Based on a record review and staff interview, the governing body failed to ensure that the Abuse, Neglect, and Exploitation Policy was implemented. 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 6's two resident-to-resident abuse investigations not including interviews with all who might had knowledge of the incidents. (3) Resident #7 not being protected against abuse from 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. …
F837 citations in District of Columbia
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
District of Columbia cites F837 more often than its own record predicts
5.60 times the share F837 takes of citations nationally.
Of every deficiency written in District of Columbia in 2024, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F837 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% | 6.15× |
| 2024 | 0.51% | 5.60× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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