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Complaint Investigation

The Broadview Center

Inspection Date: September 16, 2025
Total Violations 13
Facility ID 505416
Location SEATTLE, WA
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0558

like a “reasonable” request.

Level of Harm - Minimal harm or potential for actual harm

RESIDENT 3Review of Resident 3's care plan for preferences dated 12/02/2019 and revised on 01/07/2025 showed Resident 3 preferred bed baths.

Residents Affected - Few

In an interview on 09/08/2025 on 3:27 PM, Resident 3 stated, “I prefer bed baths, and I prefer to get them two times a week. A long time ago I was asked if I would like to take showers or bed baths. I chose bed baths because I don't like getting out of bed to take a shower. I told the staff I would like to receive two bed baths a week in the evening.

Review of Resident 3's EHR, under task- ADL Bathing/Showering, showed Resident 3 was scheduled for a shower/bath every Sunday and Thursday evening and as needed. The task further showed Resident 3 did not receive bed baths two times a week from 08/13/2025 to 08/25/2025.

In an interview and joint record review on 09/11/2025 at 2:43 PM Staff E RCM stated, we recently went to

interview and update all the residents shower preferences and care planned their choices, I know Resident 3 preferred bed baths. In a joint record review of Resident 3's EHR under task showed Resident 3 did not receive bed baths two times a week per Resident 3's preference from 08/13/2025 to 08/25/2025. Staff E also stated Resident 3 refused at times and that all refusals should be documented. Further joint review of

the task record dated 08/13/2025 to 08/25/2025 with Staff E did not show documented refusals of the bed baths, Staff E then stated Resident 3 did not receive two showers per week during this time.

In an interview and joint record review on 09/11/2025 at 3:20 PM with Staff B stated, the task record showed Resident 3 preferred bed baths two times per week and did not receive two times a week from 08/13/2025 to 08/25/2025. Staff B then stated Resident 3's preference for two bed baths per week was not honored.

In an interview on 09/15/2025 at 4:01 PM Staff C stated, “I expect the Resident's preferences to be honored for showers and bed baths.” Reference: (WAC) 388-97 0860 (2) .

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

stated that they would expect Resident 1's behavior of grabbing another resident to be in their care plan.

When asked if they would expect there to be a care plan or intervention for Resident 2 to address what happened on 08/22/2025 and how the facility would protect Resident 2, Staff B stated, “I don't [do not] have an answer for that.”

On 09/16/2025 at 2:00 PM, Staff C, Administrator, stated the purpose of an investigation was to keep residents safe, find out the root cause of why the incident occurred, and prevent it from happening in the future. When asked if abuse or neglect was substantiated on the investigation for the incident on 08/22/2025 between Resident 1 and Resident 2, Staff C stated that the abuse was physical. When asked what corrective action was taken based on the investigation, Staff C stated that Resident 1 and Resident 2 were placed on alert and separated and were interviewed on whether they felt safe. When asked if there were any new/revised interventions as part of the investigation for Resident 1 and Resident 2's care plan, Staff C stated, “I could not find any other interventions, other than being separated.” Reference: (WAC) 388-97-0640 (6)(a)

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

8 leaving the facility independently and that Staff H expected there to be a care plan. When asked if assistive devices and equipment were important to be included in a resident's care plan, Staff H stated, yes, we include wheelchairs and walkers and that motorized wheelchairs were considered an assistive device. Joint record review of Resident 8's care plan did not show documentation of Resident's 8's use of a motorized wheelchair. Staff H stated that wheelchair was mentioned, but it doesn't [does not] say electric wheelchair. It should be there. When asked if Resident 8's safety interventions related to their use of a motorized wheelchair were identified and included in their care plan, Staff H stated, It should be there.In an

interview on 09/12/2025 at 2:08 PM, Staff B, Director of Nursing, was asked if leaving the facility independently posed a risk to residents, Staff B stated, not necessarily if the resident was mobile. When asked if residents who were mobile could be at risk for accidents and hazards, Staff B stated, Yes. When asked if Resident 8's care plan included safety interventions related to leaving the facility independently, Staff B stated, Not everyone can go out independently, it depends on the situation, and that I have to see what [Resident 8's] particular situation is. Staff B further stated that they expected Resident 8's care plan would include their use of a motorized wheelchair and leaving the facility independently. RESIDENT 4Review of a face sheet showed Resident 4 admitted to the facility on [DATE REDACTED] with diagnosis that included anxiety disorder (feeling of constant worrying), hemiplegia (paralysis on one side of the body) and hemiparesis (weakness on one side of the body), and dementia (impaired thinking and memory). Review of

the facility's compiled documents titled, Investigative Summary, [Resident 4], dated 08/26/2025, showed it was completed by Staff B. It showed, It appears [Resident 4] does not like to be bothered at times, leading to the allegations. However, leaving resident soiled will be detrimental to [Resident 4's] skin and general well-being.Staff educated to inform nurse if [Resident 4] refuses to be changed [incontinent care] and [Resident 4's representative] will also be called to try and encourage [Resident 4].In an interview and joint

record review on 09/12/2025 at 12:00, Staff H stated staff would re-approach residents whenever residents refused any kind of care and that with the resident's initial refusal of care, staff would find out why, so that staff can accommodate the resident's needs. Staff H further stated that if the refusal of care was identified to be consistent [same way every time] for a resident, they would expect identified approaches to address

the refusal of care to be included in the resident's care plan. Staff H stated that refusal of care posed a risk for residents. When asked if Resident 4 consistently refused care, Staff H stated that Resident 4 refuses medications and incontinent care, and that skin breakdown was a risk for refusing incontinent care. A joint

record review of Resident 4's Electronic Health Record (EHR) did not show documentation of Resident 4's refusal of incontinent care included in their care plan. Staff H stated that Resident's refusal of incontinent care and intervention to notify Resident 4's representative was not included in their care plan. In an

interview on 09/15/2025 at 2:42 PM, Staff B stated that they concluded that Resident 4 refused incontinent care at certain times from completing their investigation dated 08/26/2025. When asked if Resident 4's care plan included Resident 4's refusal of incontinent care and the intervention to notify Resident 4's representative, Staff B stated, I have to check. A follow-up joint record review and interview on 09/16/2025 at 2:39 PM, showed Resident 4's care plan did not include Resident 4's refusal of incontinent care and the intervention to notify Resident 4's representative, and Staff B stated, I don't [do not] see it. Reference: (WAC) 388-97-1020 (1) (2)(a)(b).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

In an interview and joint record review on 09/11/2025 at 3:28 PM, Staff B stated the task record showed Resident 5 received a shower on 08/26/2025, and nothing else was documented about a shower for Resident 5 during the time frame of 08/12/2025 to 09/08/2025.

In an interview on 09/15/2025 at 4:01 PM, Staff C, Administrator, stated, “If Resident 3 or Resident 5 refused care like bed baths or showers it should be documented as a refusal, otherwise the expectation was for Resident 3 and Resident 5 to receive bed baths and showers as scheduled, and as needed.” Reference: (WAC) 388-97-1060 (2)(c)

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

progress notes for 08/22/2025, 08/23/2025, and 08/24/2025 did not show documentation of alert charting for Resident 8's change of condition. Staff H stated, I don't [do not] see that, and that Resident should have continued to be monitored for signs and symptoms of changes related to their complaint of right ankle pain following the 08/21/2025 incident. In an interview on 09/12/2025 at 09/12/2025 at 2:08 PM, Staff B, Director of Nursing, stated the facility placed residents on alert charting if there was a change of condition and that included anything outside of the ordinary. Staff B stated that they expected residents placed on alert charting would have follow up documentation. A joint record review of Resident 8's nursing progress note dated 08/21/2025 showed Resident 8 reported an incident that resulted in a new complaint of right ankle pain. It did not show documentation of alert charting for 08/22/2025, 08/23/2025, and 08/24/2025. Staff B stated, Yes, I am aware of that situation, that was brought to my attention after the resident was in the hospital. Staff B stated that Resident 8 should have continued to be monitored for changes in signs and symptoms related to their right ankle pain and that the provider should have followed up promptly. Staff B further stated that they completed an internal investigation of the 08/21/2025 incident.Review of the facility document titled, Internal Investigation Summary, [Resident 8], dated 08/29/2025, showed it was completed by Staff B. It showed Internal Investigation due to [Resident 8] currently hospitalized and discharged from facility. Was informed by RCM [Resident Care Manager/Nurse Unit Manager] on 08/27 [2025] at clinical stand-up meeting that [Resident 8] was transferred to hospital yesterday, and this was due to a fracture of her right foot. Per RCM, [Resident 8] informed a nurse last week when [Resident 8] returned from outing that she had bumped her ankle, and that nurse called the on-call [provider] and also referred to provider.

However, per RCM provider did not order any x-rays until day before yesterday [08/25/2025] and that upon results showing a fracture, instructed a transfer to hospital. RCM stated he was unaware of incident because the nurse did not place [Resident 8] on alert [charting]. It further showed, The nurse who was informed when resident returned from outing (08/21/2025) regarding bumping her foot and that this nurse failed to place resident on alert or 24-hour report which would have alerted other nurses to follow up.

Although she documented referral to provider, there is no evidence of provider follow up. In follow-up

interview and joint record review on 09/15/2025 at 2:38 PM, Staff B was asked if the 08/21/2025 incident caused Resident 8 to become immobile due to right ankle pain, Staff B stated, There weren't [were not] any changes to [Resident 8's] usual routine. Staff B stated that they gathered this information by asking the RCM When asked if there were documentation from nursing staff assessments related to Resident 8's no changes in routine following the incident, Staff B stated, No. A joint record review of Resident 8's provider readmission visit note dated 09/01/2025 showed Staff G documented, Blood clot likely due to immobilization following tibial fracture. Staff B stated, I [do not] have anything to say about it. In an interview

on 09/16/2025 at 2:09 PM, Staff C, Administrator, stated that they expected Resident 8 would have been monitored for ongoing changes related to the incident on 08/21/2025 and their complaint of right ankle pain.

Reference: (WAC) 388-97-1060 (1) .

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Resident 3 returned from the wound care clinic the orders and recommendations were faxed over and that

they noted the new orders and recommendations and made sure all were taken care of. Staff E stated that

the Dolphin Mattress broke, and they informed the previous administration staff about the recommendation for it. Staff E stated that the MATT-EASY AIR mattress was ordered and placed on Resident 3's bed on 08/05/2025 despite the wound care recommendations for Dolphin Mattress. Staff E further stated the Dolphin Mattress was never replaced and had informed the previous administration regarding Resident 3's multiple wound care notes that recommended the Dolphin Mattress.In an interview on 09/15/2025 at 3:29 PM, Staff B, Director of Nursing, stated, I know the previous Administrator was working with our corporation to get the Dolphin Mattress replaced, I am not sure, but I think they did not want to pay to fix or replace the bed, so another mattress was ordered for Resident 3.In an interview on 09/16/2025 at 5:11 PM, Staff C, Administrator, stated that the mattresses should function the same, if one worked by alternating fluid, the one that it was replaced with should also function by alternating fluid.Reference: (WAC) 388-97-1060(3)(b).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

In an interview on 09/15/2025 at 12:30 PM, Staff N, Registered Nurse, Unit Manager, stated, “all dogs were supposed to always be on leashes and supervised when they were in the facility. Staff N further stated if the dog had been on a leash, Resident 9 would not have been harmed on 08/04/2025 when the dog went under the dining room table and Resident 9 fell backwards in their wheelchair and cut the back of their head.”

In interview on 09/15/2025 at 3:29 PM, Staff B stated Resident 9's accident on 08/04/2025 could have been avoided if the dog was on a leash, Resident 9 would not have injured the back of their head when they fell backwards in their wheelchair.

In an interview on 09/15/2025 at 4:01 PM, Staff C, Administrator, stated, “I think the dog got in the way and tripped Resident 9. I am not sure about that, but per policy the dog should have been on a leash.

This would not have happened if the dog was on a leash.” Reference: (WAC) 388-97-1060(3)(g)

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0732

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0732

Post nurse staffing information every day.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately completed with actual hours worked for each shift for 7 of 10 days (09/01/2025, 09/02/2025, 09/03/2025, 09/04/2025, 09/05/2025, 09/09/2025 & 09/10/2025), reviewed for sufficient and competent staffing. This failure placed the residents and residents' representatives at risk of not being fully informed of

the current staffing levels. Findings included .Review of the nursing staff posting forms dated 09/01/2025, 09/02/2025, 09/03/2025, 09/04/2025, 09/05/2025, 09/09/2025 and 09/10/2025 did not show actual nursing hours worked. In an interview on 09/16/2025 at 3:46 PM, Staff O, Receptionist stated the nurse staffing form was posted every morning for day shift and then the evening and night shift was added to the form in

the afternoon. Staff O further stated, I never do the actual hours worked. I just put up the staff hours that the nursing staff were scheduled to work. I never seen the actual hours worked completed on the form. The nursing forms were given to the staffing coordinator to save and file.In an interview on 09/16/2025 at 3:52 PM, Staff P, Staffing Coordinator, stated that the previous administration staff would fill in the actual hours worked on the nursing staff posting forms the next day. It was never done on the same day, so you would not know the actual hours worked until the next day or later if they did not get filled out.In an interview on 09/16/2025 at 5:10 PM Staff C, Administrator, stated the actual nursing hours should be posted on the same day to inform visitors and residents of the actual nursing hours worked.No Reference WAC .

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

could not get their IV medication here. We have a new pharmacy that will bring IV medication to the facility now.In an interview on 09/15/2025 at 3:29 PM Staff B, DNS, stated there was an issue with the previous pharmacy when they stopped delivering IV medication to the facility. We notified the physician of Resident 3 when the IV antibiotic medication (Meropenem) was not administered, the physician ordered for the resident to be monitored in the facility. Staff B stated Resident 3 missed three or four doses of the IV antibiotic. Staff B stated there was another resident, Resident 17 was admitted to the facility and had to be transported back to the hospital the day after they were admitted because Resident 17 had physician orders for antibiotic IV's and they could not get the IV antibiotic medication delivered from the pharmacy to

the facility. Staff B stated Resident 17 missed two doses of antibiotic medication before they were transported back to the hospital the day after admission. Staff B further stated those were significant medications that Resident 3 and Resident 17 missed, and now the facility had a pharmacy that would deliver IV medication to the facility.In an interview on 09/16/2025 at 5:16 PM, Staff C, Administrator, stated

the previous pharmacy would not deliver the IV medications which caused Resident 3 and Resident 17 to miss those IV medications.Reference: (WAC) 388-97-1060(3)(k)(iii).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0804

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0804

temperatures.Reference: (WAC) 388-97-1100 (2).

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0838

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0838 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review, the facility failed to ensure the facility assessment (document describing resident population and needs to determine staff and other resources necessary to competently care for residents) included a completed facility-based and community-based risk assessment, the facility resources to include a list of medical and non-medical equipment description, and contracts, memorandums of understanding and other agreements with third parties to provide services or equipment to the facility both

during normal and emergency situations. This failure placed the residents at risk for unmet care needs.Findings included .Review of the facility's policy titled, Facility Assessment, dated 10/01/2025, showed that A facility assessment is conducted annually to determine and update the capacity to meet the needs of and competently care for the residents during day-to-day operations.Review of the facility's document titled Facility Assessment, dated 07/10/2025, did not show inclusion of a completed facility-based and community-based risk assessment, a list of medical and non-medical equipment description and contracts, memorandums of understanding and other agreements with third parties to provide services or equipment to the facility both during normal and emergency situations. It further showed that [Facility name] does not admit active COVID-19 patients. In an interview on 09/16/2025 at 4:15 PM with Staff A, Interim Administrator, and Staff C, Administrator, Staff C stated the facility could admit active COVID-19 residents and that the facility assessment needed to be updated to reflect that. Joint record review of the facility assessment dated [DATE REDACTED] showed that a list of medical and non-medical equipment description was referred to be outlined in Appendix 1. It further showed that contracts, memorandums of understanding and other agreements with third parties to provide services or equipment to the facility both during normal and emergency situations were referred to be outlined in Appendix 2. Staff C and Staff A stated, No, we can't [cannot] find it [documentation of Appendix 1 and 2]. When asked if the facility assessment included a completed facility-based and community-based risk assessment, Staff C stated, No, but I can include it. No associated WAC.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0850

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0850

(2)(a)(b).

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Broadview Center

13023 Greenwood Avenue North Seattle, WA 98133

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE BROADVIEW CENTER in SEATTLE, WA for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-09-16.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 13 deficiencies cited during this inspection of THE BROADVIEW CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-30.

📋 Inspection Summary

THE BROADVIEW CENTER in SEATTLE, WA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SEATTLE, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE BROADVIEW CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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