Based on observations and resident interviews, the facility staff failed to maintain a safe and comfortable environment by not ensuring facility temperatures ranged from 71 to 81 Fahrenheit. As evidenced by four (4) of four residents who had respiratory diagnoses and/or were prescribed oxygen therapy, whose room temperatures ranged from 82 - 90 Fahrenheit after the facility staff turned off the HVAC system for repair. (Residents #1, #4, #196, and #199) The findings included: According to the Weather Channel, on June 10, 2026, the temperature in the District of Columbia ranged between 73 and 90 Fahrenheit. https://weather.com/weather/monthly/l/c4025fdf0177c872b7fc2e0d09e7c523995ef49e21145e2d2438fe08649ca9e81. Resident#1 was admitted to the facility on [DATE]. …
F584 citations in District of Columbia
Safe, clean, homelike environment · Resident Rights Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F584 more often than its own record predicts
1.14 times the share F584 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F584 findings written in District of Columbia, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observations and staff interviews, facility staff failed to maintain a safe environment for the residents.The findings included:During the initial kitchen walkthrough on 03/02/ 2026 approximately at 11:15 AM, a damaged dry wall and missing base board were observed in the dry storage room.During a face-to-face interview on 03/02/2026, approximately at 11:15 AM, the above observation was acknowledged by Employee #14, Food Service Manager.
Based on observations made on July 22, 2020, at approximately 1:20 PM, and on July 23, 2020, at approximately 1:20 PM, facility staff failed to provide housekeeping services necessary to maintain a clean area evidenced by several surgical masks, plastic bottles, and debris that were observed in the staff parking lot area and in areas surrounding the emergency generator and the chiller, and a plastic container full of water and other debris that was stored in the loading dock area. Findings included . 1. Observed 15 surgical masks, empty plastic bottles, and other debris discarded on the facility grounds surrounding the staff parking lot, the emergency generator, and the chiller. 2. …
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 4.55% | 2.04× |
| 2024 | 1.53% | 0.72× |
| 2025 | 2.40% | 1.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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