Washington, DC

The Hsc Pediatric Skilled Nursing Facility

3-star overall rating with 4-star inspections with 5 recent health deficiencies

1731 Bunker Hill Road Ne, Washington, DC

(202) 832-4400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

16

Certified beds

Average residents

10

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2019-12-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

3.70

Registered nurse staffing · state 1.74 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

1.15

Nurse aide staffing · state 2.55 · national 2.35

Total nurse hours

4.84

All reported nurse hours · state 4.85 · national 3.89

Licensed hours

3.70

RN + LPN hours · state 2.30 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 4.35 · national 3.43

Weekend RN hours

2.78

Weekend registered nurse coverage · state 1.38 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.48

CMS adjusted RN staffing hours

Adjusted total hours

1.94

CMS adjusted total nurse staffing hours

Case-mix index

3.42

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 85
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.9%
10.1 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.1%
1.1 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
5.8%
5.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 4.0%
4.9%
0.9 pts better
5.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 62.7%
11.8%
50.9 pts worse
19.6%
43.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 62.7%
Percentage of long-stay residents who were physically restrained 7.7%
0.6%
7.1 pts worse
0.1%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.7%
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.2%
1.3%
2.9 pts worse
1.0%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.8%
1.7%
2.1 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 3.2%
23.2%
20 pts better
19.8%
16.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2%
Percentage of long-stay residents with pressure ulcers 7.0%
7.9%
0.9 pts better
5.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-25 · Fire 2024-08-08

5 health deficiencies

Top issue: Environmental (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-08 · Fire 2023-02-09

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-09 · Fire 2021-08-12

22 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2021-08-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-10-21

C · Minimal harm 2021-08-12

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2021-10-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-25

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Not marked corrected

D · Potential for more than minimal harm 2025-07-25

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.

Not marked corrected

D · Potential for more than minimal harm 2025-07-25

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.

Not marked corrected

D · Potential for more than minimal harm 2025-07-25

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Not marked corrected

D · Potential for more than minimal harm 2025-07-25

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Not marked corrected

D · Potential for more than minimal harm 2024-08-08

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 2024-10-18

D · Potential for more than minimal harm 2024-08-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-08-08

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 2024-10-18

D · Potential for more than minimal harm 2024-08-08

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 2024-10-18

D · Potential for more than minimal harm 2024-08-08

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-10-18

D · Potential for more than minimal harm 2023-12-13

F562 · Resident Rights Deficiencies

Health

Provide immediate access to any resident.

Corrected 2024-02-17

D · Potential for more than minimal harm 2023-12-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-17

D · Potential for more than minimal harm 2023-12-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-17

D · Potential for more than minimal harm 2023-12-13

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 2024-02-17

D · Potential for more than minimal harm 2023-12-13

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 2024-02-17

D · Potential for more than minimal harm 2023-12-13

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 2024-02-17

D · Potential for more than minimal harm 2023-12-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-17

E · Potential for more than minimal harm 2023-02-09

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 2023-05-12

E · Potential for more than minimal harm 2023-02-09

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-02-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

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 2023-05-12

D · Potential for more than minimal harm 2023-02-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-02-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-02-09

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-05-12

Penalties and ownership

What sits behind the stars

Ownership

Children's National Medical Center

5% Or Greater Indirect Ownership Interest · Organization

100% 1 facilities 2019-09-01
Epps, Donna

Operational/Managerial Control · Individual

0% 1 facilities 2023-09-06
Holson, Deborah

Corporate Officer · Individual

0% 1 facilities 2015-06-01
Nelson, Phillicia

Corporate Director · Individual

0% 1 facilities 2024-07-01
Riley-Brown, Michelle

Corporate Officer · Individual

0% 1 facilities 2023-07-01

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