B+
84/100

INSPIRE REHABILITATION AND HEALTH CENTER LLC Inspection Report, Violations & Safety Grade (WASHINGTON, District of Columbia)

2131 O STREET NW, WASHINGTON, District of Columbia 20037

Phone: 2027852577

CMS Overall:4/5

Overview & Bed Count

Certified Beds
180
Avg Residents/Day
175.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
The District
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityDistrict of Columbia AvgDifference
RN Hours per Resident per Day0.981.58-0.61
Total Nurse Hours per Resident per Day4.155.08-0.92
CMS Staffing Rating4/54.4/5-
Nursing Staff Turnover39.8%35.8%-

Health Citation History

78 health citations on record

DateCategoryDescriptionSeverity
2026-03-12Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.D – Moderate Harm Potential
2026-03-12Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2026-03-12Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2026-03-12Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-03-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-03-12Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2026-03-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-03-12Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2026-03-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-03-12Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-03-12Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D – Moderate Harm Potential
2026-03-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-03-12Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D – Moderate Harm Potential
2026-03-12Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.D – Moderate Harm Potential
2026-03-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-03-12Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2026-03-12Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.D – Moderate Harm Potential
2025-07-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-07-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-07-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-12-04Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2023-12-04Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2023-12-04Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-12-04Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-11-14Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2023-11-14Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-11-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-11-14Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-11-14Resident Rights DeficienciesNotify 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.D – Moderate Harm Potential
2023-11-14Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-11-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-11-14Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2023-11-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-11-14Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-11-14Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-11-14Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2023-11-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2023-11-14Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-11-14Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2022-08-05Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2022-08-05Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E – Moderate Harm Potential
2022-08-05Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2022-08-05Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesNotify 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.E – Moderate Harm Potential
2022-08-05Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2022-08-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-08-05Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential

Showing 50 of 78 citations.

Fire Safety Citation History

0 fire safety citations on record

No fire safety citations on record.

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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