Based on medical record review, policy review, and staff interview, the facility failed to ensure the nursing staff provided necessary care and treatment with an acute change in condition as evidenced by the failure to monitor, assess, evaluate and implement interventions, in accordance with professional standards of care, for one (1) resident with a history of dysphagia that experienced a choking episode. (Resident #158) Findings included . Resident #158 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. The Speech Evaluation and Plan of Treatment dated (MONTH) 13, (YEAR) at 4:38 PM showed reason for referral: Resident referred to SLP (Speech Language Pathology) evaluation due to difficulty speaking and coughing while eating. …
F726 citations in District of Columbia
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F726 more often than its own record predicts
8.00 times the share F726 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F726 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.
Number of residents sampled: Number of residents cited: Based on record review, staff interview, and family interview, the facility failed to ensure Employee #22 (CNA) did not remove a soiled sacral dressing and replace it with a clean gauze for one of 53 sampled residents. (Resident #43)Resident#43 was admitted to the facility on [DATE]. The resident has a history of Cerebral Infarction, Muscle Weakness, and Stage 3 and Stage 4 Pressure Ulcers.A care plan with a review date of 12/18/25, documented in part, Focus [Resident #43 has pressure ulcers related to disease process (Chronic respiratory failure, chronic kidney disease, diabetes.immobility.Intervention- administer treatments as ordered and monitor for effectiveness [LPN, RN, or NP]. …
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 0.91% | 1.49× |
| 2024 | 2.04% | 3.10× |
| 2025 | 4.80% | 8.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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