Based on record reviews and staff interviews, for one (1) out of 75 sampled residents, facility staff failed to ensure that they took the steps to investigate Resident #56's grievance that an aide handled him roughly during ADL care. The findings included: Review of the facility's Grievance Policy (not dated) documented: - This policy ensures acknowledgement of grievance procedures and fair and timely resolution of grievances. - Grievances can include behavior of staff, care and treatment provided by the staff or other concerns regarding their long-term or short-term stay. - The facility has 72 hours to investigate and resolve the grievance. - The following grievances are reported to Department of Health (DOH) - abuse and neglect. …
F585 citations in District of Columbia
Grievances · Resident Rights Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
District of Columbia cites F585 more often than its own record predicts
2.42 times the share F585 takes of citations nationally.
Of every deficiency written in District of Columbia in 2024, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F585 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.
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 0.45% | 0.74× |
| 2024 | 1.53% | 2.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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