Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Washington Ctr For Aging Svcs during CMS and state inspections, most recent first.
Facility staff did not post the most recent survey results in an accessible location and failed to provide survey reports from the past three years, including certification surveys and complaint investigations, upon request. When a resident's representative asked for the latest survey results, only an outdated report was provided, and staff were unable to promptly locate the required documentation.
A resident with complex medical needs, including chronic respiratory failure and mobility limitations, was discharged without proper coordination of home care and oxygen therapy services. The social worker did not document arrangements for post-discharge care or confirm acceptance by a home care agency, and family members reported that promised services were not provided, leading to the resident using outdated equipment and experiencing falls at home.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in a failure to meet individualized care requirements.
Staff did not immediately inform a resident, their physician, and a family member about events such as injury, decline, or room changes that affected the resident, resulting in a deficiency for lack of timely notification.
Two residents with complex medical needs were found to have inaccurate eating status documented in their comprehensive assessments. In both cases, CNA task sheets and staff interviews confirmed the residents' actual abilities and assistance needs, but the MDS assessments did not accurately reflect this information, with one resident incorrectly coded as not eating and another as requiring less assistance than was actually needed.
A resident with a history of dysphagia, adult failure to thrive, and dementia was observed requiring total staff assistance with eating and drinking, but the care plan lacked documented goals and interventions to address this need. Staff confirmed the resident's total dependence on assistance, yet the care plan did not reflect these requirements.
Facility staff did not have documented evidence that the IDT reviewed care plans or held care plan conferences with two residents and/or their families after required MDS assessments, despite both residents having complex medical histories and recent assessments completed. Staff interviews confirmed the absence of documentation for these required reviews and conferences.
A resident with dysphagia and other complex medical needs had inconsistent and incorrect information documented in speech-language pathology treatment notes and the care plan. The SLP's notes did not match the physician's diet order or the dietary records, and the care plan inaccurately described the resident's eating habits. Staff interviews confirmed the documentation errors and clarified the resident's actual dietary needs and preferences.
Failure to Make Survey Results and Reports Readily Accessible
Penalty
Summary
Facility staff failed to post the results of its most recent survey in a location that was readily accessible to residents, family members, and resident representatives. Observations revealed that only a sign indicating the survey book was available upon request was posted at the front security desk, rather than the actual survey results. When a resident's representative requested the most recent survey results, she was provided with an outdated report from 2022. Additionally, during a surveyor's visit, the front desk staff were unable to immediately locate the survey book and had to refer the surveyor to the Administrator. The Administrator confirmed that only the 2024 survey report was available at the front desk at that time. Further investigation showed that the facility did not have reports from the three preceding years, including certification surveys, complaint investigations, and any plan of correction in effect, available upon request for review by any individual. The Administrator acknowledged the absence of these reports during the surveyor's inquiry. The deficiency was identified through direct observation, staff interviews, and review of the available documentation, which confirmed that the facility did not meet the requirements for making survey results and related reports accessible to residents and the public.
Failure to Ensure Safe Discharge Planning and Coordination of Post-Discharge Services
Penalty
Summary
The facility failed to implement its discharge planning process to ensure a safe discharge for a resident with multiple complex medical needs, including chronic respiratory failure, morbid obesity, and sleep apnea. The resident required substantial to total assistance with mobility and activities of daily living, was incontinent, and was receiving physical therapy, occupational therapy, and oxygen therapy. Documentation indicated that the resident was to continue receiving therapy and home health services, as well as oxygen therapy, after discharge. However, the discharge was not properly coordinated, as the social worker did not have documented evidence of arranging home care services or confirming acceptance by a home care agency. Additionally, the social worker did not coordinate ongoing oxygen therapy services, stating she was unaware of the resident's need for oxygen, despite documentation to the contrary. Family members reported that they were unable to reach the social worker after discharge and that promised wrap-around services were not provided. They also stated that they had to use an old oxygen concentrator from two years prior, and that the resident experienced falls at home post-discharge. The home care agency representative confirmed that services were verbally denied to the social worker, but there was no documentation of this communication. The lack of documented coordination and follow-through resulted in the resident being discharged without the necessary support and services to ensure a safe transition home.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. The report indicates that care was not delivered in alignment with established directives or the expressed wishes and objectives of the resident, resulting in noncompliance with required standards for individualized care.
Failure to Promptly Notify Resident, Physician, and Family of Significant Events
Penalty
Summary
Facility staff failed to immediately notify the resident, the resident's physician, and a family member about situations that affected the resident, such as injury, decline, or changes in room assignment. This lack of timely communication was observed and documented by surveyors during the review of facility practices and records. The deficiency centers on the failure to provide prompt notification to all required parties when significant events impacting the resident occurred, as required by regulation.
Inaccurate Comprehensive Assessments for Eating Status
Penalty
Summary
The facility failed to ensure that comprehensive assessments contained accurate information for two of six sampled residents. For one resident with multiple diagnoses including dysphagia, gastrostomy, and hemiplegia, physician orders specified a regular texture diet with honey-thick liquids. Certified nursing assistant (CNA) task sheets consistently documented that the resident required set-up or clean-up assistance with eating, and interviews with staff confirmed the resident was able to feed himself. However, Minimum Data Set (MDS) assessments incorrectly coded the resident as 'not applicable' for eating, indicating the resident was not eating at all. The MDS Coordinator acknowledged this was an error and that the resident was able to feed himself at the time of the assessments. For another resident with diagnoses including dysphagia, adult failure to thrive, and dementia, CNA task sheets documented that the resident required partial to total assistance with eating. Observations and staff interviews confirmed that the resident required total assistance for all activities of daily living, including eating, and was unable to feed herself. Despite this, quarterly MDS assessments inaccurately documented the resident as only requiring set-up or clean-up assistance with eating. Both the LPN/MDS Coordinator and the RN/MDS Director confirmed that the eating status documented in the assessments was not accurate and did not reflect the resident's actual needs.
Failure to Develop Care Plan for Total Assistance with Eating
Penalty
Summary
A deficiency was identified when the facility failed to develop a care plan addressing a resident's need for total staff assistance with eating and drinking. The resident, who was admitted with multiple diagnoses including a history of dysphagia, adult failure to thrive, and dementia, was observed sitting in a Geri-chair and being assisted by a CNA to drink water. Review of the resident's care plan revealed no documented goals or interventions related to the need for total assistance with eating and drinking. Staff interviews confirmed that the resident was totally dependent on staff for these activities, yet the care plan did not reflect this requirement.
Lack of Documented IDT Care Plan Reviews and Conferences After MDS Assessments
Penalty
Summary
Facility staff failed to provide documented evidence that the interdisciplinary team (IDT) reviewed care plans or held care plan conferences with residents and/or their families following each Minimum Data Set (MDS) assessment for two of six sampled residents. For one resident with diagnoses including dysphagia, gastrostomy, gastroesophageal reflux disease, and hemiplegia, quarterly MDS assessments were completed, but there was no documentation of IDT review or care plan conferences after specific assessment dates. The responsible social worker confirmed during an interview that there was no documented evidence of these required reviews or conferences after a certain date. Similarly, another resident with a history of dysphagia, adult failure to thrive, and dementia had quarterly MDS assessments completed, but the last documented IDT care plan review and conference with the resident's family occurred several months prior to the most recent assessments. Staff interviews confirmed the absence of documentation for care plan reviews or conferences after the last recorded date. These findings were based on record reviews and staff interviews, and the deficiency was cross-referenced to F684 Quality of Care.
Inaccurate Documentation in Speech-Language Pathology Notes and Care Plan
Penalty
Summary
The facility failed to ensure that a resident's speech-language pathology treatment notes and care plan contained accurate information. The resident, who had multiple diagnoses including dysphagia, gastrostomy, gastroesophageal reflux disease, and hemiplegia, had a physician order for a regular diet with honey-thick liquids. However, a review of the speech-language pathologist's treatment notes over a period of several weeks documented inconsistent and incorrect information, such as indicating the resident was on a mechanical soft diet with nectar thick liquids and at times listing thin liquids, which did not match the physician's order or the dietary meal ticket. The speech-language pathologist acknowledged during an interview that the documentation was incorrect and that the resident was actually on a regular diet with honey-thick liquids, as confirmed by the dietician. Additionally, the resident's care plan inaccurately described the resident as a messy eater who refused to eat or resisted feeding, with interventions focused on providing privacy due to messiness. Interviews with the assigned LPN and CNA revealed that the resident preferred to eat alone in his room and was able to feed himself independently, contradicting the care plan's statements. The RN/Unit Manager also confirmed that the care plan was incorrect, stating the resident was not a messy eater and simply preferred privacy during meals.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 911 citations issued within 25 miles in the last 12 months — including the 12 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Hsc Pediatric Skilled Nursing Facility | 1.3 mi | — | 0 | 0 |
| Jeanne Jugan Residence | 1.7 mi | — | 0 | 0 |
| Ascension Living Carroll Manor | 1.9 mi | — | 4 | 1 |
| Complete Care At Hyattsville | 2 mi | — | 53 | 0 |
| Bridgepoint Subacute And Rehab Capitol Hill | 2.3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Washington Ctr For Aging Svcs.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.