Based on observations, record reviews, staff interviews and a resident's interview, for three (3) of nine (9) sampled residents, the facility failed to ensure residents were free from physical abuse as evidenced by: (1) The Administrative staff making the decision to place Resident #2 (new admission), who was known for physical aggressive behaviors toward other residents, in a room with Resident #1, who was also known for physical aggression against other residents and staff and sexual misconduct. …
F600 citations in District of Columbia
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F600 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F600 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, record reviews, and staff interviews for six (6) of 105 sampled residents, the facility staff failed to ensure residents were free from abuse. (Residents #146, #163, #254, #70, #131 and #169.) Actual harm was determined to be present for Residents #169, and #131. The findings included: A review of a policy titled Abuse, Neglect and Exploitation revised on 09/20/22, documented .The facility will make efforts to ensure all residents are protected from physical and psychosocial harm, as well as additional abuse during and after the investigation. Examples include but are not limited to: Responding immediately to protect the alleged victim and integrity of the investigation. …
Based on record reviews and staff and family interviews, the facility failed to have documented evidence that verbal abuse of resident did not occur after receiving an allegation of staff-to-resident verbal abuse for one (1) of 1 sampled residents. (Resident #158) The findings included: Resident #158 was admitted on [DATE] with multiple diagnoses including Altered Mental Status, Muscle Weakness, and Psychotic Disorder. During a telephone interview related to different concern (Complaint DC~12827) on 04/25/25 at approximately 10 AM, the resident daughter (complainant) stated that Employee #39 (CNA) said, My mom was pistol in front of my mom. After the employee said my mom was afraid and wanted to go home. …
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 1.82% | 1.03× |
| 2024 | 1.53% | 0.65× |
| 2025 | 0.80% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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