Cycle 1
Health 2024-11-27 · Fire 2024-11-27
19 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Washington, DC
Unique Rehabilitation And Health Center LLC
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
901 First Street Nw, Washington, DC
(202) 535-2011
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
230
Certified beds
Average residents
221
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-07-01
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
1.03
Registered nurse staffing · state 1.74 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.69 · national 0.87
Aide hours / resident day
2.39
Nurse aide staffing · state 2.55 · national 2.35
Total nurse hours
3.87
All reported nurse hours · state 4.85 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 2.30 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 4.35 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 1.38 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
4.06
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 31% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 33% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,717
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.22
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.12
Baseline 17.64% · Performance 19.99% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Healthcare-associated infections
0
Baseline 5.23% · Performance 9.07% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.76
Baseline 31.88% · Performance 36.04% · Measure score 6.76 · Achievement 6.76 · Improvement 0
Adjusted total nurse staffing
4.21
Baseline 4.83 hours · Performance 4.28 hours · Measure score 4.21 · Achievement 4.21 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.94% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 207 · Observed rate 11.11% · Lower 95% interval 8.1% |
| Discharge to community | 36.18% |
50.57%
14.4 pts worse
|
Worse than the National Rate · Eligible stays 192 · Observed rate 27.08% · Lower 95% interval 29.1% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 190 · Denominator 190 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 190 |
| Discharge self-care score | 56.82% |
53.69%
3.1 pts better
|
Numerator 75 · Denominator 132 |
| Discharge mobility score | 41.67% |
50.94%
9.3 pts worse
|
Numerator 55 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 1.58% |
2.29%
0.7 pts better
|
Numerator 3 · Denominator 190 · Adjusted rate 1.29% |
| Healthcare-associated infections requiring hospitalization | 9.07% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 155 · Observed rate 12.26% · Lower 95% interval 6.58% |
| Staff COVID-19 vaccination coverage | 1.99% |
8.2%
6.2 pts worse
|
Numerator 8 · Denominator 402 |
| Staff flu vaccination coverage | 8.38% |
42%
33.6 pts worse
|
Numerator 30 · Denominator 358 |
| Discharge function score | 49.24% |
56.45%
7.2 pts worse
|
Numerator 65 · Denominator 132 |
| Transfer of health information to provider | 98.18% |
95.95%
2.2 pts better
|
Numerator 54 · Denominator 55 |
| Transfer of health information to patient | 91.11% |
96.28%
5.2 pts worse
|
Numerator 41 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 24.18% |
25.2%
1 pts worse
|
Numerator 22 · Denominator 91 |
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 0.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
0.7
About the same
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
89.9%
9.2 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.5% · Q3 100.0% · Q4 99.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.5% |
97.0%
2.5 pts better
|
95.5%
4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
1.1%
0.3 pts worse
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 1.0% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.1% |
5.8%
12.3 pts worse
|
11.4%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 21.9% · Q3 26.0% · Q4 21.7% · 4Q avg 18.1% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.9%
1.5 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 4.5% · Q4 2.7% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
11.8%
3 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 8.5% · Q3 8.5% · Q4 8.5% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.8% |
8.6%
3.2 pts worse
|
16.7%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 11.7% · Q3 12.3% · Q4 12.7% · 4Q avg 11.8% · 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 | 12.4% |
21.6%
9.2 pts better
|
16.3%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 18.5% · Q3 5.4% · Q4 7.6% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.5% |
23.8%
3.3 pts better
|
14.9%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 27.4% · Q3 10.4% · Q4 11.7% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.3%
1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.5% · Q4 2.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
23.2%
0.9 pts better
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 19.8% · Q3 24.7% · Q4 24.7% · 4Q avg 22.3% |
| 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 · Q1 5.0% · Q2 6.8% · Q3 9.3% · Q4 6.9% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.5% |
66.1%
10.4 pts better
|
81.7%
5.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 69.2% · Q3 79.3% · Q4 75.0% · 4Q avg 76.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
7.2%
0.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.6% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
0.7%
0.6 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.4% · Q4 1.4% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.1% |
73.2%
14.9 pts better
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
18.1%
3.6 pts worse
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.5% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-26 · Fire 2022-09-26
37 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (9 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2020-10-13 · Fire 2020-10-13
22 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-06
F · Potential for more than minimal harm
2024-11-27
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2025-01-06
E · Potential for more than minimal harm
2024-11-27
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-06
E · Potential for more than minimal harm
2024-11-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-06
E · Potential for more than minimal harm
2024-11-27
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-01-06
D · Potential for more than minimal harm
2022-09-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-05
F · Potential for more than minimal harm
2020-10-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-12-11
E · Potential for more than minimal harm
2020-10-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-12-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-24
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
2025-11-24
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.
Not marked corrected
D · Potential for more than minimal harm
2025-09-19
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.
Not marked corrected
D · Potential for more than minimal harm
2025-06-06
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 2025-07-10
K · Immediate jeopardy
2024-11-27
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 2025-02-22
E · Potential for more than minimal harm
2024-11-27
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 2025-01-17
E · Potential for more than minimal harm
2024-11-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
E · Potential for more than minimal harm
2024-11-27
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-01-17
E · Potential for more than minimal harm
2024-11-27
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-22
D · Potential for more than minimal harm
2024-11-27
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
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 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-27
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-01-17
E · Potential for more than minimal harm
2023-07-07
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 2023-07-08
J · Immediate jeopardy
2023-04-25
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 2023-05-17
D · Potential for more than minimal harm
2023-04-25
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 2023-05-17
D · Potential for more than minimal harm
2023-04-25
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.
Corrected 2023-05-17
D · Potential for more than minimal harm
2023-04-25
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 2023-05-17
D · Potential for more than minimal harm
2023-04-25
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-17
G · Actual harm
2022-09-26
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 2022-12-05
G · Actual harm
2022-09-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-05
G · Actual harm
2022-09-26
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 2023-01-09
E · Potential for more than minimal harm
2022-09-26
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 2022-12-05
E · Potential for more than minimal harm
2022-09-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-05
E · Potential for more than minimal harm
2022-09-26
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 2023-01-27
E · Potential for more than minimal harm
2022-09-26
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-01-09
E · Potential for more than minimal harm
2022-09-26
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 2022-12-05
E · Potential for more than minimal harm
2022-09-26
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2023-01-09
D · Potential for more than minimal harm
2022-09-26
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F608 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2023-01-09
D · Potential for more than minimal harm
2022-09-26
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-09
D · Potential for more than minimal harm
2022-09-26
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2023-01-09
D · Potential for more than minimal harm
2022-09-26
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F642 · Resident Assessment and Care Planning Deficiencies
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-09
D · Potential for more than minimal harm
2022-09-26
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-09-26
F726 · Nursing and Physician Services Deficiencies
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2022-12-05
D · Potential for more than minimal harm
2022-09-26
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 2023-01-09
D · Potential for more than minimal harm
2022-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-05
E · Potential for more than minimal harm
2020-10-13
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 2020-12-11
E · Potential for more than minimal harm
2020-10-13
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 2020-12-11
E · Potential for more than minimal harm
2020-10-13
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 2020-12-11
E · Potential for more than minimal harm
2020-10-13
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2020-12-11
E · Potential for more than minimal harm
2020-10-13
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 2020-12-11
E · Potential for more than minimal harm
2020-10-13
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
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 2020-12-11
D · Potential for more than minimal harm
2020-10-13
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 2020-12-11
D · Potential for more than minimal harm
2020-10-13
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 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
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 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-12-11
D · Potential for more than minimal harm
2020-10-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-12-11
Penalties and ownership
What sits behind the stars
$48,887
2024-11-27
Fine
Fine · fine $48,887
Fine
$13,042
2023-04-25
Fine
Fine · fine $13,042
Fine
Ownership
Rooz, Efraim
5% Or Greater Direct Ownership Interest · Individual
Actualmeds Corporation
Operational/Managerial Control · Organization
Adduru, Benjamin
Operational/Managerial Control · Individual
Alamgir, Laila
Operational/Managerial Control · Individual
Comedja, Massan
Operational/Managerial Control · Individual
Enhance Therapies Master Payco
Operational/Managerial Control · Organization
Gold Pa Trust
5% Or Greater Indirect Ownership Interest · Organization
Hugh, Eric
Operational/Managerial Control · Individual
Matthews, Evette
Operational/Managerial Control · Individual
Silver Pa Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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Bridgepoint Subacute And Rehab Capitol Hill
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
#2
Inspire Rehabilitation And Health Center LLC
Washington, DC
4-star overall rating with 3-star inspections with $11,921 in total fines with 18 recent health deficiencies
#3
Washington Ctr For Aging Svcs
Washington, DC
4-star overall rating with 2-star inspections with $272,526 in total fines with 29 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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