Nursing Care Index

Broadway Healthcare Center

San Gabriel, Los Angeles County, California · CCN 056201 · For-profit (LLC) · part of Cambridge Healthcare Services (32 facilities, chain average 2.5 stars)

CMS rates Broadway Healthcare Center 3 of 5 overall as of August 2026. 59 certified beds, 56 residents a day on average. 43 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $3,145.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing3.85959 hours per resident per day
Registered nurses0.36512 hours per resident per day
Weekend total3.75617 hours per resident per day
Nursing staff turnover21.4%
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-27
2026-02-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-27
2026-02-06 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-27
2026-02-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-27
2026-02-06 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · tag F0911
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2026-02-27
2026-02-06 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2026-02-27
2025-01-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-01-24 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-24 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-12
2025-01-24 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-01-24 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · tag F0911
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-01-24
2025-01-24 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-01-24
2024-01-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 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.
Nursing and Physician Services Deficiencies · tag F0727
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-12
2024-01-19 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · tag F0911
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-02-12
2024-01-19 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-02-12

Fines and payment denials

DatePenaltyAmount
2023-09-05Fine$3,145

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Ag Facilities Operations, LLC
Organization
5% or greater direct ownership interest100%2003-07-24
Ira E Smedra Living Trust
Organization
5% or greater indirect ownership interest48%2003-07-24
Win Win Enterprises, LLC
Organization
5% or greater indirect ownership interest48%2003-07-24
112 E. Broadway, LLC
Organization
adp of the snf2023-10-01
Cambridge Healthcare Services LLC
Organization
adp of the snf2018-06-11
Preferred Bank
Organization
adp of the snf2024-09-02
Professional Directions For Health Care
Organization
adp of the snf2013-05-23
Win Win Enterprises, LLC
Organization
adp of the snf2023-10-01
Cambridge Healthcare Services LLC
Organization
operational/managerial control2018-06-11
Butenko, Julie
Individual
adp of the snf2023-07-24
Capela, Heidi
Individual
adp of the snf2023-04-03
Chien, Oscar
Individual
adp of the snf2013-09-09
Hassell, Lance
Individual
adp of the snf2022-04-25
Lutz, Linda
Individual
adp of the snf2012-02-01
Moore, Amanda
Individual
adp of the snf2023-05-08
Salazar, Paulina
Individual
adp of the snf2020-12-14
Thong, Rithy
Individual
adp of the snf2025-06-02
Smedra, Ira
Individual
corporate officer2003-07-24
Wintner, Jacob
Individual
corporate officer2003-07-24
Moore, Amanda
Individual
managing control - governing body2023-05-08
Thong, Rithy
Individual
managing control - governing body2024-10-14
Butenko, Julie
Individual
operational/managerial control2023-07-24
Capela, Heidi
Individual
operational/managerial control2023-04-03
Chien, Oscar
Individual
operational/managerial control2013-09-09
Gimino, Rovelyn
Individual
operational/managerial control2025-02-28
Hassell, Lance
Individual
operational/managerial control2022-04-25
Lutz, Linda
Individual
operational/managerial control2012-02-01
Moore, Amanda
Individual
operational/managerial control2023-05-08
Salazar, Paulina
Individual
operational/managerial control2020-12-14
Thong, Rithy
Individual
operational/managerial control2024-10-14

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Los Angeles County.