Broadway Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Broadway Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF584Nov 19, 2023

  Based on observations, interviews, and record reviews the facility failed to provide a safe, clean, comfortable, and homelike environment, to include maintenance services necessary to maintain comfortable and safe temperature levels, for 1 of 1 facility reviewed for a safe, clean, comfortable, and homelike environment, in that: The facility presented with 2 Heating Ventilation and Air Conditioning systems [HVAC], of which 1 HVAC was not functioning causing cold interiors during the winter season. An IJ was identified on [DATE]. The IJ template was provided on [DATE] at 07:04 PM. […]

• Immediate jeopardy, patternF689Nov 19, 2023

  Based on observations, interviews, and record reviews the facility failed to ensure that the residents' environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 1 facility and 18 of 18 residents (Resident #1, #4 , #12, #14, #17, #23, #25, #38, #40, #41, #47, #48, #52, #56, #60, #64, #66, and #67) reviewed for accident hazards and supervision, in that: 1. Residents (Resident # 1, #4, #12, #14, #17, #23, #25, #38, #40, #41, #47, #48, #52, #56, #60, #64, #66, and #67) were residents who resided on the facility's memory care unit and needed supervision and safety monitoring due to their diagnoses of dementia and wander / elopement risks and were without staff care and or supervision,… […]

• Immediate jeopardy, isolatedF689Aug 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and to ensure resident receives adequate supervision to prevent accidents for 2 of 4 residents (Residents #1 and #2) reviewed for accidents and hazards. 1. The facility failed to ensure the environment was free of hazards to Resident #1 after the resident was hospitalized for suicidal ideation on 05/14/2025 and then on 08/14/2025 the resident attempted to self-infict an injury to her wrist with a razor. Resident #1 was discovered with a bleeding right wrist and a shaving razor on her bed on 08/14/2025 at 5:00 PM. 2. […]

• No harm, potential for more than minimal, widespreadF835Nov 19, 2023

  Based on observations, interviews and record review failed to ensure facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 8 (Resident #39) residents and 1 of 1 facility, in that: 1. The facility failed to maintain and or repair the 1 of 2 Heating Ventilation Air Conditioner systems [HVAC]. 2. The facility failed to maintain and or repair the call light system. 3. The facility failed to communicate and coordinate between nursing and dietary staff which resulted in Resident #39's physician ordered House supplement was not available. 4. […]

• No harm, potential for more than minimal, widespreadF919Nov 19, 2023

  41937 Based on observations, interviews, and record reviews the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside and toilet and bathing facilities, for 1 of 1 facility's reviewed for a functioning call light system for 4 of the facility's 4 halls (Halls A, B, C, and D) reviewed for resident call system, in that: The facility failed to have a functioning call light system for the census of 69 residents who resided on the facility's 4 halls, Halls A, B, C, and D. This failure could place residents at risk for injuries or neglect. […]