the potential to place the residents in the facility at risk for developing severe respiratory infection (pneumonia), which could result in residents' hospitalization, complications, and death.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper food handling practices and maintain the food service area in a clean and sanitary manner in accordance with the facility's policies and procedures (P&P) by failing to ensure:The can opener was not chipped and peeling. The garlic powder container lid was closed. Six (6) of 6 rice soup bowls were measured during lunch preparation on 2/5/2026. [...]
  3. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policy and procedure (P&P) titled, Answering the Call Light (one of the major communication technologies that link nursing home staff to the needs of residents) for three (3) of four (4) sampled residents (Residents 7, 18 and 19) reviewed for environment by:1. and 2. Ensuring Residents 7 and 19 had their call light within reach.3. Ensuring Resident 18 had a working and functional call light. These failures had the potential to put Residents 7, 18 and 19 at risk of experiencing a delay in receiving assistance from facility staff which could lead to a fall or accident.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to promote respect and dignity for two (2) of 21 sampled resident (Residents 7 and 12) reviewed for dignity when the facility did not ensure:1. Resident 7's indwelling catheter (tube that drains urine from the bladder into a drainage bag) was kept in a dignity bag (a bag used to cover and hold the catheter drainage/collection bag, so urine is not visible).2. Resident 12's soiled bib was not kept on after eating breakfast on 2/6/2026. This deficient practice had the potential to negatively impact Resident 7 and 2's self-esteem and psychosocial well-being (state of mental, emotional, and social health of an individual).
  5. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure one (1) of five (5) sampled residents (Resident 39) was free from an unnecessary psychotropic drug (any medication capable of affecting the mind, emotions, and behavior) by failing to ensure Resident 39's Ativan (medication used to treat anxiety [persistent and excessive worry that interferes with daily activities) as needed (PRN) order had a documented rationale for extended use, beyond 14 days, in accordance with the facility's policy and procedures (P&P). This deficient practice had the potential to place Resident 39 at risk for significant adverse consequences (serious negative outcomes resulting from an event, action, or situation) from the use of unnecessary psychotropic drug, which could result in impairment or decline in the residents' mental, physical condition, functional, and psychosocial statusFindings: [...]
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop a person-centered care plan (a formal process that correctly identifies existing needs and recognizes a resident's potential needs or risks to achieve healthcare outcomes) to address the use of hearing aid for one (1) of 1 sampled residents (Resident 19) reviewed for hearing. This failure had the potential to result in Resident 19 not receiving the proper care and interventions to aid in the resident's hearing. During a review of Resident 19's admission Record, the admission Record indicated the resident was initially admitted to the facility on [DATE] and readmitted [DATE] with diagnoses of Meniere's disease (a chronic inner ear disorder causing unpredictable episodes of severe vertigo [spinning], fluctuating hearing loss, tinnitus [ringing/roaring], and a feeling of fullness or pressure in the ear). [...]
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide treatment and care in accordance with the professional standards practice (authorized, authoritative guidelines established by professional bodies to define the expected behaviors, skills, ethics, and knowledge required for competent practice) for two (2) of 22 sampled residents (Resident 7 and 34) by:Failing to ensure Resident 7 was provided with a safe and appropriately sized broda chair (a special medical reclining wheelchair used in nursing homes and hospitals for residents who need extra support and positioning). On 2/4/2026, Resident 7 was observed seated in a broda chair that was too short, with both lower legs (from foot to below the resident's knee) hanging and with no support. [...]
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to provide adequate supervisions and assistant device such as front wheeled walker (FWW, a lightweight, foldable mobility aid with two fixed wheels on the front legs and rubber tips, designed to enhance stability and balance for users with limited mobility), and hourly monitoring for resident's whereabout related to wandering (aimless, disoriented, or repetitive walking by residents often leading to safety risks within the facility premises) for one (1) of two (2) sampled residents (Resident 41) reviewed for falls. On 2/4/2026 and 2/6/2026, Resident 41 was observed walking without an FWW. This deficient practice placed Resident 41 at risk for another fall which could lead to serious harm and injury to the resident. [...]
  9. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with a gastrostomy tube (GT - a surgical opening fitted with a device to allow feedings to be administered directly to the stomach common for people with swallowing problems) received the tube feeding as indicated with the physician's order for one of three sampled residents (Resident 47) reviewed for tube feeding. This deficient practice had the potential to result in Resident 47 to not receive the volume of tube feeding formula ordered, which can lead to fluid overload (a condition where excess water and sodium accumulate in the body), difficulty of breathing that can lead to resident's hospitalization and/ or death.
  10. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pain management for one (1) of two (2) sampled residents (Resident 39) reviewed for pain on 2/3/2026 and 2/4/2026, in accordance with the physician's order and facility policy. This deficient practice resulted in Resident 39 not receiving pain medication as scheduled and experiencing unnecessary pain, which had the potential to affect the resident's overall wellbeing.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to complete the Physician Discharge Summary (PDS) form for one of three sampled residents (Resident 61) reviewed for close record. This deficient practice has the potential to result in increased Resident 61's chances of re-injury after discharge home, medication errors (any preventable event that may cause or lead to inappropriate medication use or patient harm while), and improper follow-up care.
  12. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one (1) of 24 rooms (room [ROOM NUMBER]) accommodated no more than four (4) residents in each room. room [ROOM NUMBER] has five (5) residents and 5 beds. This failure had the potential for the residents' care and services not to be adequately accommodated and could have an adverse effect on the residents' safety and place the residents at risk for lack of privacy.
  13. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 14 of 24 resident rooms (rooms 108, 109, 110, 111, 112, 114, 200, 201, 202, 203, 204, 206, 211 and 215) met the square footage requirement of 80 square feet (sq. ft. - unit of measurement) per resident in a multiple resident rooms. This failure had the potential to affect the residents' personal space, decrease freedom of mobility and could compromise the provision of care.
January 24, 2025Standard inspection · 14 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision for one (1) of three (3) sampled residents (Resident 11) who was assessed as at risk for falls by leaving Resident 11 unattended in Resident 11's high back wheelchair (a wheelchair that accommodates additional trunk support) on 11/20/2024. This deficient practice resulted in Resident 11 sustaining a fall in the resident's room on 11/20/2024 around 10:35 AM. Resident 11 fell forward while seated on the high back wheelchair. Resident 11 was found lying prone (a body position in which the person lies flat with the chest down and the backup) on left side facing towards the floor. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the food service area was maintained in a clean and sanitary manner and while providing proper food handling in accordance with the facility's policy and procedure by failing to: 1. Ensure the juice machine did not contain gunk (an unpleasantly sticky or messy substance) inside the juice connector tube. 2. Ensure food container lids were closed. 3. Ensure food trays (meal trays) were in good repair and free from cracks and peels. These deficient practices had the potential to result in pathogen (germ) exposure to residents, which could place the residents at risk for developing foodborne illness ([food poisoning] with symptoms including upset stomach, stomach cramps, nausea, vomiting, diarrhea, and fever) and can lead to other serious medical complications and hospitalization.
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility staff failed to protect the confidential personal information for one of 18 sampled residents (Resident 9) by not closing the computer screen after looking up Resident 9's medical information at the Nursing Station when there were other staff, residents, and visitors in the area. This deficient practice had the potential to expose Resident 9's medical records to others and violated the resident's right for privacy and confidentiality (safeguarding the content of information including video, audio, or other computer stored information from unauthorized disclosure without the consent of the resident and/or the individual's surrogate or representative).
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure accurate assessment of the Minimum Data Set (MDS, a resident assessment tool) for one (1) of five (5) sampled residents (Resident 35) by failing to include the resident's diagnosis of schizophrenia (a mental illness that is characterized by disturbances in thought). This deficient practice had the potential for the facility to not develop and implement an individualized care plan, which could negatively affect Resident 35's overall well-being.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to revise the care plan (a formal process that correctly identifies existing needs and recognizes a resident's potential needs or risks to achieve healthcare outcomes) for one (1) of 18 sampled residents (Resident 158) in accordance with the facility policy by failing to update Resident 158's care plan on stage 2 pressure ulcer (damage to the skin and underlying soft tissue caused by prolonged pressure) to include Resident 158's non-compliance of interventions. This deficient practice had the potential for Resident 158's pressure ulcer to worsen or develop new pressure injury.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure professional standards of quality for administering oxygen was met for one (1) of one sampled resident (Resident 9) by failing to ensure Resident 9 was administered oxygen by a licensed nurse and not by a certified nurse assistant. This deficient practice had the potential to result in provision of unnecessary/incorrect care for Resident 9, which could result to harm.
  7. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of 18 sampled residents (Resident 9) was provided a communication device with the language that the Resident 9 preferred. This deficient practice prevented Resident 9 from communicating with the staff and had a potential to delay receiving appropriate care/treatment Resident 9 needed.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide grooming services for one (1) of 18 sampled residents (Resident 23) who was dependent with activities of daily living (ADLs- are activities related to personal care that include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating), in accordance with the facility's policy. This deficient practice resulted in Resident 23 having long and jagged (having rough, sharp points protruding) fingernails, potentially leading to skin injury, infection, and scarring.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary respiratory care services for one of one sampled resident (Resident 9) by failing to ensure oxygen ( a colorless, odorless gas necessary for most living organisms to breathe and function properly) was administered according to the physician's orders. This deficient practice placed Resident 19 at risk for experiencing complications such as respiratory distress (a condition that occurs when the body needs more oxygen, resulting in difficulty breathing, rapid breathing, and low blood oxygen level) that can lead to serious illness and/or death.
  10. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to accurately measure the salt content of food served for one of three sampled residents (Resident 17) who was on renal diet (a specialized dietary plan designed for individuals with kidney disease, and it aims to protect and improve the kidney function by limiting certain nutrients such as salt). This failure placed Resident 17 at risk for receiving more than the required amount of sodium (salt) which can lead to serious illness/ disease.
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its infection control policy for one (1) of 18 sampled residents (Resident 158) by failing to ensure enhanced barrier precaution (EBP, an infection control practice that involves wearing isolation gowns and gloves during high-contact activities with residents with wounds in nursing homes) was implemented to Resident 158 who has a wound. This deficient practice had the potential to result in Resident 158 developing an infection and spread of infection among staff and residents.
  12. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staffing information (list of total number of staff and the actual hours worked by the staff) was posted and placed in a visible and prominent place on 1/21/2025 and 1/22/2025 in accordance with the facility policy. This deficient practice had the potential for residents and visitors not to be informed of the facility census and staffing.
  13. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one (1) of 24 rooms (room [ROOM NUMBER]) accommodated no more than four residents in each room. Room O has five (5) residents and five (5) beds. This deficient practice has the potential for the resident's care and services to not be adequately accommodated, have an adverse effect on the residents' safety, affect provision of care and services, and place residents at risk for lack of privacy.
  14. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide the minimum of 80 square feet (sq. fl., unit of measurement) per resident in multiple resident bedrooms for 14 of 24 residents' rooms in the facility, unless granted a room waiver by the Centers for Medicare and Medicaid services (CMS). This deficient practice had the potential to result to inadequate space for resident care, mobility, and privacy of the residents.
January 19, 2024Standard inspection, Complaint inspection · 16 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview, and record review the facility failed to: 1. Administer medications timely to one (1) of four (4) residents (Resident 158) observed for medication administration. This deficient practice had the potential for Resident 158's health and well-being to be negatively impacted. 2. Include the verifying signatures of either the Director of Nursing (DON) or a Registered Nurse (RN) along with Licensed Vocational Nurse (LVN) on the Antibiotic or Controlled Drug (also known as Controlled Medication [CM] or Controlled Substance [CS, medications which have a potential for abuse and may also lead to physical or psychological dependence]) accountability logs for November 2023, December 2023, and January 2024. [...]
  2. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that its medication error rate was less than five (5)percent (%). Two (2) medication errors out of 37 total opportunities contributed to an overall medication error rate of 5.41% affecting 2 of four (4) residents observed for medication administration (Resident 44 and 110.) The medication errors were as follows: 1. Resident 44 did not receive a dose of calcium with vitamin D3 (a combination medication used as a dietary supplement to provide support to bones) as indicated on the Physician's order. 2. Resident 110 was to be administered potassium chloride (a medication used to prevent low amounts of potassium in the blood) against Resident 110's physician orders. [...]
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Remove and discard one expired insulin (medication used to regulate blood sugar levels) Humulin R (short-acting insulin) vial for Resident 17, and one expired inhalation solution for Resident 48, in accordance with manufacturer's requirements in one of two inspected medication carts (Medication Cart South Station 4.) 2. Label one inhalation treatment with an open date for Resident 36, in accordance with facility requirements in one of two inspected medication carts (Medication Cart South Station 4.) 3. [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent food contamination and the spread of foodborne illness as indicated on the facility policy when: 1. Used bottles of juice and water were found on top of the bucket that contains the dishwasher's cleaning solution. 2. A broiler and a fan that are used to airdry clean dishes were found to have dust. The broiler and fan were not on the cleaning schedule log. These deficient practices had the potential to increase the risk of food contamination and the spread of foodborne illness to the residents.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure infection control procedures were maintained for two (2) of 2 sampled residents (Residents 158 and 19) for infection control care area, as indicated in the facility policy by failing to ensure: 1. reusable medication bubble packs (medication packaging system that contains individual doses of medication per bubble) and multi-use medication bottles were disinfected (cleaning with a solution that destroys organisms) during medication administration for Resident 158. [...]
  6. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain safe, clean, comfortable sanitary and home like environment for four of five sample residents (Resident 24, 19, 38 and 3) for environment care area by failing to ensure: 1. Resident 24's gastrostomy tube (G-tube, tube inserted through the belly that brings nutrition directly to the stomach) pump was clean free of dry milk brownish in color. 2. The toilet seat cover screw in Room A's bathroom was not sticking out. 3. The side drawers in Room C did not have peeled off and missing vinyl panels leaving an exposed brown wood with sharp edges. 4. The toilet seat in Room B's bathroom was free of dry brown fecal matter and used toilet paper on the floor. 5. The hallway was free from clutter such as the shower chair with dirty bucket with dry brownish black stuff on it. [...]
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call light device (one of the major communication technologies that link nursing home staff to the needs of residents) was within reach (an arm's length) for one (1) of 18 sampled residents (Resident 208). This had the potential to result in a delay in care for Resident 208 not to receive the necessary care and services which can lead to illness or serious injury.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive resident centered care plan (a formal process that correctly identifies existing needs and recognizes a resident's potential needs or risks to achieve healthcare outcomes) to address resident's central venous catheter (a type of access used for hemodialysis [a procedure removing metabolic waste products or toxic substances from the bloodstream]) for one (1) of 18 sampled resident (Resident 160). This deficient practice had the potential to not be able to provide the specific interventions such as monitoring Resident 160's access site for bleeding and infection, which could result in harm.
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review, facility failed to meet professional standards to ensure a neurological assessment ( a group of questions and tests to check for disorders of the nervous system [sends messages back and forth between the brain and the body]) was completed for two (2) of 18 sampled residents (Resident 38 and Resident 52) who had a fall, in accordance with the facility's policy and procedure (P&P). This deficient practice had the potential to result in a delay of care and services, which could negatively affect Residents 38 and 52's overall wellbeing.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the safety for one of two sampled residents (Resident 38) for accident care area, by not monitoring and supervising the resident. This deficient practice resulted to Resident 38's fall (move downward, typically rapidly and freely without control, from a higher to a lower level) on 12/27/23 and 1/17/24.
  11. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to remove an intravenous (IV, within the vein) catheter saline lock (a thin plastic tube that is threaded into a vein, flushed with saline, and then capped off for later use) that was inserted for more than 96 hours for one (1) of 18 sampled residents (Resident 258), as indicated on the facility policy. This failure had the potential to put Resident 258 at risk for developing an infection.
  12. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure one of one sampled resident (Resident 160) for dialysis (a process by which dissolved substances are removed from a patient's body by diffusion from one fluid compartment to another across a semipermeable membrane) care area, who was receiving hemodialysis (process of removing waste products and excess fluid from the body) treatment was provided dialysis care and services in accordance with the facility policy. This deficient practice had the potential for Resident 160 to suffer from complications such as bleeding or infection from the central venous catheter (a catheter [thin tube] that is placed under the skin in a vein, allowing long-term access to the vein.
  13. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure there was a Registered Nurse (RN) on duty for at least eight (8) consecutive hours on 10/1/23, 11/12/23 and 12/10/23 to ensure all the residents' clinical needs were met either directly by the RN or indirectly by the Licensed Vocational Nurses (LVNs) or Certified Nurse Assistants (CNAs) for whom the RN was responsible for overseeing resident care. This deficient practice had the potential for delay in care and services and have the potential for harm to residents.
  14. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to maintain accurate medical records for one (Resident 49) of 18 residents when Resident 49's three vaccination (vaccines, medication given to provide protection from certain diseases) declination forms were not completed. This failure had the potential to put Resident 49 at risk for missing future opportunities to be vaccinated.
  15. B
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    F911 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one (1) of 24 rooms (Room O) accommodated no more than four residents in each room. Room O have four residents and five beds. This deficient practice has the potential for the resident's care and services to not be adequately accommodated, have an adverse effect on the residents' safety, affect provision of care and services, and place residents at risk for lack of privacy.
  16. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 12, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide the minimum of 80 square feet (sq. ft., unit of measurement) per resident in multiple resident bedrooms for 14 of 24 residents' rooms in the facility, unless granted a room waiver by the Centers for Medicare and Medicaid services (CMS). This deficient practice had the potential to affect the ability to provide a home like environment to the residents.

Fire safety inspections

11 fire safety citations on file: 5 on February 6, 2026, 2 on January 24, 2025, 4 on January 19, 2024.

Every fire safety citation11 citations
  1. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 6, 2026 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 6, 2026 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 6, 2026 · Corrected (the home has a date of correction)
  4. C
    Have simulated fire drills held at unexpected times.
    K 712 · February 6, 2026 · Corrected (the home has a date of correction)
  5. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 6, 2026 · Corrected (the home has a date of correction)
  6. F
    Conduct testing and exercise requirements.
    E 39 · January 24, 2025 · Corrected (the home has a date of correction)
  7. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 24, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 19, 2024 · Corrected (the home has a date of correction)
  9. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 19, 2024 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 19, 2024 · Corrected (the home has a date of correction)
  11. C
    Provide emergency officials' contact information.
    E 31 · January 19, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)3.864.523.86
Registered nurses0.370.670.69
All nursing staff on weekends3.764.093.42
Nurse aides2.42
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)21.4%36.7%45.8%
Registered nurse turnovernot reported38.1%42.9%
Administrators who left0

CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.90 on weekdays and 3.76 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 3.86 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.860.373.903.76 0.0%0 of 9056
Oct to Dec 20253.870.343.953.66 0.0%0 of 9255
Jul to Sep 20253.810.313.883.64 0.0%0 of 9257
Apr to Jun 20253.850.323.933.63 0.0%0 of 9156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for California

JobMedianMiddle halfEmployed
California, all employers
CNAs (nursing assistants)$22.90$22.04 to $26.35110,060
LPNs and LVNs$38.34$35.98 to $45.0682,850
Registered nurses$67.44$58.87 to $83.25338,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Broadway Healthcare Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.310.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.51.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.39.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.24.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.612.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.511.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.82.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Broadway Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

54.8% this home

No different from the national rate

US median of homes 51.5% · California: 301 better, 190 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 98 eligible stays.

Potentially preventable readmissions

8.7% this home

No different from the national rate

US median of homes 10.7% · California: 10 better, 22 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 110 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · California: 8 better, 48 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 54 eligible stays.

Self-care and mobility at discharge

40.7% this home

Median of homes: California59.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 54 residents counted.

Falls with major injury

0.0% this home

Median of homes: California0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 90 residents counted.

New or worsened pressure ulcers

2.7% this home

Median of homes: California0.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 90 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: California96.2% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: AG SAN GABRIEL LLC. CMS links this home to Cambridge Healthcare Services, a group of 32 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Ag Facilities Operations, LLC5% or greater direct ownership interestOrganization100%07/24/2003
Ira E Smedra Living Trust5% or greater indirect ownership interestOrganization48%07/24/2003
Win Win Enterprises, LLC5% or greater indirect ownership interestOrganization48%07/24/2003
Moore, AmandaManaging control - governing bodyIndividual05/08/2023
Thong, RithyManaging control - governing bodyIndividual10/14/2024
Smedra, IraCorporate officerIndividual07/24/2003
Wintner, JacobCorporate officerIndividual07/24/2003
Cambridge Healthcare Services LLCOperational/managerial controlOrganization06/11/2018
Butenko, JulieOperational/managerial controlIndividual07/24/2023
Capela, HeidiOperational/managerial controlIndividual04/03/2023
Chien, OscarOperational/managerial controlIndividual09/09/2013
Gimino, RovelynOperational/managerial controlIndividual02/28/2025
Hassell, LanceOperational/managerial controlIndividual04/25/2022
Lutz, LindaOperational/managerial controlIndividual02/01/2012
Moore, AmandaOperational/managerial controlIndividual05/08/2023
Salazar, PaulinaOperational/managerial controlIndividual12/14/2020
Thong, RithyOperational/managerial controlIndividual10/14/2024
112 E. Broadway, LLCAdp of the SNFOrganization10/01/2023
Cambridge Healthcare Services LLCAdp of the SNFOrganization06/11/2018
Preferred BankAdp of the SNFOrganization09/02/2024
Professional Directions for Health CareAdp of the SNFOrganization05/23/2013
Win Win Enterprises, LLCAdp of the SNFOrganization10/01/2023
Butenko, JulieAdp of the SNFIndividual07/24/2023
Capela, HeidiAdp of the SNFIndividual04/03/2023
Chien, OscarAdp of the SNFIndividual09/09/2013
Hassell, LanceAdp of the SNFIndividual04/25/2022
Lutz, LindaAdp of the SNFIndividual02/01/2012
Moore, AmandaAdp of the SNFIndividual05/08/2023
Salazar, PaulinaAdp of the SNFIndividual12/14/2020
Thong, RithyAdp of the SNFIndividual06/02/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on February 6, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 8 problems in this area, most recently on February 6, 2026: "Make sure that a working call system is available in each resident's bathroom and bathing area."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on February 6, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 6, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.76 hours per resident per day, below the California average of 4.09.

Other nursing homes nearby

Assisted living in San Gabriel

Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.

Assisted living in California

California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Broadway Healthcare Center's Medicare star rating?
CMS rates Broadway Healthcare Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Broadway Healthcare Center get at its last inspection?
13 health deficiencies at the standard inspection on February 6, 2026. The California average is 15.6.
Has Broadway Healthcare Center been fined?
CMS lists no fines in the last three years.
Does Broadway Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Broadway Healthcare Center?
CMS lists 30 owners and managers, and links the home to Cambridge Healthcare Services. Legal business name: AG SAN GABRIEL LLC.

Sources

Find a nursing home Read an inspection