Cycle 1
Health 2023-01-09 · Fire 2023-01-09
12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Washington, DC
Sibley Mem Hosp Renaissance
5-star overall rating with 4-star inspections with $8,827 in total fines with 12 recent health deficiencies
5255 Loughboro Road Nw, Washington, DC
(202) 537-4000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
45
Certified beds
Average residents
32
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-05-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
4.94
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
1.94
Nurse aide staffing
Weekend hours
6.13
Weekend nurse staffing
RN turnover
16%
Annual RN turnover
Total nurse turnover
26%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
66.1%
29.8 pts better
|
81.7%
14.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
7.2%
0.2 pts worse
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
0.7%
1 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
73.2%
26.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.5% |
18.1%
7.4 pts worse
|
23.9%
1.6 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-23 · Fire 2021-04-23
11 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-09-13 · Fire 2019-09-13
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2021-04-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-22
E · Potential for more than minimal harm
2021-04-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-22
F · Potential for more than minimal harm
2019-09-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-08-14
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-07
D · Potential for more than minimal harm
2024-08-14
F756 · Pharmacy Service Deficiencies
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 2024-10-07
D · Potential for more than minimal harm
2024-08-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-07
J · Immediate jeopardy
2024-02-06
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-02-06
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-02-06
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 2024-03-04
E · Potential for more than minimal harm
2023-01-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-10
D · Potential for more than minimal harm
2023-01-09
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F584 · Resident Rights Deficiencies
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-03-10
D · Potential for more than minimal harm
2023-01-09
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-10
D · Potential for more than minimal harm
2023-01-09
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
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 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-03-10
D · Potential for more than minimal harm
2023-01-09
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-03-10
G · Actual harm
2021-04-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-06-22
E · Potential for more than minimal harm
2021-04-23
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 2021-06-22
E · Potential for more than minimal harm
2021-04-23
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-06-22
D · Potential for more than minimal harm
2021-04-23
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2021-06-22
D · Potential for more than minimal harm
2021-04-23
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 2021-06-22
D · Potential for more than minimal harm
2021-04-23
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 2021-06-22
D · Potential for more than minimal harm
2021-04-23
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 2021-06-22
D · Potential for more than minimal harm
2021-04-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-22
E · Potential for more than minimal harm
2019-09-13
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2019-11-12
E · Potential for more than minimal harm
2019-09-13
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 2019-11-12
E · Potential for more than minimal harm
2019-09-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-12
D · Potential for more than minimal harm
2019-09-13
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-11-12
D · Potential for more than minimal harm
2019-09-13
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 2019-11-12
D · Potential for more than minimal harm
2019-09-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-11-12
D · Potential for more than minimal harm
2019-09-13
F756 · Pharmacy Service Deficiencies
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 2019-11-12
D · Potential for more than minimal harm
2019-09-13
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-11-12
Penalties and ownership
What sits behind the stars
$8,827
2024-02-06
Fine
Fine · fine $8,827
Fine
Ownership
Abele, Jennifer
Corporate Director · Individual
Ammerman, Joshua
Corporate Director · Individual
Argo, Archie
Corporate Director · Individual
Barron, Jessica
Operational/Managerial Control · Individual
Barton, William
Corporate Director · Individual
Bulen, James
Operational/Managerial Control · Individual
Carpenter, Carolyn
Corporate Director · Individual
Cecil, Guy
Corporate Director · Individual
Cernea, Andrei
Corporate Director · Individual
Crickenberger, Brian
Operational/Managerial Control · Individual
Cryer, Donna
Corporate Director · Individual
Duran, Mishaela
Corporate Director · Individual
Elyanow, Kimberly
Corporate Officer · Individual
Farr, Michael
Corporate Director · Individual
Hajj, Ahmad
Corporate Director · Individual
Harrington, Jenny
Corporate Director · Individual
Hendricks-Jackson, Laura
Corporate Officer · Individual
Hertz, Harry
Corporate Director · Individual
Horton, Karen
Corporate Director · Individual
Humphries, Fred
Corporate Director · Individual
Lewin, Cynthia
Corporate Director · Individual
Lewis, Joan
Corporate Director · Individual
Mallett, Robert
Corporate Director · Individual
Mancino, Peter
Corporate Officer · Individual
Marshall, Capricia
Corporate Director · Individual
Miller, Edward
Corporate Director · Individual
Miyamoto, Suzanne
Corporate Director · Individual
Morris, Richard
Corporate Director · Individual
Mullick, Anu
Corporate Director · Individual
Owens, Pamela
Corporate Officer · Individual
Parker, Charles
Corporate Director · Individual
Paul, Martin
Corporate Director · Individual
Pratt, Tiffany
Corporate Officer · Individual
Reinard, Chris
Corporate Officer · Individual
Schaefer, Thomas
Corporate Director · Individual
Shafa, Caroline
Corporate Officer · Individual
Silberman, Robert
Corporate Director · Individual
Sowers, Kevin
Corporate Officer · Individual
Strawbridge, Welsh
Corporate Director · Individual
The Johns Hopkins Health System Corporation
5% Or Greater Direct Ownership Interest · Organization
Wright, Pandit
Corporate Director · Individual
Zia, Hasan
Operational/Managerial Control · Individual
Zia, Hasan
Corporate Officer · Individual
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