Based on observation, record review and staff interviews for one (1) of 59 sampled residents, facility staff failed to provide a safe, functional, sanitary, and comfortable environment for a resident who is totally dependent on staff, as evidenced by the resident's room filled with clutter. Resident #105. The findings included: Resident #105 was admitted to the facility on [DATE] with multiple diagnoses that included: Blindness Both Eyes, Psychotic Disorder with Delusions, Hallucinations, Morbid Obesity and Muscle Weakness. A review of Resident #105's medical record revealed: A Physician Note dated 05/14/2024 at 11:35 pm documented, The resident at baseline is debilitated, bedbound and dependent with all ADLs (Activities of Daily Living). …
F921 citations in District of Columbia
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Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
District of Columbia cites F921 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in District of Columbia in 2024, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F921 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% | 0.53× |
| 2024 | 0.51% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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