Based on record review and staff interviews, facility staff failed to implement an effective training program for existing staff as evidenced by Employee #6 (Licensed Practical Nurse/LPN) working a shift after suspension without receiving education on drug diversion/narcotics reconciliation after she was involved in a reported incident of missing narcotics. The findings included: A Facility Reported Incident (FRI), #3043356, submitted to the State Agency on 06/01/26 at 7:52 PM documented, Possible narcotics variance detected. Investigation initiated. A follow up to the FRI #3043356, submitted to the State Agency on 06/12/26 at 10:03 PM documented in part:- Employee #6 found the Oxycodone (narcotic pain medication) IR 5 mg (milligrams) tablet difficult to remove out of the pack. …
F940 citations in District of Columbia
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F940 citations were recorded in District of Columbia for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What District of Columbia surveyors wrote
F940 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.
What else District of Columbia surveyors cite →
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