Home / District of Columbia / Washington
725 Buchanan St., Ne, Washington, DC 20017 · The District County · (202) 854-7100
252 certified beds, about 164 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 095034 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 25, 2024, inspectors cited 24 health deficiencies (the District of Columbia average is 23.2, the national average 9.2).
Of 67 health citations since July 2021, 5 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 3 fines totaling $167,394 in the last three years; the largest was $137,333, and the latest is dated June 16, 2026.
Nurses and nurse aides worked 5.27 hours per resident per day, against 4.72 across District of Columbia and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.
29.8% of nursing staff left within the year CMS measured (District of Columbia average 34.0%).
CMS links it to Ascension Living, an affiliated group of 12 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 67 health citations on file.
Inspectors wroteBased on observations and resident interviews, the facility staff failed to maintain a safe and comfortable environment by not ensuring facility temperatures ranged from 71 to 81 Fahrenheit. As evidenced by four (4) of four residents who had respiratory diagnoses and/or were prescribed oxygen therapy, whose room temperatures ranged from 82 - 90 Fahrenheit after the facility staff turned off the HVAC system for repair. (Residents #1, #4, #196, and #199)
Inspectors wroteBased on observation, record review, and staff interviews, the facility staff failed to provide the necessary treatment and services to prevent the development and progression of pressure ulcers (bedsores) for two (2) of two residents who developed pressure ulcers that were first observed at advanced stages Residents # 150 and #87. 1. Resident #150 was admitted to the facility on [DATE] with multiple diagnoses including Fracture of First Lumbar Vertebra, Abnormalities of Gait Mobility, Generalized Muscle Weakness, Severe Protein-Calorie Malnutrition, and Need for Assistance with Personal Care. An admission nursing progress note dated 04/09/26 at 6:06 PM documented in part, Resident is alert, oriented and verbally responsive. She's able to make his [her] needs known. Respiration is even and unlabored with no signs of respiratory distress. [...]
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and staff interviews for one (1) of 53 sampled residents, it was determined that the facility staff failed to notify the resident and resident representative of the discharge in writing and in a manner they understood at least 30 days in advance of the discharge. Resident #195.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and staff interview, the facility's staff failed to ensure that a resident's PASSAR II referral was completed within 30 days of admission for one (1) of 53 sampled residents. (Resident #150).
Inspectors wroteBased on observation record review and staff interview, for two (2) of 53 sampled residents, the facility staff failed to fully implement the care plan interventions for a Resident who had an unwitnessed fall and failed to develop a care plan to manage an unstageable pressure ulcer for one resident. Residents #146 and #150. 1. Resident #150 was admitted to the facility on [DATE] with multiple diagnoses including Fracture of First Lumbar Vertebra, Abnormalities of Gait Mobility, Generalized Muscle Weakness, Severe Protein-Calorie Malnutrition, and Need for Assistance with Personal Care. A Skin Evaluation Form dated 04/23/26 at 7:25 PM documented in part, Left Buttocks DTI (Deep Tissue Injury) unstageable 30% skin, 20% slough, 50% dermis. Treatment-Cleanse with normal saline, pat dry, apply silver alginate, [and] cover with Optifoam. Occurred where: [...]
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review, staff interview, and resident interview, the facility's staff failed to follow up with a resident's physician for cataract surgery for one (1) of 53 residents.(Resident #157)
Inspectors wroteBased on observations and staff interviews, it was determined that the facility staff failed to wash and sanitize chinaware plates and silverware properly; and failed to ensure that supplements were not stored beyond the 'use by' date for for 17 of 24 Ensure supplements observed expired.
Inspectors wroteBased on observation, record review, and staff interview, for one (1) of 53 sampled residents, the facility staff failed to evaluate a Resident for occupational therapy services per the physician's order. Residents #146.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interview, for two (2) of 53 sampled residents, the facility staff failed to ensure: (1) Resident #150's record contained accurate documentation related to the staging of her wound. (2) Resident #179's record contained accurate documentation of skin sheets. (Residents #150 and #179)
Inspectors wroteBased on observations, record reviews, resident and staff interviews, for one (1) of five (5) sampled residents, facility staff failed to ensure that adequate supervision was provided, in accordance with Resident #1's person-centered plan of care, to prevent her from eloping from a safe area, without authorization. Subsequently, Resident #1 eloped from the secure Memory Care unit on 02/21/26 at 11:45 AM. During this survey, an Immediate Jeopardy (IJ-J) was identified at 42 CFR 483.25, Quality of Care, F689, Free of Accident Hazards/Supervision/Devices on 03/18/26 at 1:12 PM. The facility's Administrator submitted an abatement plan to the Survey Team that was accepted on 03/18/26 at 5:27 PM. The Survey Team verified implementation of the abatement plan while onsite and the immediacy was lifted on 03/24/26 at 3:38 PM. [...]
Inspectors wroteBased on record reviews and staff interviews, for one (1) of five (5) sampled residents, facility staff failed to ensure that they followed Resident #1's physician's order to not be assigned a male Certified Nursing Assistant/CNA.
Inspectors wroteBased on medical record review and staff interviews, facility staff failed to ensure that a resident's food plan was followed and met her nutritional needs and preferences. This was evident for 1 of 3 sampled residents (#13).
Inspectors wroteBased on observations, medical record review and staff interviews, facility staff failed to provide a resident with food prepared by methods that conserve nutritive value, flavor, appearance, and that is palatable, attractive, and at a safe and appetizing temperature. This was evident for 1 of 3 resident sampled. (Resident #13)
Inspectors wroteBased on observation, record review, video footage, staff interviews, and the resident's interview, for two (2) of 50 sampled residents, the facility staff failed to: adequately supervise Resident #165 while the resident sat in the nurse's station on the evening of 06/28/24. Subsequently, the resident eloped through the loading dock door in the facility's basement. On 06/29/24, the police located the resident near a police station (approximately 5.1 miles from the facility). After being evaluated at a hospital, the resident returned to the facility that same day; and (2) ensure Resident #48 was adequately supervised while wearing facility-provided oversize non-skid socks. Subsequently, the resident had a fall with injury (occipital hematoma) on 09/02/24 (Resident #165 and #48). These failures resulted in an immediate jeopardy situation. [...]
Inspectors wroteBased on record review and staff interviews, facility staff failed to have sufficient nursing staff to provide nursing and related services to assure resident safety based on the Payroll Based Journal (PBJ). The census on the first day of the survey was 175.
Inspectors wroteBased on observations, policy review and staff interviews, for one (1) out of 50 sampled residents, facility staff failed to ensure that licensed nurses had the specific competencies, and skill sets necessary to meet resident needs; and for failed to ensure that licensed nurses met the professional standards of quality for medication administration in three (3) out of seven (7) observations. Resident #64.
Inspectors wroteBased on observations, policy review and staff interviews, facility staff failed to ensure that the established a system for the reconciliation of controlled medications was followed.
Inspectors wroteBased on observations and interview, facility staff failed to store and distribute foods under sanitary condition as evidenced by food items such as one (1) of one (1) container of mashed potatoes, and one (1) of one (1) open pack of yellow cheese that were not labeled or dated in the walk-in refrigerator, one (1) of one (1) container of pineapple chunks, one (1) of one container of blueberries, and one (1) of one (1) container of canned peaches, that were expired in the walk-in refrigerator, two (2) of two (2) convection ovens that were in need of cleaning, and inadequate breakfast food temperatures from the second floor kitchen.
Inspectors wroteBased on observations and interview, facility staff failed to store and distribute foods under sanitary condition as evidenced by food items such as one (1) of one (1) container of mashed potatoes, and one (1) of one (1) open pack of yellow cheese that were not labeled or dated in the walk-in refrigerator, one (1) of one (1) container of pineapple chunks, one (1) of one container of blueberries, and one (1) of one (1) container of canned peaches, that were expired in the walk-in refrigerator, two (2) of two (2) convection ovens that were in need of cleaning, and three (3) of seven (7) hot food items that tested below 140 degrees Fahrenheit (°) during a food temperature assessment on the second floor kitchen on August 25, 2024.
Inspectors wroteBased on record review, and resident and staff interviews for one (1) of 50 sampled residents, the facility staff failed to notify a resident's physician of the need to start treatment for a resident rash with newly opened lesions. Resident #19.
Inspectors wroteBased on observations, record reviews, and interview, the facility's staff failed to follow its Abuse policy regarding notifying the State Survey Agency immediately but no later than two hours of learning of an incident of abuse or neglect. In addition, the facility's staff failed to evaluate the resident's elopement risk 7 days after admission as per its Elopement policy. Subsequently, the resident had an elopement incident on 06/28/24.
Inspectors wroteBased on record review and staff interview, the facility's staff failed to notify the State Survey Agency of the elopement (neglect) of a resident on 06/28/24 immediately or within two hours of the occurrence. As evidenced by a State Survey Agency Facility Reported Incident form (DC~12936) that documented notification occurred at 3:34 AM on 06/29/24 (6 hours after staff first learned of the incident).
Inspectors wroteBased on record review and resident and staff interviews for one (1) of 50, the facility staff failed to provide written notification to a resident, their representative, or the Ombudsman of the reasons for the resident ' s discharge to the hospital on [DATE]. Resident #425.
Inspectors wroteBased on observation, record review, and staff interviews, for one (1) of 50 sampled residents facility staff failed to provide written notification of its bed hold policy and the number of bed hold days available to a resident who transferred from the facility to the hospital. Resident #425.
Inspectors wroteBased on record review and staff interview for one (1) of 50 sampled residents, facility staff failed to code a resident's quarterly Minimum Data Set Assessment accurately for diagnoses of Depression and Anxiety. Resident #104.
Inspectors wroteBased on record review and staff interview facility staff failed to update a resident's care plan with new goals and interventions following an allegation of resident-to-resident verbal abuse for two (2) residents. Residents' #27 and #132.
Inspectors wroteBased on observations, policy review and staff interviews, facility staff failed to meet professional standards of quality in three (3) out of seven (7) medication administration observations.
Inspectors wroteBased on record review and staff interviews for (one) 1 of 50 sampled residents the facility staff failed to ensure that a resident received treatment and care in accordance with professional standards of practice, for using a full body sling (Hoyer) lift to transfer a resident from the resident ' s bed to the resident ' s wheelchair. Subsequently, the resident had a fall with injuries during a transfer. Resident #19.
Inspectors wroteBased on record review and resident and staff interviews for one (1) of 50, the facility staff failed to ensure that a resident received proper treatment to maintain vision by failing to assist the resident with scheduling an ophthalmology appointment.
Inspectors wroteBased on the record review and staff interviews, for one (1) of 50 sampled residents, the facility staff failed to ensure a resident was assessed for pain management as per a physician order and professional standard of practice. (Resident #81).
Inspectors wroteBased on record review and staff interview, for two (2) of 50 sampled residents the facility's staff failed to: ensure the pharmacist conducted a resident's monthly medication regimen; and provide documented evidence that a resident's medication irregularities identified by the pharmacist were reviewed and provide the rationale for not changing a resident ' s medication. (Residents #19 and #157)
Inspectors wroteBased on observations and staff interviews, facility staff failed to ensure that the medication error rate was not five (5) percent or greater.
Inspectors wroteBased on observations and staff interviews, facility staff failed to ensure that medications and biologicals, that were stored for use, were not expired and failed to ensure that medications were properly stored.
Inspectors wroteBased on record review, and resident and staff interviews for one (1) of 50, the facility staff failed to assist a resident with obtaining an appointment with the dentist for Resident #19.
Inspectors wroteBased on a review of the facility's records and a staff interview, the facility failed to comply with the State Regulation (22B DCMR sect. 3211.5) for daily staffing ratios,as evidenced by not providing the minimum daily average of four and one tenth (4.1) hours of direct nursing care per resident per day, with at least six tenths (0.6) hours being provided by a registered nurse for 12 of 12 sampled days.
Inspectors wroteBased on record review and staff interview, facility staff failed to ensure that infection control policies and procedures were reviewed annually.
Inspectors wroteBased on record review and staff interviews, for one (1) out of 50 sampled residents, facility staff failed to have documented evidence that they provided a resident or the resident's representative education regarding the benefits and potential side effects of the COVID-19 booster vaccine to either consent or refuse the immunization. Resident #160.
Inspectors wroteBased on observations and interview, it was determined that facility staff failed to provide housekeeping services necessary to maintain a safe, and comfortable environment, as evidenced by privacy curtains that were hanging loose, detached from curtain hooks, in 75 of 192 residents' rooms.
Inspectors wroteBased on record reviews and staff interviews for two (2) out of 41 sampled residents, facility staff failed to provide notification to resident representatives that included the facility's bed hold policy or the number of bed hold days available for each Resident when they transferred to the hospital. (Resident #94 and #139) 1. Resident #94 was admitted to the facility on [DATE] with diagnoses including: Cerebral Infarct, Metabolic Encephalopathy, Altered Mental Status, Generalized Muscle Weakness, and Age-Related Cognitive Decline. A review of Resident #94's medical record showed a Quarterly Minimum Data Set (MDS) assessment dated [DATE] showing that the Resident had severely impaired cognition, exhibited trouble falling asleep or sleeping too much for 2-6 days poor appetite or overeating for 7-11 days, required extensive assistance for assisted daily living skills, (transfers. [...]
Inspectors wroteBased on record review and staff interview, the facility staff failed to have documented evidence that residents' representatives were provided with a copy of the Base Line Care Plan for two (2) of 41 sampled residents (Residents #28 and #323).
Inspectors wroteBased on record review and staff interview, for three (3) of 41 sampled residents, the facility staff failed to develop person-centered care plans with goals and interventions to address (1) a resident's choking incident, (2) a resident's recent right femur (hip) fracture and (3) a resident who had a UTI. (Residents #20, #28, and #139).
Inspectors wroteBased on record reviews and staff interviews for three (3) out of 41 residents, facility staff failed to update and revise person-centered care plans. (Residents #6, #375 and #35).
Inspectors wroteBased on observation, record review, and interviews, facility staff failed to adequately monitor and provide supervision to a Resident who was a smoker. Resident #136. Resident #136 was admitted to the facility from the hospital on [DATE] with diagnoses including: Hemiplegia following Cerebral Infarct, Atrial Fibrillation, Essential Hypertension, Abnormal Levels of Serum Enzymes, and Anxiety Disorders. A review of Resident #136's medical record revealed the following: A Hospital Discharge summary dated [DATE] that documented Discharge Diagnosis: Smoking Hx (History) .Hospital Course: History of cigarette smoking- Nicotine patch d/c discharge as patient refusing . An admission assessment dated [DATE] at 7:51 pm documented that the Resident had no desire to smoke: .Smoking Evaluation: Resident desires to smoke(?): No. [...]
Inspectors wroteBased on observation, medical record review, and staff interview for one (1) of 41 sampled residents, facility staff failed to obtain physician orders that include the resident ' s use of continuous oxygen therapy. Resident #143.
Inspectors wroteBased on record review and staff interviews for one (1) of four (4) nursing units, the facility staff failed to ensure the system used for an acceptable standard of practice to account for the receipt, usage, disposition, and reconciliation of controlled medications was being followed by staff.
Inspectors wroteBased on observations and staff interview, facility staff failed to store and prepare foods in accordance with professional standards of practice for food services safety as evidenced by eight (8) of nine (9) four-inch-deep soiled bullet pans and two (2) of five (5) two-inch deep soiled bullet pans stored on a ready-for-use shelf, one (1) of one (1) six-pound, four-ounces can of Sysco Fancy Shredded Sauerkraut labeled with a best-by date of October 2022, six of six (6) six-pound, four-ounces cans of Jalapeno slices with a best-by date of January 21, 2023, and fire sprinkler blow off caps that were soiled with grease and/or foreign substances.
Inspectors wroteBased on observation, record review and staff interview for one (1) of 41 sampled residents, facility staff failed to maintain accurate documentation in a resident's medical record as evidenced by not completing the physician's tube feeding order at the time ordered to take it down. (Resident #50)
Inspectors wroteBased on observations and staff interview, facility staff failed to maintain the call bell system in good working condition as evidenced by call bells in two (2) of 43 resident's rooms that failed to initiate an alarm when tested.
Inspectors wroteBased on record review and staff interview, for one (1) of 60 sampled residents, facility staff failed to provide supervision, monitoring and modification of the residents plan of care to decrease the resident ' s risk for falls. Resident #51, who had a history of falls with injury, sustained another subsequent fall with injury.
Inspectors wroteBased on observations and staff interview, facility staff failed to provide housekeeping services necessary to maintain a safe, clean, comfortable environment as evidenced by a dome cover that was missing from one (1) of 10 ceiling lights in the fifth floor dining room, dome covers that were missing from two (2) of nine (9) ceiling lights in the second floor dining room, a dome cover that was missing from one (1) of 10 ceiling lights in the first floor dining room, two (2) stained ceiling tiles in the Activity's room on the fifth floor, one (1) of eight (8) electrical outlets in the second floor dining room that lacked an outside cover, low water temperatures in 10 of 47 resident's rooms, and missing dresser knobs from one (1) of 47 resident's rooms.
Inspectors wroteBased on observation, record review and staff interview, for six (6) of 60 sampled residents, facility staff failed to ensure residents who are unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and/or personal hygiene. Residents' #61, #109, #116, #123, #127, and #144.
Inspectors wroteBased on observations, record reviews and staff interviews, facility staff failed to: (1) administer medications in accordance with professional standards of practice, (2) dispose of medications in a timely manner and (3) accurately reconcile narcotics. Residents ' #67 and #123.
Inspectors wroteBased on observations and staff interview, facility staff failed to distribute and serve foods under sanitary conditions as evidenced by 10 of 11 steam pans that were stacked wet, two (2) of two (2) convection ovens that were soiled throughout, 14 of 42 plastic dinner plates that were soiled, seven (7) of seven (7) food tray transport carts that were marred, two (2) of two food tray transport carts plastic coverings that were torn and soiled, and one (1) of 14 baffle filters from the kitchen range hood that was damaged.
Inspectors wroteBased on observation, record review, and staff interview, for five (5) of 60 sampled residents, facility staff failed to maintain infection prevention and control practices to minimize the potential spread of infections during medication administration, while providing wound care and not continuing transmission-based precautions. Residents' #61, #64, #67, #168, and #370.
Inspectors wroteBased on record reviews and staff interviews, facility staff failed to ensure all required documents were conveyed to the receiving health care provider for three (3) of 60 sampled residents that were transferred from the facility to the hospital. Residents' #1, #92 and #145.
Inspectors wroteBased on record review and staff interview, for one (1) of 60 sampled residents, facility staff failed to accurately code a resident's assessment on the Minimum Data Set (MDS). Resident #152.
Inspectors wroteBased on record reviews and staff interviews, for two (2) of 60 sampled residents, facility staff failed to develop and implement a baseline care plan within 48 hours of two (2) residents' admission. Residents' #87 and #367.
Inspectors wroteBased on record review and staff interview, for one (1) of 60 sampled residents, facility staff failed to develop and implement a comprehensive person-centered care plan. Resident #87.
Inspectors wroteBased on record review and staff interview, for three (3) of 60 sampled residents, the facility staff failed to update/revise the resident's care plan to include person-centered aspects of care. Residents' #2, #51 and #92.
Inspectors wroteBased on observations, record review, and staff interview, for one (1) of 60 sampled residents, facility staff failed to demonstrate evidence that Resident #1 received assistance with meals as directed by the care plan and physician ' s orders to maintain the resident ' s ability to carry out ADLs (activities of daily living).
Inspectors wroteBased on observations, record reviews and staff interviews, for three (3) of 60 sampled residents, facility staff failed to ensure that residents received treatment and care in accordance with the professional standards of practice, the comprehensive person-centered care plan, as evidenced by: failure to ensure one (1) resident ' s blood sugar was obtained in accordance with the professional standards of practice and the physician ' s order; failed to administer hydrocortisone (used to treat redness, swelling, itching, and discomfort of various skin conditions) as ordered by the physician for one (1) resident; and failed to follow the physician ' s orders and care plan approaches for bowel regimen for one (1) resident. Residents' #67, #106, and #369.
Inspectors wroteBased on observation, record review and staff interview, for one (1) of 60 sampled residents, the facility staff failed to ensure that a resident with limited range of motion received appropriate treatment and services to increase their range of motion. Resident #92.
Inspectors wroteBased on observation and staff interview, for one (1) of 60 sampled residents, facility staff failed to ensure that a resident ' s respiratory care was consistent with professional standards of practice. Resident #8.
Inspectors wroteBased on observation, record review and staff interview, for one (1) of 60 sampled residents, the facility staff failed to attempt a gradual dose reduction for a resident who used Bupropion (antidepressant) HCL (hydrochloride) SR (sustain released tablet) daily for depression. Resident #123.
Inspectors wroteBased on record review and staff interview, for one (1) of 60 sampled residents, facility staff failed to accurately document resident assessments in the medical record in accordance with professional standards and practice. Resident #3.
Inspectors wroteBased on observations, record review and staff interview, the facility staff failed to maintain a low air loss mattress (for pressure redistribution) in a safe operating condition for one (1) of 60 sampled resident ' s using a low air loss mattress, Resident #64; and failed to maintain essential equipment in safe condition as evidenced by one (1) of 14 baffle filters from the kitchen range hood that was damaged.
Inspectors wroteBased on observations and staff interview, the facility failed to maintain the call bell system in good working condition as evidenced by call bells in three (3) of 43 resident's rooms that failed to alarm when tested.
4 fire safety citations on file: 1 on September 25, 2024, 2 on May 30, 2023, 1 on July 28, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| June 16, 2026 | Fine | $137,333 |
| March 24, 2026 | Fine | $13,260 |
| September 25, 2024 | Fine | $16,801 |
| September 25, 2024 | Payment Denial | 76 days from October 27, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | District of Columbia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.27 | 4.72 | 3.86 |
| Registered nurses | 1.24 | 1.46 | 0.69 |
| All nursing staff on weekends | 4.72 | 4.31 | 3.42 |
| Nurse aides | 3.00 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 29.8% | 34.0% | 45.8% |
| Registered nurse turnover | 39.5% | 32.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.49 on weekdays and 4.72 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.59 in April to June 2025 to 5.27 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.27 | 1.24 | 5.49 | 4.72 | 4.8% | 0 of 90 | 164 |
| Oct to Dec 2025 | 4.67 | 0.97 | 4.84 | 4.24 | 0.0% | 0 of 92 | 171 |
| Jul to Sep 2025 | 4.55 | 0.93 | 4.73 | 4.10 | 0.0% | 0 of 92 | 170 |
| Apr to Jun 2025 | 4.59 | 0.96 | 4.77 | 4.15 | 3.7% | 0 of 91 | 173 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| District of Columbia, Jan to Mar 2026 | 4.43 | 1.27 | 4.59 | 4.05 | 6.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| District of Columbia, all employers | |||
| CNAs (nursing assistants) | $22.93 | $20.38 to $24.93 | 3,490 |
| LPNs and LVNs | $36.42 | $30.75 to $39.14 | 1,040 |
| Registered nurses | $49.30 | $41.28 to $61.44 | 11,440 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | District of Columbia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.2 | 20.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 1.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.1 | 16.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 7.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.6 | 8.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.9 | 18.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.0 | 8.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 0.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ascension Living Carroll Manor's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (30.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
30.4% this home
Worse than the national rate
US median of homes 51.5% · District of Columbia: 4 better, 7 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 162 eligible stays.
11.5% this home
No different from the national rate
US median of homes 10.7% · District of Columbia: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 178 eligible stays.
5.8% this home
No different from the national rate
US median of homes 7.1% · District of Columbia: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 133 eligible stays.
61.4% this home
Median of homes: District of Columbia52.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 132 residents counted.
0.0% this home
Median of homes: District of Columbia0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 169 residents counted.
3.5% this home
Median of homes: District of Columbia1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 169 residents counted.
94.8% this home
Median of homes: District of Columbia95.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 77 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CARROLL MANOR. CMS links this home to Ascension Living, a group of 12 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ascension Health Senior Care | 5% or greater direct ownership interest | Organization | 100% | 07/01/2014 |
| Musgrave, Lisa | Corporate director | Individual | 01/01/2024 | |
| Smoot, Kenneth | Corporate director | Individual | 01/01/2024 | |
| Shadbolt, Erin | Corporate officer | Individual | 02/28/2023 | |
| Dale, Keysha | Operational/managerial control | Individual | 07/01/2024 | |
| Joseph, Bindu | Operational/managerial control | Individual | 11/29/2017 | |
| Ascension Health Senior Care | Adp of the SNF | Organization | 07/01/2015 | |
| Hannah George | Adp of the SNF | Organization | 06/24/2024 | |
| Health Dimensions Consulting Inc | Adp of the SNF | Organization | 08/02/2019 | |
| House Healthcare Solutions LLC | Adp of the SNF | Organization | 06/10/2025 | |
| Medical Solutions LLC | Adp of the SNF | Organization | 06/14/2017 | |
| Dale, Keysha | Adp of the SNF | Individual | 07/01/2024 | |
| Joseph, Bindu | Adp of the SNF | Individual | 11/29/2017 | |
| Musgrave, Lisa | Adp of the SNF | Individual | 01/01/2024 | |
| Shadbolt, Erin | Adp of the SNF | Individual | 05/22/2025 | |
| Smoot, Kenneth | Adp of the SNF | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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