Is your loved one at Broadway by the Sea?
If they fell, developed a bed sore, lost weight, were hurt or abused at Broadway by the Sea, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.
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Broadway by the Sea at a glance: owner, beds and ratings
* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.
Records: Cal Health Find ↗ · Medicare Care Compare ↗
Broadway by the Sea citations and inspection findings
Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.
| Date | Source | Finding | Record |
|---|---|---|---|
| September 10, 2026 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| February 20, 2026 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| January 5, 2026 | Federal (CMS-2567), Certification | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| March 28, 2025 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| March 27, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| February 10, 2025 | Federal (CMS-2567), Complaint | F656 – Develop/Implement Comprehensive Care Plan, severity G (actual harm, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 13, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| November 5, 2024 | Federal (CMS-2567), Certification | F686 – Treatment/Svcs to Prevent/Heal Pressure Ulcer, severity G (actual harm, one or a few residents) F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) AbusePressure injury › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 6, 2024 | State (CDPH) | Class B citation (Medication), penalty $3,000 | Government record (CDPH) ↗ |
| September 6, 2024 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| August 1, 2024 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| July 16, 2024 | Federal (CMS-2567), Complaint | F758 – Free from Unnec Psychotropic Meds/PRN Use, severity K (immediate jeopardy, a pattern) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
Show 6 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| June 14, 2024 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| May 3, 2024 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| March 13, 2024 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents) Falls / supervision › Read what inspectors found ↓ | Government record (CDPH) ↗ |
| September 26, 2023 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| May 10, 2023 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| February 24, 2023 | Federal (CMS-2567), Complaint | F690 – Bowel/Bladder Incontinence, Catheter, UTI, severity G (actual harm, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at Broadway by the Sea
Tap a finding to read the summary. Each one is written from the government report linked under it.
March 2025: Class A citation and F656 (severity G) after a resident on a blood thinner fell and suffered a brain bleed and neck fracture
According to the citation, Resident 1, an 86-year-old man, was admitted in July 2024 with atrial fibrillation (an irregular heartbeat), dementia, repeated falls and a brain bleed from a fall before admission. He took apixaban, a blood thinner. His care plan identified him as a high fall risk because he got up without help, and physical therapy noted poor safety awareness. He fell from his wheelchair in August 2024.
CDPH found the fall care plan did not include specific interventions and was not revised after the August fall, for example with visual checks every two hours or a one-to-one sitter. Inspectors found staff did not take the fall precautions listed in his blood thinner care plan and did not follow the facility's fall management policy. According to the citation, the facility's fall committee removed him from its list in September 2024, noting no new falls.
The citation states that in October 2024 Resident 1 had an unwitnessed fall with swelling on his forehead and eyelid. At an acute care hospital he was admitted to intensive care with a subdural hematoma (bleeding between the brain and skull) and a fracture of a neck bone. He was placed on a breathing tube, later had a tracheostomy (a breathing opening in the neck), had surgery to drain the blood from his brain, and had spinal fusion surgery. CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiency was F656 (developing and implementing a comprehensive care plan) at severity G.
November 2024: F686 (severity G) after a resident developed a Stage III pressure injury; F610 and F609 (severity D) also cited
The 2567 report states that Resident 40 was admitted with a broken hip, osteoporosis (weak bones) and type 2 diabetes. A July 2024 assessment found him at moderate risk for pressure injuries (bed sores). He could sit but not bear his own weight, had very limited mobility and could not change position on his own. His skin was intact at that time, and a nurse's skin check in late September 2024 found no redness or open areas.
Inspectors found the facility did not carry out his care plan to turn and reposition him every two hours and did not follow its own skin and wound policy. Resident 40 told inspectors he got a wound on his buttocks because staff left him sleeping on one side too long and did not reposition him. According to the 2567 report, nine days after the intact skin check, nurses recorded a suspected deep tissue injury (purple or maroon skin from damage underneath) on his tailbone area measuring 9.5 by 9.5 centimeters. The physician then ordered a low air loss mattress (designed to prevent and treat pressure wounds) and a nutrition supplement to promote wound healing.
The 2567 report states the wound became a Stage III pressure injury (full-thickness skin loss with fat sometimes visible) measuring 9 by 9 centimeters, and described it as facility-acquired and preventable. The federal deficiency for this finding was F686 (treatment and services to prevent and heal pressure ulcers) at severity G. The same survey also cited F610 (investigating, preventing and correcting alleged violations) and F609 (reporting of alleged violations), both at severity D. The full narrative is in the linked report.
July 2024: F758 (severity K) after a resident received multiple psychotropic drugs and was oversedated; F609 and F610 (severity D) also cited
The 2567 report states that Resident 8, a resident with vascular dementia and Alzheimer's disease who was receiving hospice care, was prescribed two antipsychotic drugs at the same time, Seroquel and Risperdal (Risperidone), in June 2024. She was also given Ativan, an anti-anxiety drug, 1 mg every four hours as needed for agitation and shortness of breath, without a documented reason for its use. Inspectors found she received Ativan every four hours for six days along with the other drugs, which left her oversedated.
Inspectors found the antipsychotics were not indicated for behaviors related to her dementia diagnoses. According to the 2567 report, staff said she was given Ativan because she often tried to get out of bed alone and was at risk of falling, and inspectors cited the Ativan and Risperdal as chemical restraints (drugs used to control behavior). The 2567 report states that receiving these drugs together caused her to fall four times between mid-June and mid-July 2024. Inspectors also found nurses did not tell her physician when Risperdal was held for drowsiness, her care was not coordinated with the hospice team, and the prescriber did not obtain informed consent when the Ativan dose was raised.
The 2567 report states the federal deficiency for this finding was F758 (unnecessary psychotropic drugs and as-needed use) at severity K, and inspectors called an Immediate Jeopardy. The removal plan included a medication review with the hospice team, stopping Seroquel, changing the Ativan order, a psychiatrist visit and nurse training. The same survey also cited F609 and F610 at severity D. The full narrative is in the linked report.
May 2024: Class A citation and F689 (severity J) after a high fall risk resident fell from bed without ordered floor mats or bed alarm
According to the citation, Resident 1, a 69-year-old man with epilepsy, dementia and paralysis on his left side, depended on staff for nearly all care and was assessed as a high fall risk. He fell from his bed in October and November 2023. His care plans called for landing mats (foam pads placed on the floor next to the bed) and a bed alarm to alert staff when he tried to get up.
CDPH found the facility did not provide the landing mats or bed alarm. Inspectors found LVN 1 did not know the facility's fall protocol, did not know Resident 1 was a high fall risk and did not know how to find his fall care plans, and that CNA 2 did not know his fall risk or what measures to use. According to the citation, he fell from bed in March 2024 and the next day had an altered level of consciousness. At an acute care hospital he was admitted to intensive care with head trauma and a thick subdural hematoma (bleeding between the brain and skull). He needed a breathing tube and emergency brain surgery to remove the blood, and later a tracheostomy because he depended on a ventilator, and a feeding tube.
CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiency was F689 (accident hazards, supervision and devices) at severity J, and that two other high-risk residents' beds were not kept in the lowest position. Inspectors called an Immediate Jeopardy. The 2567 report states the removal plan included re-evaluating all 84 residents, adding 32 high-risk residents to a fall alert program and a daily list of their fall measures, and staff training.
May 2023: Class A citation and F690 (severity G) after a resident's urinary catheter was not removed as ordered
According to the citation, Resident 1, a 93-year-old man, was admitted from a hospital in January 2023 with an indwelling urinary catheter (a tube that drains urine from the bladder) and a condition that blocked the flow of urine. He had a history of a severe urinary tract infection with kidney injury. The hospital's discharge instructions called for the catheter to be removed and a voiding trial (a test of whether he could urinate on his own) after two weeks.
CDPH found the facility did not remove the catheter or start bladder retraining as instructed. Inspectors found the catheter was removed one week late, after the hospital's case manager faxed a new order. According to the citation, the physician ordered catheter cleaning with soap and water every shift, but the treatment records showed missed shifts on at least ten days. Inspectors also found no documentation that staff checked the color, smell or sediment of his urine, which can signal an infection.
According to the citation, the day after the physician ordered the catheter removed, paramedics took Resident 1 to an acute care hospital because of a change in his mental status. According to the 2567 report, a family member had found him confused and slow to respond. The hospital diagnosed sepsis (the body's severe response to infection) caused by a urinary tract infection. CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiency was F690 (bowel and bladder incontinence, catheter and urinary tract infection) at severity G.
Complaints against Broadway by the Sea
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 25 | 17 | 8 | 11 |
| 2024 | 28 | 22 | 6 | 10 |
| 2025 | 20 | 19 | 1 | 9 |
| 2026 | 16 | 11 | 5 | 0 |
Cal Health Find lists 89 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 30 of them. 21 intakes involved an allegation in CDPH’s abuse category, and 4 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.
Sexual abuse reports at Broadway by the Sea
Cal Health Find lists 3 intakes for Broadway by the Sea from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 2 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 1 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2023 | 2 | 1 |
| 2025 | 1 | 0 |
Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →
Staffing at Broadway by the Sea
Payroll records Broadway by the Sea filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.47 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.43 hours per resident per day (California average 0.68). Staffing averaged 3.78 hours on weekends and 4.75 on weekdays.
CMS reports nursing staff turnover of 53.6% at this facility (California average 36.6%) and RN turnover of 37.5% (California average 37.8%).
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Broadway by the Sea was below 3.5 on 1 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.
| Broadway by the Sea | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 4.47 | 4.32 | 4.54 |
| RN hours per resident per day | 0.43 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.78 | 3.89 | 4.10 |
| Nursing staff turnover | 53.6% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns Broadway by the Sea
The owners and operators below are listed for Broadway by the Sea in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.
| Owner or operator | Role | Share | Since |
|---|---|---|---|
| Twomagnets LLC | Operational or managerial control | – | February 1, 2023 |
| Clint Macdonald | Operational or managerial control | – | February 1, 2023 |
| Ronald Philipp | Operational or managerial control | – | February 1, 2023 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $1.6 million in payments to related companies (businesses that share owners or management with the facility): $812,408 to Ensign Services for home office – allowable admin; $382,969 to Standard Bearer Insurance for liability insurance; $184,337 to Standard Bearer Insurance for health insurance/workers comp.; $54,787 to Standard Bearer Insurance for health insurance/workers comp.. Payments to related companies are legal; California requires nursing homes to disclose them.
Broadway by the Sea finances
Broadway by the Sea reported $16.2 million in health care revenue and net income of $639,967 for the year ending December 31, 2025, a margin of 3.9%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 62% of resident days. Salaries for RNs, LVNs and nurse aides came to $4.0 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023* | $11.7 million | $376,552 | 3.2% | 82% | – |
| 2024 | $15.0 million | $473,139 | 3.2% | 88% | 59% |
| 2025 | $16.2 million | $639,967 | 3.9% | 89% | 62% |
* More than one report was filed that year, usually after a change of ownership; the table shows the longest reporting period.
Federal fines and penalties: Broadway by the Sea
CMS lists 5 federal fines totaling $205,642 and 0 Medicare payment denials for Broadway by the Sea in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| November 8, 2024 | Fine | $45,841 |
| July 24, 2024 | Fine | $63,993 |
| March 20, 2024 | Fine | $90,539 |
| February 12, 2024 | Fine | $1,882 |
| January 22, 2024 | Fine | $3,387 |
Broadway by the Sea lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Broadway by the Sea and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.
In the news
- April 29, 2020: The Long Beach Post reported in April 2020 that Broadway by the Sea disclosed 11 resident deaths from COVID-19 and related complications, with infections among 44 residents and 27 staff. Long Beach Post ↗
- May 16, 2020: The Long Beach Post reported, citing state and federal records, that Broadway by the Sea received a Class A citation and a $20,000 fine in March 2020 after a resident fell from her bed and died. Long Beach Post ↗
What this record means for your family
California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.
Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.
Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Broadway by the Sea: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
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Questions families ask
Has Broadway by the Sea been cited by the State of California?
Cal Health Find lists 10 state citations for Broadway by the Sea since 2023, including 0 Class AA and 3 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Broadway by the Sea?
From 2023 through October 30, 2026, Cal Health Find lists 89 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 30 of them.
Does Medicare flag Broadway by the Sea for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Broadway by the Sea. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Broadway by the Sea?
Cal Health Find lists 3 complaint or facility-reported incident intakes at Broadway by the Sea since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 1. The section above breaks them down by year.
Where can I read reviews and complaints about Broadway by the Sea?
Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.
How many beds does Broadway by the Sea have?
Broadway by the Sea is licensed by CDPH for 98 beds and has a CMS overall rating of 1 out of 5 stars.
Who owns or operates Broadway by the Sea?
CDPH lists the licensee as DUSK HEALTHCARE, INC.. CMS lists the facility under the chain or affiliated entity The Ensign Group. The CMS ownership file lists Twomagnets LLC among the owners or operators. The full list is in the ownership section of this page.
How many nursing hours does Broadway by the Sea provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 4.47 total nursing hours per resident per day, including 0.43 RN hours. The California average is 4.54.
My parent was hurt at Broadway by the Sea. What should I do?
Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.
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Other nursing homes near Broadway by the Sea
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Edgewater Skilled Nursing Center | Long Beach | 0.4 mi | 2/5 | 1 | 2 |
| Colonial Care Center | Long Beach | 0.7 mi | 1/5 | 4 | 7 |
| Alamitos Belmont Health and Rehabilitation | Long Beach | 0.9 mi | 3/5 | 2 | 3 |
| Pacific Palms Healthcare | Long Beach | 1.2 mi | 2/5 | 1 | 1 |
| Long Beach Post Acute | Long Beach | 1.3 mi | 5/5 | 0 | 0 |
| Marlora Post Acute Rehabilitation Hospital | Long Beach | 1.4 mi | 1/5 | 1 | 2 |
Methodology and sources
We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.
Sources
- Cal Health Find – Broadway by the Sea
- Medicare Care Compare – Broadway by the Sea
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- CMS – Nursing home Penalties
- HCAI – Long-Term Care Facility Financial Data
- CDPH – State Enforcement Actions (open data)
- CMS Provider Data Catalog – Nursing homes
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
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