BROADWAY VILLA POST ACUTE
1250 BROADWAY, SONOMA, CA 95476 · CCN 055987
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 144
- Avg residents/day
- 134.0
- Phone
- 7079388406
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 10 | 15.6 | 9.5 | -5.6 better |
| 2 | 2023-10-23 | 17 | 17.4 | 9.8 | -0.4 better |
| 3 | 2022-06-29 | 20 | 17.1 | 9.3 | +2.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.93 | 27.0% |
| RN staffing (reported) | 0.54 | 33.3% |
| Total nurse staffing (adjusted) | 4.22 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (47)1 immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-14 · Health · corrected 2026-01-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-24 · Health · corrected 2026-01-05
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-08 · Health · corrected 2025-09-16
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-21 · Health · corrected 2025-05-02
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-21 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-23 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-23 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-23 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-23 · Health · corrected 2025-01-29
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-01-23 · Health · corrected 2025-01-29
Potential for minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-14 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-14 · Health · corrected 2025-01-29
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0567Honor the resident's right to manage his or her financial affairs.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-23 · Health · corrected 2023-12-21
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-12 · Health · corrected 2023-05-18
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- KF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-06-29 · Health · corrected 2022-08-12
Immediate jeopardy
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-06-29 · Health · corrected 2022-07-27
Potential for more than minimal harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-06-29 · Health · corrected 2022-07-18
Potential for more than minimal harm
- EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-06-29 · Health · corrected 2022-08-09
Potential for more than minimal harm
- DF0886Perform COVID19 testing on residents and staff.2022-06-29 · Health · corrected 2022-08-12
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2022-06-29 · Health · corrected 2022-06-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE NORTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2001-08-30 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-01-30 |
| EMPEY, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| SERRANO, NOEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| WILLITS, ADAM | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2006-01-30 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in SONOMA
| Name | Overall | Beds |
|---|---|---|
| VALLEY OF THE MOON POST ACUTE | ★★★★★ | 27 |
| SONOMA POST ACUTE | ★★★☆☆ | 83 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.