Number of residents sampled: Number of residents cited: Based on record review and staff interview for one (1) of 49 sampled residents, the facility staff failed to accurately code a Resident as receiving opioids on a quarterly MDS assessment. Resident #185The findings included:Resident #185 was admitted to the facility on [DATE] with diagnoses that included: Hypertension, Cerebral Vascular Accident with Left- sided Residual Deficit, Atrial defibrillation, Parainfluenza, Epilepsy, Type 2 Diabetes Mellitus, Vascular Dementia, and Schizophrenia. A review of Resident #185's medical record revealed the following: A physician's order dated 11/17/25 at 2:00 PM that directed: Tramadol HCl Oral Tablet 50 mg (milligrams) (Tramadol HCl). Give 1 tablet by mouth every 8 hours for pain. …
F641 citations in District of Columbia
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F641 less often than its own record predicts
0.87 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 F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F641 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 | 5.45% | 3.20× |
| 2024 | 4.59% | 2.73× |
| 2025 | 1.60% | 0.87× |
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