Based on record review and staff interviews, facility staff failed to meet the State requirement of providing a minimum daily average of four and one tenth (4.1) hours of direct nursing care per resident per day on 02/22/26, when an Immediate Jeopardy was identified. The census on that day was 117.The findings included:A Facility Reported Incident (FRI), intake #2785968, received by the State Agency on 02/22/26 at 7:26 PM documented, On February 22, 2026 at approximately 3 AM, [Resident #5] was found in the doorway of his room with his trach dislodged. …
F836 citations in District of Columbia
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
District of Columbia cites F836 more often than its own record predicts
23.76 times the share F836 takes of citations nationally.
Of every deficiency written in District of Columbia in 2025, this is the portion that was F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F836 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% | 4.06× |
| 2024 | 2.55% | 27.73× |
| 2025 | 1.60% | 23.76× |
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