The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
BROADWAY VILLA POST ACUTE
SONOMA, CA · Medicare-certified · 144 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
5 of 5 overall
BROADWAY VILLA POST ACUTE has a 5-star overall rating, with 4 stars for health inspections and 5 stars for staffing and quality measures. It has a recent federal penalty with $22,580 in fines over the last 24 months, and reported nurse staffing is 3.99 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.9863 hrs/resident/day
Quality measures
Last inspection: July 2, 2026Penalties, last 24 months: $22,580recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9863.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.91
- Nurse aides
- 2.46
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5%6%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.1%3.9%Worsening
Residents with a urinary tract infection
0%2.6%Worsening
Residents who lost too much weight
1%2.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1%2%Worsening
Residents whose ability to walk got worse
6.3%5.3%Improving
Long-stay residents on antianxiety or sleep medication
11.2%14.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
4.4%5.1%Worsening
Residents with depressive symptoms
8.2%6.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%99.2%Worsening
Short-stay residents given the seasonal flu vaccine
—99.3%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 850 — 42 CFR §483.70 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- PENALTY
A federal fine of $13,870 was recorded.
- PENALTY
A federal fine of $8,710 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $22,580 in total fines.
- $13,870
Federal fine
Jul 2, 2026
- $8,710
Federal fine
Jul 2, 2026
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 137.1 residents on an average day (95% of 144 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.