The nursing home failed to maintain a complete facility assessment, a federal requirement that forces administrators to catalog their resources and evaluate risks before disasters strike. When inspectors asked for documentation on September 16, administrators admitted they simply couldn't find it.
"No, we can't find it," Staff C, the administrator, told inspectors when asked about appendices that should have detailed the facility's medical and non-medical equipment. A second appendix listing contracts and agreements with outside providers for emergency services was also missing.
The facility's written assessment, dated July 10, referenced these missing documents. Appendix 1 was supposed to outline equipment descriptions. Appendix 2 should have contained contracts and agreements with third parties who would provide services during normal operations and emergencies.
Neither existed in any form inspectors could review.
Staff A, the interim administrator, confirmed the documentation gap alongside Staff C during the afternoon interview. The admission came after inspectors discovered the facility assessment lacked other required components, including facility-based and community-based risk assessments that help administrators prepare for local emergencies.
"No, but I can include it," Staff C said when asked about the missing risk assessment.
The facility's own policy, dated October 1, states that assessments must be conducted annually "to determine and update the capacity to meet the needs of and competently care for the residents during day-to-day operations." But the actual assessment fell short of federal requirements designed to ensure nursing homes can function during crises.
The documentation problems extended beyond missing paperwork. The facility's July assessment incorrectly stated that The Broadview Center "does not admit active COVID-19 patients." During the inspection, Staff C contradicted this written policy, telling inspectors the facility could admit COVID-19 patients and acknowledging "the facility assessment needed to be updated to reflect that."
This contradiction highlighted a broader problem with the facility's understanding of its own capabilities and policies during health emergencies.
Federal regulations require nursing homes to conduct comprehensive assessments that account for their resident population's specific needs and the resources necessary to meet those needs around the clock. The assessments must include detailed inventories of equipment, staffing plans, and partnerships with outside organizations that could provide critical services during emergencies.
These requirements became particularly important during the COVID-19 pandemic, when nursing homes nationwide struggled with supply shortages, staffing crises, and unclear emergency protocols. Facilities that lacked proper assessments often couldn't quickly identify what resources they needed or which outside partners could help during the crisis.
The Broadview Center's missing documentation meant inspectors couldn't verify whether the facility had adequate medical equipment for emergencies, sufficient agreements with hospitals for patient transfers, or contracts with suppliers for essential items during disruptions.
The facility houses vulnerable elderly residents who depend on consistent medical care and may require immediate evacuation or specialized treatment during emergencies. Without proper risk assessments, administrators can't anticipate which residents might need priority care during crises or what additional resources they would require.
Emergency preparedness assessments also help facilities coordinate with local emergency management agencies, hospitals, and other nursing homes during community-wide disasters. The missing community-based risk assessment meant The Broadview Center hadn't formally evaluated local hazards that could affect operations, from severe weather to power outages.
The inspection occurred as a complaint investigation, suggesting someone had raised concerns about the facility's operations that prompted federal scrutiny. The assessment failures affected many residents, according to the inspection report, though the violations were classified as causing minimal harm or potential for actual harm.
The facility's policy dated October 1 was newer than the deficient assessment from July, indicating administrators were aware of requirements but hadn't updated their actual documentation to meet federal standards.
The Broadview Center operates at 13023 Greenwood Avenue North in Seattle, serving residents who rely on the facility's ability to provide continuous care regardless of external circumstances. The missing emergency preparedness documentation left fundamental questions unanswered about whether the facility could protect and care for these vulnerable residents when they need it most.
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.