Home / District of Columbia / Washington
Knollwood Hsc
6200 Oregon Ave Nw, Washington, DC 20015 · The District County · (202) 541-0150
69 certified beds, about 40 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 095026 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 26, 2023, inspectors cited 15 health deficiencies (the District of Columbia average is 23.2, the national average 9.2).
Of 39 health citations since June 2019, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.58 hours per resident per day, against 4.72 across District of Columbia and 3.86 nationally. Registered nurses accounted for 1.40 of those hours.
Health inspections
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.
1006/19
906/21
1504/23
104/24
405/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 39 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
24D
8E
2F
Potential for minimal harm
0A
0B
2C
May 30, 2025Complaint inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews for one (1) of eight (8) sampled residents, facility staff failed to adequately monitor and supervise a resident with a high fall risk. Subsequently, the Resident had three unwitnessed falls in the same month (02/07/25, 02/22/25, and 02/28/25). The unwitnessed fall on 02/28/25 resulted in a sustained injury.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record reviews and staff interviews, for one (1) of eight (8) sampled residents, the facility staff failed to implement its written policies and procedures for investigating incidents of abuse.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and staff interviews for one (1) of eight (8) sampled residents, facility staff failed to provide a physician discharge summary that included: a recapitulation of the resident's stay that includes, a final summary of the resident's status and reconciliation of all pre-discharge medications for a resident who was discharged home.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interviews for one (1) of eight (8) sampled residents, the facility staff failed to update care plan interventions for a resident with a history of aggressive behaviors. Subsequently, the resident had two staff-witnessed incidents of aggressive behavior towards another resident.
April 12, 2024Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record reviews and staff interviews for one (1) of three (3) sampled residents, facility staff failed to accurately transcribe a physician's order for Lorazepam (a benzodiazepine approved to treat anxiety, insomnia) medication. Subsequently, Resident #1 was administered the medication incorrectly five (5) times on 03/29/24.
April 26, 2023Standard inspection · 15 citations
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record reviews and staff interviews, facility staff failed to show documented evidence that the facility conducted quarterly QAPI (Quality Assurance & Performance Improvement) meetings to identify and evaluate quality activities for the year 2022. The resident census during the survey was 44.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, facility staff failed to provide care and services that met the professional standards of quality and practice as evidenced by one facility staff administering expired Influenza vaccines to ten (10) of 22 sampled residents. Residents' #11, #14, #22, #25, #27, #29, #31, #33, #35, and #44.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, facility staff failed to ensure residents received treatment and care in accordance with the professional standards of practice for elevan (11) of 22 sampled residents as evidenced by one facility staff administering expired Influenza vaccines to 10 residents and failing to administer one residents pain medications as indicated and prescribed by the provider. Residents' #11, #14, #22, #25, #27, #29, #31, #33, #35, #44, and #16.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, facility staff failed to ensure residents were free of medication errors as evidenced by the administration of expired Influenza vaccines to ten (10) of 22 sampled residents. Residents' #11, #14, #22, #25, #27, #29, #31, #33, #35, and #44.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on record review and staff interview, for ten (10) of 22 sampled residents, facility staff stored expired Influenza vaccines for use. Subsequently, on 10/17/22, these expired vaccines were administered to ten residents. (Residents' #11, #14, #22, #25, #27, #29, #31, #33, #35, and #44.)
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, facility staff failed to store food in accordance with professional standards for food service safety.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and staff interview, for one (1) of 22 sampled residents, facility staff failed to ensure that Resident #21 was treated with respect and dignity as evidenced by failure to provide a privacy cover for the resident's urine collection bag, which was visible from a commonly accessed hallway in the facility.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interview, for two (2) of 22 sampled residents, facility staff failed to implement its policies and procedures for conducting investigations. (Residents' #17 and #196.)
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interview for one (1) of 22 sampled residents, facility staff failed to conduct a thorough investigation of a resident's allegation of abuse by staff and report the findings to the administrator, and to the State Survey Agency within 2 hours of the allegation. Resident #17.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record reviews and staff interviews, for two (2) of 22 sampled residents, facility staff failed to conduct a thorough investigations for one resident's allegation of abuse and one resident's unwitnessed fall. Residents' #17 and #196.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, for one (1) of 22 sampled residents, facility staff failed to accurately code the resident's Minimum Data Set (MDS) assessment. Resident #17.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and staff interviews, for one (1) of 22 sampled residents, facility staff failed to implement Resident #196's fall care plan approaches/interventions and subsequently the resident had a fall with injury on 11/18/21.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record reviews, and staff interviews, for one (1) of 22 sampled residents, facility staff failed to ensure that respiratory treatment was provided to Resident #4 in accordance with the physician's order.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record reviews and staff interviews, for one (1) of 22 sampled residents, facility staff failed to ensure that Resident #16 received pain management that was consistent with the standards practice.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interviews, for two (2) of 22 sampled residents, facility staff failed to maintain Standards of Infection Control Practices when assisting the residents with their meals in the common dining area. Residents' #17 and #21.
June 2, 2021Standard inspection · 9 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and staff interview, the facility's staff failed to ensure that Resident #5, who had a history of pressure ulcers in the coccyx area, received continuous monitoring, consistent with professional standards of practice, to prevent the reoccurring of an unstageable pressure ulcer in the sacral region for one (1) of 18 sampled residents. This failure resulted in actual harm to Resident #5.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interview, for two (2) of 18 sampled residents, the facility's staff failed to provide adequate supervision and monitoring to prevent falls with major injuries (fractures) for Residents' #5 and #31. This failure resulted in actual harm to Residents' #5 and #31.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, for one (1) of 18 sampled residents, facility's staff failed to accurately code a resident's Quarterly Minimum Data Set (MDS) to include a Stage 3 pressure ulcer. Resident #5.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interview, facility staff failed to implement supervision as outlined in the Fall's Care Plan for one (1) of 18 sampled residents. Resident #5.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review and staff interview, for one (1) of 18 sampled residents, facility staff failed to ensure a resident receiving enteral feedings received appropriate care to prevent complications. Resident #10.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and staff interview, for one (1) of 18 sampled residents, facility staff failed to provide the specialized care needs for a resident receiving nebulizer treatments in accordance with the professional standards of practice. Resident #19.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and staff interview, for two (2) of 18 sampled residents, the facility staff failed to ensure that the pharmacist progress notes mentioned whether there were irregularities and recommendations for the Monthly Medication Regimen Review (MRR). Resident's #28 and #31.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and staff interview, for one (1) of 18 sampled residents, facility staff failed to ensure that a resident's monthly Medication Regimen Review (MRR) was conducted on a monthly basis. Resident #31.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and staff interview, in one (1) of one (1) observation, facility staff failed to maintain infection control prevention practices in accordance with standards of practice to minimize the potential spread of infections.
June 28, 2019Standard inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interview, the facility failed to store, serve and distribute foods under sanitary conditions as evidenced by staff who were observed serving breakfast foods to residents before food temperatures were completed, soiled equipment such as four (4) of four (4) convection ovens, one (1) of one (1) deep fryer, one (1) of one (1) grill and the interior of one (1) of one (1) oven, 20 of 20 six-inch, one-third steam pans that were stored wet, four (4) of 20 six-inch one-third pans that were dented throughout.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and staff interview for four (4) of 32 sampled residents, facility staff failed to develop baseline care plans with goals and approaches to properly care for four (4) newly admitted residents. Residents' # 38,53, 62 and 160.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations and interview, the facility failed to provide an environment free from accident hazards as evidenced by frayed remote bed controller cords in 12 of 20 resident's rooms.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observations and interview, facility staff failed to maintain electrical equipment in good condition as evidenced by frayed remote bed controller cords in 12 of 20 resident's rooms.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and staff interview for one (1) of 32 sampled residents, the facility staff failed to ensure that Resident #38's advance directive was placed on her active clinical record.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview for three (3) of 32 sampled residents, the facility staff failed to accurately code the Minimum Data Set (MDS) for one (1) resident death, for one (1) resident receiving hospice care and for one (1) resident diagnosis of Macular Degeneration.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview for two (2) of 32 sampled residents facility's staff failed to ensure the resident received treatment and care in accordance with professional standards of practice as evidenced by failing to provide evidence of collaboration with the hospice team for one (1) resident and to develop one (1) residents care plan and to accurately assess a residents neurological status after a fall. Residents' #9 and #32.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and staff interviews for one (1) of (2) nursing units, the facility staff failed to ensure the system used for acceptable standard of practice to account for the receipt, usage, disposition, and reconciliation of controlled medications was followed by staff. The census was 59 on the first day of the survey.
- C Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspectors wroteBased on observation, document review and staff interview, the facility staff failed to ensure the contact information to include the names, mailing and email addresses for all pertinent State agencies and advocacy groups were posted and failed to ensure the posting included a statement that the resident may file a complaint with the State Survey Agency. The resident census was 59 on the first day of survey.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, document review and staff interview the facility staff failed to post notice of the availability of survey results in a format (font) readable by residents/resident representatives. The resident census was 59 on the first day of survey.
Fire safety inspections
7 fire safety citations on file: 3 on April 26, 2023, 2 on June 2, 2021, 2 on June 28, 2019.
Every fire safety citation7 citations
- F Provide properly protected cooking facilities.
- F Have properly installed electrical wiring and gas equipment.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 5.58 | 4.72 | 3.86 |
| Registered nurses | 1.40 | 1.46 | 0.69 |
| All nursing staff on weekends | 5.07 | 4.31 | 3.42 |
| Nurse aides | 3.24 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | not reported | 34.0% | 45.8% |
| Registered nurse turnover | not reported | 32.5% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 5.78 on weekdays and 5.07 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.68 in July to September 2025 to 5.58 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 | 5.58 | 1.40 | 5.78 | 5.07 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 6.44 | 1.78 | 6.84 | 5.43 | 0.0% | 0 of 92 | 38 |
| Jul to Sep 2025 | 5.68 | 1.29 | 5.89 | 5.16 | 0.0% | 0 of 92 | 37 |
| 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.
Quality measures
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 | 40.6 | 20.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 0.8 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 7.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.5 | 8.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.4 | 18.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 8.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 0.6 | 1.8 |
Owners and operators
Legal business name: THE ARMY DISTAFF FOUNDATION INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| James, Gladstone | Indirect ownership interest | Individual | 05/22/2024 | |
| James, Gladstone | Corporate director | Individual | 05/22/2025 | |
| Fletcher, Stefanie | Corporate officer | Individual | 03/23/2023 | |
| Fletcher, Stefanie | Operational/managerial control | Individual | 09/18/2025 | |
| Olaniyi, Dennis | Operational/managerial control | Individual | 04/01/2025 | |
| Daniel, Gilbert | Adp of the SNF | Individual | 10/21/2025 | |
| Olaniyi, Dennis | Adp of the SNF | Individual | 04/01/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 30, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on May 30, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on April 12, 2024: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on May 30, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
Other nursing homes nearby
- Ingleside at Rock Creek Washington, 0.8 mi · 3 of 5 stars · 42 citations
- Forest Hills of Dc Washington, 1.5 mi · 5 of 5 stars · 46 citations
- Fox Chase Healthcare Silver Spring, 1.8 mi · 1 of 5 stars · 68 citations
- Lisner Louise Dickson Hurthome Washington, 1.8 mi · 5 of 5 stars · 19 citations
- Autumn Lake Healthcare at Chevy Chase Chevy Chase, 2 mi · 3 of 5 stars · 45 citations
- Woodside Rehab & Nursing Silver Spring, 2.4 mi · 3 of 5 stars · 40 citations
- Stoddard Baptist Nursing Home Washington, 2.6 mi · 3 of 5 stars · 56 citations
- Sligo Creek Healthcare Takoma Park, 2.8 mi · 3 of 5 stars · 48 citations
District of Columbia contacts for a concern about a nursing home
These are the official offices in District of Columbia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: DC Health, Health Care Facilities Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Office of the D.C. Long-Term Care Ombudsman, 202-434-2190. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: DC Health Nursing Homes Survey Reports, where District of Columbia publishes its own records on licensed homes.
Common questions
- What is Knollwood Hsc's Medicare star rating?
- CMS rates Knollwood Hsc 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Knollwood Hsc get at its last inspection?
- 15 health deficiencies at the standard inspection on April 26, 2023. The District of Columbia average is 23.2.
- Has Knollwood Hsc been fined?
- CMS lists no fines in the last three years.
- Does Knollwood Hsc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Knollwood Hsc?
- CMS lists 7 owners and managers. Legal business name: THE ARMY DISTAFF FOUNDATION INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.