Broadway Villa Post Acute
1250 Broadway · Sonoma, CA · 95476 · 7079388406
144 certified beds For profit - Limited Liability company Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D February 27, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · D January 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2026 · Quality of Life and Care
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Potential for harm · D December 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · E April 21, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 2, 2025 · Environmental
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Potential for harm · D January 23, 2025
Ensure each resident receives an accurate assessment.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 29, 2025 · Quality of Life and Care
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No harm found · C January 23, 2025
Post nurse staffing information every day.
Corrected January 29, 2025 · Nursing and Physician Services
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Potential for harm · D January 14, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D January 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 23, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 21, 2023 · Resident Rights
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Potential for harm · D October 23, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 21, 2023 · Resident Rights
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Potential for harm · D October 23, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 21, 2023 · Resident Rights
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Potential for harm · D October 23, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected December 21, 2023 · Resident Rights
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Potential for harm · D October 23, 2023
Assess the resident when there is a significant change in condition
Corrected December 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 23, 2023
Ensure each resident receives an accurate assessment.
Corrected December 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 23, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 21, 2023 · Quality of Life and Care
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Potential for harm · D October 23, 2023
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected December 21, 2023 · Nutrition and Dietary
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Potential for harm · F October 23, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 21, 2023 · Nutrition and Dietary
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Potential for harm · F October 23, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 21, 2023 · Administration
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Potential for harm · E October 23, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 21, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055987 · certified since July 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.