Starfile / District of Columbia
SERENITY REHABILITATION AND HEALTH CENTER LLC
1380 SOUTHERN AVE SE, WASHINGTON, DC 20032 · CCN 095015
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 183
- Avg residents/day
- 179.9
- Phone
- 2022795880
Inspection history vs District of Columbia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | District of Columbia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-10-20 | 14 | 20.1 | 9.5 | -6.1 better |
| 2 | 2022-06-29 | 43 | 20.7 | 9.8 | +22.3 worse |
| 3 | 2019-09-03 | 26 | 19.9 | 9.3 | +6.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.27 | 34.4% |
| RN staffing (reported) | 1.01 | 22.2% |
| Total nurse staffing (adjusted) | 3.26 | — |
Fines & penalties
- Total fines
- $47,684
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (83)1 actual harm
- DF0641Ensure each resident receives an accurate assessment.2026-01-16 · Health
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2026-01-16 · Health
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- 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.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- 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.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- 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.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- EF0761Ensure 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.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- 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.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-20 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-07 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- 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.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-06-29 · Health · corrected 2022-09-23
Actual harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0625Notify 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.2022-06-29 · Health · corrected 2022-11-08
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-06-29 · Health · corrected 2022-11-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- 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.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- 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.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2022-06-29 · Health · corrected 2022-09-23
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- EF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- EF0761Ensure 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.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2019-09-03 · Health · corrected 2019-11-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ROOZ, EFRAIM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80% | 2018-02-01 |
| ENHANCE THERAPIES MASTER PAYCO | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| NEXT LEVEL HOSPITALITY SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| ADDURU, BENJAMIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| ANDREWS-HOLMES, NICOLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| ELEBIARY, AHMED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| MATTHEWS, EVETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| NGANFACK, MARCELINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| TEPPER, ELYSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
Other facilities in WASHINGTON
| Name | Overall | Beds |
|---|---|---|
| SIBLEY MEM HOSP RENAISSANCE | ★★★★★ | 45 |
| FOREST HILLS OF DC | ★★★★★ | 55 |
| INGLESIDE AT ROCK CREEK | ★★★★★ | 34 |
| LISNER LOUISE DICKSON HURTHOME | ★★★★★ | 60 |
| JEANNE JUGAN RESIDENCE | ★★★★★ | 40 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.