18 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Washington, DC
4-star overall rating with 3-star inspections with $11,921 in total fines with 18 recent health deficiencies
2131 O Street Nw, Washington, DC
(202) 785-2577
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
177
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-03-21
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
RN hours / resident day
0.90
Registered nurse staffing · state 1.74 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.69 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.55 · national 2.35
Total nurse hours
4.04
All reported nurse hours · state 4.85 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 2.30 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 4.35 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 1.38 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.16
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 31% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 33% · national 46%
SNF VBP
Program rank
2,284
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.47
Composite VBP score used to determine payment impact.
Payment multiplier
1.0046
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.47
Baseline 18.40% · Performance 20.29% · Measure score 2.47 · Achievement 2.47 · Improvement 0
Healthcare-associated infections
6.42
Baseline 6.79% · Performance 5.92% · Measure score 6.42 · Achievement 6.42 · Improvement 4.37
Total nurse turnover
7.75
Performance 32.00% · Measure score 7.75 · Achievement 7.75 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.55
Baseline 4.36 hours · Performance 4.09 hours · Measure score 3.55 · Achievement 3.55 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.53% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 241 · Observed rate 11.62% · Lower 95% interval 9.06% |
| Discharge to community | 39.34% |
50.57%
11.2 pts worse
|
Worse than the National Rate · Eligible stays 225 · Observed rate 31.56% · Lower 95% interval 31.27% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.44% |
95.27%
2.2 pts better
|
Numerator 190 · Denominator 195 |
| Falls with major injury | 1.03% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 195 |
| Discharge self-care score | 52.63% |
53.69%
1.1 pts worse
|
Numerator 70 · Denominator 133 |
| Discharge mobility score | 48.87% |
50.94%
2.1 pts worse
|
Numerator 65 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 2.05% |
2.29%
0.2 pts better
|
Numerator 4 · Denominator 195 · Adjusted rate 1.49% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 154 · Observed rate 5.84% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 280 |
| Staff flu vaccination coverage | 55.79% |
42%
13.8 pts better
|
Numerator 135 · Denominator 242 |
| Discharge function score | 52.63% |
56.45%
3.8 pts worse
|
Numerator 70 · Denominator 133 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | 95.16% |
96.28%
1.1 pts worse
|
Numerator 59 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 38.66% |
25.2%
13.5 pts better
|
Numerator 46 · Denominator 119 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.1
0.7 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
0.7
0.2 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
89.9%
5.1 pts better
|
93.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 91.3% · Q3 96.8% · Q4 97.5% · 4Q avg 95.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
97.0%
1.2 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
1.1%
0.5 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.7% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.8% |
5.8%
11 pts worse
|
11.4%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 34.3% · Q3 6.9% · Q4 0.0% · 4Q avg 16.8% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
4.9%
5.4 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 11.7% · Q3 10.3% · Q4 12.3% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.6% |
11.8%
6.2 pts better
|
19.6%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.8% · Q3 4.6% · Q4 6.9% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.5% |
8.6%
4.1 pts better
|
16.7%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 3.4% · Q3 4.8% · Q4 4.9% · 4Q avg 4.5% · 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 | 8.1% |
21.6%
13.5 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 7.9% · Q3 6.3% · Q4 4.2% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
23.8%
8.2 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 25.0% · Q3 12.6% · Q4 9.0% · 4Q avg 15.6% · 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 | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.9% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
23.2%
1 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 36.2% · Q3 20.6% · Q4 15.7% · 4Q avg 24.2% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
7.9%
0.2 pts better
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 8.7% · Q3 7.9% · Q4 9.9% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
66.1%
22.6 pts better
|
81.7%
7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.7% · Q2 90.2% · Q3 83.7% · Q4 86.9% · 4Q avg 88.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
7.2%
2.1 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 5.2% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
0.7%
1.4 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.8% · Q3 2.2% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.5% |
73.2%
21.3 pts better
|
79.7%
14.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
18.1%
3.4 pts worse
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 23.7% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (9 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-29
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-28
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-08
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-08
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-08
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 2023-12-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-08
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-08
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-08
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 2023-12-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-08
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 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-05
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-05
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 2023-09-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-21
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-10-21
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 2022-10-21
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-12-02
Health
Respond appropriately to all alleged violations.
Corrected 2022-12-02
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 2022-10-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-10-21
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 2022-10-21
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-10-21
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2022-10-21
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-10-21
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 2022-10-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-21
Health
Provide activities to meet all resident's needs.
Corrected 2022-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-12-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-21
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-10-21
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2022-10-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-12-02
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-10-21
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 2022-10-21
Health
Provide or obtain dental services for each resident.
Corrected 2022-10-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-10-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-10-21
Health
Keep all essential equipment working safely.
Corrected 2022-10-21
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-10-21
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2020-01-26
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-01-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-01-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-01-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-01-26
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2020-01-26
Health
Put firmly secured handrails on each side of hallways.
Corrected 2020-01-26
Penalties and ownership
Fine · fine $11,921
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Washington, DC
2-star overall rating with 3-star inspections with $97,426 in total fines with 24 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Washington, DC
3-star overall rating with 2-star inspections with $61,929 in total fines with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Washington, DC
2-star overall rating with 1-star inspections with $95,118 in total fines with 31 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out