Resident 17 was admitted to the facility with physician orders for antibiotic IVs. The next day, after missing two doses of antibiotic medication, the resident was transported back to the hospital.
The pharmacy had stopped delivering IV medications to the facility entirely.
Another resident suffered longer consequences from the same pharmacy problem. Resident 3 missed three or four doses of IV antibiotic Meropenem when the medication couldn't be delivered. The resident's physician, notified of the missed doses, ordered monitoring at the facility rather than hospital transfer.
Staff B, the director of nursing services, told inspectors on September 15 that "there was an issue with the previous pharmacy when they stopped delivering IV medication to the facility." She described the missed medications as "significant" for both residents.
The administrator confirmed the pharmacy's refusal to deliver IV medications caused both residents to miss their prescribed treatments.
Federal inspectors cited the facility for failing to ensure residents received necessary pharmaceutical services. The violation occurred under medication administration requirements that nursing homes provide or obtain pharmacy services to meet resident needs.
The facility has since contracted with a new pharmacy that delivers IV medications. Staff B told inspectors this pharmacy "will bring IV medication to the facility now."
But the disruption had already forced medical decisions based on logistics rather than clinical need. While Resident 3's physician chose facility monitoring over hospitalization, Resident 17's condition required immediate hospital return after missing just two antibiotic doses.
The timing proved particularly problematic for Resident 17, whose admission process was essentially reversed within 24 hours. The resident entered the facility expecting to receive prescribed IV antibiotics, only to discover the facility couldn't provide them.
IV antibiotics typically treat serious infections that oral medications cannot address effectively. Missing multiple doses can allow bacterial infections to worsen or develop resistance to treatment.
The Broadview Center operates at 13023 Greenwood Avenue North in Seattle. The September 16 inspection followed a complaint about the facility's operations.
Neither resident's specific medical condition was detailed in the inspection report, but both required IV antibiotic therapy that physicians deemed necessary for their care. The facility's inability to secure these medications created a gap between prescribed treatment and actual delivery.
Staff B's acknowledgment that the missed medications were "significant" for both residents suggests the clinical impact extended beyond simple scheduling delays. IV antibiotics are typically prescribed when infections require immediate, aggressive treatment that cannot wait for alternative arrangements.
The facility's solution - finding a new pharmacy willing to deliver IV medications - addressed the immediate problem but came after two residents had already experienced treatment interruptions. For Resident 17, the interruption meant starting over at a different facility that could provide the prescribed care.
The violation represents a breakdown in the basic pharmaceutical services that nursing homes must provide to meet resident medical needs. When facilities cannot obtain prescribed medications, residents face delays in treatment that can affect recovery outcomes.
The Broadview Center's experience illustrates how pharmacy logistics can directly impact patient care in long-term care settings. The facility's previous pharmacy relationship ended without adequate backup arrangements to ensure continuous medication access for residents requiring specialized treatments like IV antibiotics.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Broadview Center from 2025-09-16 including all violations, facility responses, and corrective action plans.