Number of residents sampled: Number of residents cited: Based on record review and staff interview, the facility's staff failed to ensure that a resident's PASSAR II referral was completed within 30 days of admission for one (1) of 53 sampled residents. (Resident #150). The findings included:Resident #150 was admitted to the facility on [DATE] with multiple diagnoses including Unspecified Psychosis, Anxiety Disorder, and Major Depressive Disorder.A review of the resident's medical record revealed a PASSAR I form dated 04/09/26 that failed to capture that the resident had a history of a serious mental illness. Additionally, the form was incomplete and failed to document if a referral for a PASSAR II was necessary. …
F645 citations in District of Columbia
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F645 more often than its own record predicts
2.64 times the share F645 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F645 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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