Cycle 1
Health 2024-12-06 · Fire 2024-12-06
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Washington, DC
Forest Hills Of Dc
5-star overall rating with 4-star inspections with $9,311 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
4901 Connecticut Avenue, Nw, Washington, DC
(202) 966-7623
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
55
Certified beds
Average residents
50
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-12-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.52
Registered nurse staffing · state 1.74 · national 0.68
LPN hours / resident day
0.42
Licensed practical nurse staffing · state 0.69 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.55 · national 2.35
Total nurse hours
4.62
All reported nurse hours · state 4.85 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 2.30 · national 1.54
Weekend hours
4.40
Weekend nurse staffing · state 4.35 · national 3.43
Weekend RN hours
1.25
Weekend registered nurse coverage · state 1.38 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
4.47
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 31% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 33% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,300
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9981
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.28
Baseline 16.56% · Performance 18.99% · Measure score 5.28 · Achievement 5.28 · Improvement 0
Healthcare-associated infections
0
Baseline 5.92% · Performance 8.12% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.79
Performance 40.00% · Measure score 5.79 · Achievement 5.79 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.92
Baseline 4.57 hours · Performance 5.05 hours · Measure score 6.92 · Achievement 6.92 · Improvement 3.44
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.19% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 249 · Observed rate 5.22% · Lower 95% interval 6.87% |
| Discharge to community | 63.18% |
50.57%
12.6 pts better
|
Better than the National Rate · Eligible stays 263 · Observed rate 62.74% · Lower 95% interval 57.57% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.86% |
95.27%
1.6 pts better
|
Numerator 154 · Denominator 159 |
| Falls with major injury | 1.26% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 159 |
| Discharge self-care score | 73.02% |
53.69%
19.3 pts better
|
Numerator 92 · Denominator 126 |
| Discharge mobility score | 69.84% |
50.94%
18.9 pts better
|
Numerator 88 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 2 · Denominator 159 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 8.11% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 7.14% · Lower 95% interval 5.3% |
| Staff COVID-19 vaccination coverage | 15.32% |
8.2%
7.1 pts better
|
Numerator 19 · Denominator 124 |
| Staff flu vaccination coverage | 94.78% |
42%
52.8 pts better
|
Numerator 127 · Denominator 134 |
| Discharge function score | 72.22% |
56.45%
15.8 pts better
|
Numerator 91 · Denominator 126 |
| Transfer of health information to provider | 95.24% |
95.95%
0.7 pts worse
|
Numerator 20 · Denominator 21 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 125 · Denominator 125 |
| Resident COVID-19 vaccinations up to date | 27.78% |
25.2%
2.6 pts better
|
Numerator 20 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
0.7
0.2 pts worse
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.3% |
89.9%
11.6 pts worse
|
93.4%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 80.0% · Q3 80.0% · Q4 72.2% · 4Q avg 78.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
97.0%
0.3 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
1.1%
0.4 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
5.8%
1.1 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 6.1% · Q4 8.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
4.9%
4.1 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.1% · Q3 13.3% · Q4 6.9% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
11.8%
2.3 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.8% · Q3 9.7% · Q4 9.7% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.7% |
8.6%
0.1 pts worse
|
16.7%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 8.0% · Q3 7.4% · Q4 7.7% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.1% |
21.6%
14.5 pts worse
|
16.3%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 49.5% |
23.8%
25.7 pts worse
|
14.9%
34.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.3% · Q2 38.5% · Q3 57.1% · Q4 36.0% · 4Q avg 49.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 0.0% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.6% |
23.2%
12.4 pts worse
|
19.8%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 43.3% · Q3 26.5% · Q4 34.7% · 4Q avg 35.6% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
7.9%
5.9 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.5% · Q4 2.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.7% |
66.1%
3.4 pts worse
|
81.7%
19 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.8% · Q2 59.4% · Q3 61.2% · Q4 61.1% · 4Q avg 62.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
7.2%
9 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 13.8% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
0.7%
0.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.1% |
73.2%
4.1 pts worse
|
79.7%
10.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 69.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
18.1%
5.9 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 19.3% · Expected 19.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-09 · Fire 2023-08-09
18 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-02-25 · Fire 2022-02-25
17 health deficiencies
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-06
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-06
E · Potential for more than minimal harm
2024-12-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-06
E · Potential for more than minimal harm
2024-12-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-06
E · Potential for more than minimal harm
2024-12-06
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-06
E · Potential for more than minimal harm
2023-08-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-15
D · Potential for more than minimal harm
2023-08-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-15
E · Potential for more than minimal harm
2022-02-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-03
D · Potential for more than minimal harm
2022-02-25
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-03-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-27
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-27
D · Potential for more than minimal harm
2024-12-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-27
D · Potential for more than minimal harm
2024-12-27
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-27
D · Potential for more than minimal harm
2024-12-27
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-02-27
D · Potential for more than minimal harm
2024-12-27
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-27
E · Potential for more than minimal harm
2024-12-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-06
D · Potential for more than minimal harm
2024-12-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-06
D · Potential for more than minimal harm
2024-12-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-06
D · Potential for more than minimal harm
2024-12-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-06
D · Potential for more than minimal harm
2024-12-06
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-02-06
G · Actual harm
2023-08-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-06
E · Potential for more than minimal harm
2023-08-09
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-12-06
E · Potential for more than minimal harm
2023-08-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-06
E · Potential for more than minimal harm
2023-08-09
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F575 · Resident Rights Deficiencies
Health
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.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-15
D · Potential for more than minimal harm
2023-08-09
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-08-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-06
F · Potential for more than minimal harm
2022-02-25
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-05-06
E · Potential for more than minimal harm
2022-02-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-06
E · Potential for more than minimal harm
2022-02-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-06
E · Potential for more than minimal harm
2022-02-25
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-08
D · Potential for more than minimal harm
2022-02-25
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-02-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-05-06
Penalties and ownership
What sits behind the stars
$9,311
2023-08-09
Fine
Fine · fine $9,311
Fine
$0
2023-08-09
Payment Denial
Payment Denial · denial start 2024-01-04 · 11 days
11 day denial
Ownership
Sandri, Tina
Corporate Officer · Individual
Sandri, Tina
W-2 Managing Employee · Individual
Scott, Crystal
Corporate Officer · Individual
Scott, Crystal
W-2 Managing Employee · Individual
Taylor, Scott
Corporate Director · Individual
Taylor, Scott
Corporate Officer · Individual
Nearby options
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#3
Knollwood Hsc
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4-star overall rating with 3-star inspections with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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