Starfile / District of Columbia

ASCENSION LIVING CARROLL MANOR

725 BUCHANAN ST., NE, WASHINGTON, DC 20017 · CCN 095034

Inspection history vs District of Columbia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$16,801

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

ASCENSION LIVING

Facilities in chain

19

Chain avg overall

2.60 / 5

Inspection citations (56)1 immediate jeopardy1 actual harm

1. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2026-01-05 · Health · corrected 2026-01-28

   Potential for more than minimal harm

2. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2026-01-05 · Health · corrected 2026-01-28

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-25 · Health · corrected 2024-10-15

   Potential for more than minimal harm

4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-25 · Health

   Potential for more than minimal harm

5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-25 · Health

   Potential for more than minimal harm

6. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-25 · Health · corrected 2025-01-11

   Potential for more than minimal harm

7. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-09-25 · Health · corrected 2025-01-11

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2024-09-25 · Health · corrected 2024-10-15

   Potential for more than minimal harm

9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-25 · Health · corrected 2024-10-15

   Potential for more than minimal harm

10. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

12. DF0685Assist a resident in gaining access to vision and hearing services.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

13. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2025-01-11

    Immediate jeopardy

14. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

15. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

16. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

17. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-25 · Health · corrected 2025-01-11

    Potential for more than minimal harm

18. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

19. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

20. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

21. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

23. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2024-09-25 · Health · corrected 2025-01-11

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

25. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

26. EF0908Keep all essential equipment working safely.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

27. DF0584Honor 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.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

28. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

29. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

31. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

33. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

35. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

36. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

37. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-05-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

38. EF0584Honor 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.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

39. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

40. DF0641Ensure each resident receives an accurate assessment.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

41. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

44. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

45. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

47. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

48. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-07-28 · Health · corrected 2021-09-17

    Actual harm

49. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

50. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

51. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

53. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

54. EF0880Provide and implement an infection prevention and control program.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

55. DF0908Keep all essential equipment working safely.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

56. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-07-28 · Health · corrected 2021-09-17

    Potential for more than minimal harm

Ownership

Other facilities in WASHINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.