Based on a record review and staff interview, the administration failed to effectively and efficiently maintain a safe environment for all residents. This is evidenced by: (1) The staff to include the DON not reporting a fire incident immediately, but not later than 2 hours to the Survey State Agency or the Administrator. (2)Resident #7 not protected from an altercation with Resident #8 following an investigation of a similar incident involving Resident #8 on 02/08/24. The facility's census on the first day of the survey was 287. The findings included: 1. The administration failed to effectively and efficiently maintain a safe environment for all residents. …
F835 citations in District of Columbia
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
District of Columbia cites F835 more often than its own record predicts
1.56 times the share F835 takes of citations nationally.
Of every deficiency written in District of Columbia in 2024, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F835 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 | 0.45% | 1.58× |
| 2024 | 0.51% | 1.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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