Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CAPITOL CITY REHAB AND HEALTHCARE CENTER

WASHINGTON, DC · 360 certified beds · Last Life Safety survey March 10, 2023

CMS Certification Number 095022 · first certified June 1989

Ownership

Operated by PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES · For profit - Limited Liability company

Ownership changed September 1, 2020 (change of ownership)from TRANSITIONS HEALTHCARE CAPITOL CITY, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within DC

23 citations — more than 100% of the 17 certified nursing homes in DC. Compared within DC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2024 to August 2024), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was March 2023. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. DC has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 23 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

24 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0924 Put firmly secured handrails on each side of hallways.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in DC, and nationally. Surveyors differ markedly between states, so the DC figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	23
Median facility in DC	4
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
February 20, 2020	8
December 23, 2021	9
March 10, 2023	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0363	Install corridor and hallway doors that block smoke.	3	2023-03-10
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2023-03-10
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2021-12-23
E-0007	Address patient/client population and determine types of services needed.	2	2021-12-23
E-0035	Provide family notifications of emergency plan.	2	2021-12-23
E-0013	Develop Emergency Preparedness policies and procedures.	1	2021-12-23
E-0006	Conduct risk assessment and an All-Hazards approach.	1	2021-12-23
E-0018	Establish procedures for tracking staff and patients during an emergency.	1	2020-02-20

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 10
Smoke Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 4
Services Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	10
Smoke Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	4
Services Deficiencies	2
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 10, 2023 — 6 citations

Citations issued on March 10, 2023
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 15, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 15, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 15, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (June 15, 2023)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (June 15, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 15, 2023)

December 23, 2021 — 9 citations

Citations issued on December 23, 2021
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 23, 2022)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (February 23, 2022)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (February 23, 2022)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 23, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 23, 2022)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (February 23, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 10, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 10, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 10, 2022)

February 20, 2020 — 8 citations

Citations issued on February 20, 2020
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (April 8, 2020)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (April 8, 2020)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (April 8, 2020)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (April 8, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 8, 2020)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 8, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 8, 2020)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (April 8, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.