Based on record review and staff interview, facility failed to correct and monitor deficiencies identified on the previous survey that involved baseline care plans and implementing care plan interventions. The census on the first day of the survey was 194. The findings included: A review of the facility's previous survey from dates 06/24/24 to 07/16/24 showed that the facility was cited for the following deficiencies: F655 - Baseline care plan F656 - Develop/Implement Comprehensive Care Plan The aforementioned deficiencies were cited again during the Revisit Survey that was conducted from 09/17/24 to 09/18/24. …
F867 citations in District of Columbia
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
District of Columbia cites F867 more often than its own record predicts
1.13 times the share F867 takes of citations nationally.
Of every deficiency written in District of Columbia in 2024, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F867 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 | 0.91% | 1.55× |
| 2024 | 0.51% | 1.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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