Based on record review and staff interview, for one (1) of 41 sampled residents, facility staff failed to ensure that one resident had a physician's order for an indwelling catheter. Resident #298. The findings included: During a facility tour conducted on 10/31/22 at approximately 3:15 PM, Resident #298 was observed in her room with her urine collection bag uncovered, visible to visitors and other residents from hallway. Resident #298 was admitted to the facility on [DATE] with multiple diagnoses that included Overactive Bladder and Change in Bowel Habit. A review of the medical record revealed the following: 10/28/22 [Nursing Progress Note] . [Resident #298] .newly admitted from [Hospital name] .Catheter was placed with improvement. …
F635 citations in District of Columbia
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F635 citations were recorded in District of Columbia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What District of Columbia surveyors wrote
F635 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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