Ascension Living Carroll Manor
725 Buchanan St., Ne · Washington, DC · 20017 · 2028547100
252 certified beds Non profit - Corporation Chain: Ascension Living
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $37,201 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.97 | 0.55–0.75 |
| Weekend hours / resident-day | 4.24 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 2 · $37,201 |
Inspection citations (58 in the current record)
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Immediate jeopardy · J March 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2026 · Quality of Life and Care
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Potential for harm · E March 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 16, 2026 · Quality of Life and Care
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Potential for harm · D January 5, 2026 · found via complaint
Ensure 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.
Corrected January 28, 2026 · Nutrition and Dietary
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Potential for harm · D January 5, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 28, 2026 · Nutrition and Dietary
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Immediate jeopardy · J September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 11, 2025 · Quality of Life and Care
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Potential for harm · D September 25, 2024
Ensure 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.
Corrected January 11, 2025 · Administration
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Potential for harm · D September 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 15, 2024 · Resident Rights
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Potential for harm · D September 25, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 11, 2025 · Resident Rights
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Potential for harm · D September 25, 2024 · found via complaint
Notify 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.
Corrected January 11, 2025 · Resident Rights
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Potential for harm · D September 25, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · F September 25, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 15, 2024 · Nursing and Physician Services
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Potential for harm · E September 25, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 15, 2024 · Nursing and Physician Services
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Potential for harm · E September 25, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 11, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 15, 2024 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected October 15, 2024 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Ensure 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.
Corrected October 15, 2024 · Pharmacy Service
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Potential for harm · D September 25, 2024 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · E September 25, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 15, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 24, 2026 | Fine | $20,400 |
| September 25, 2024 | Fine | $16,801 |
| September 25, 2024 | Payment Denial | 76 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 095034 · certified since March 20, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.