Based on record review and staff interview, for one (1) of ten (10) sampled residents, facility staff failed to report, within two (2) hours, an incident that resulted in serious bodily injury, harm and or death. Resident #5.The findings included: The facility's Abuse Investigation and Reporting policy dated [DATE] documented in part:An alleged violation of abuse, neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but not later than two (2) hours if the alleged violation involves abuse OR has resulted in serious bodily injury. …
F609 citations in District of Columbia
Reporting alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F609 more often than its own record predicts
2.94 times the share F609 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F609 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 | 3.18% | 1.61× |
| 2024 | 3.57% | 1.57× |
| 2025 | 7.20% | 2.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction