Broadway Nursing & Rehab: Missing Physician Records - TX
Not one.
The administrator and the director of nursing told inspectors that the nurse practitioner progress notes for three residents, identified in the inspection report as Resident 2, Resident 4, and Resident 5, would all be signed by each resident's attending physician. Then, when inspectors asked to see those records, the administrator and director of nursing said they were unable to provide written physician progress notes for any of the three. They could not produce a history and physical for any of them either.
The facility's own policy made the expectation plain. A physician services document, dated August 2020, required attending physicians to evaluate residents at least every 30 days during the first 90 days after admission, and at least once every 60 days after that. Every visit was to be documented in the resident's health record. Physicians were required to write and sign progress notes. They were required to provide written, signed orders for diet, care, diagnostic tests, and treatment. The policy described health record documentation not as a courtesy but as a core physician responsibility.
Broadway's administrators confirmed the policy existed. They could not show that anyone had followed it for these residents.
Physician progress notes are not paperwork for their own sake. They are the mechanism by which a nursing home tracks whether a resident's condition is changing, whether a treatment is working, whether a new symptom warrants a different approach. Without them, the record of what a physician observed, decided, or ordered for a resident can disappear entirely. A nurse practitioner may see a resident and document the visit, but if the attending physician is not reviewing, countersigning, and building their own record of the resident's trajectory, gaps open in the clinical picture that no one may notice until something goes wrong.
The inspection report does not describe what medical conditions Resident 2, Resident 4, or Resident 5 were living with. It does not say how long each had been at the facility, or whether the absence of physician documentation had any direct effect on their care. What the report does say is that the administrator acknowledged the gap and could offer nothing to fill it.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting some residents. That classification sits in the middle of CMS's harm scale, below the most serious findings but above a paperwork technicality. Inspectors determined the missing records were not a documentation delay or a misfiled chart. The facility's leadership said the records did not exist to be produced.
Broadway Nursing & Rehabilitation operates at 8223 Broadway in San Antonio. The complaint inspection was completed March 27, 2026.
What the three residents whose records could not be found knew about any of this, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Broadway Nursing & Rehabilitation from 2026-03-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 18, 2026 · Our methodology
Broadway Nursing & Rehabilitation in SAN ANTONIO, TX was cited for violations during a health inspection on March 27, 2026.
They could not produce a history and physical for any of them either.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.