Based on review of medical records, administrative records, facility documentation/policies, and family and staff interviews, for three (3) of 3 sampled discharged residents, the facility's staff failed to ensure residents were safely discharged as evidenced by not providing Residents #332, #585, and #586 with written instructions for discharge medications. In addition, Resident #332 was discharged with Resident #27's Lisinopril (hypertensive medication). These failures have the potential to affect any resident who is discharged from the facility. Due to these failures, an Immediate Jeopardy situation was identified on February 17, 2023, at 4:17 PM. The facility submitted a Plan of Action to the survey team that was on onsite at 2:21 AM on February 18, 2023, and the plan was accepted. …
F624 citations in District of Columbia
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
District of Columbia cites F624 more often than its own record predicts
4.24 times the share F624 takes of citations nationally.
Of every deficiency written in District of Columbia in 2023, this is the portion that was F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F624 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.
What else District of Columbia surveyors cite →
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