01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2023-10-20 | 14 | 2023-10-20 | 1 |
| Cycle 2 | 2022-06-29 | 43 | 2022-06-29 | 0 |
| Cycle 3 | 2019-09-03 | 19 | 2019-09-03 | 1 |
CMS CCN 0950152026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Serenity Rehabilitation And Health Center Llc
1380 Southern Ave Se · Washington, DC 20032 · The District County
Certified beds183CMS provider file
Recent citation rows78current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
78 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has no plan of correction · complaint2026-01-16 · HEALTHF0687Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Correction field: Deficient, Provider has no plan of correction · complaint2025-02-05 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0568Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide 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.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0800Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2023-10-20 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-11-10 · complaint2023-10-20 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-11-10 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-03-28 | Fine | $47,684 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ROOZ, EFRAIMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST80% · since 02/01/2018
- ADDURU, BENJAMINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- ANDREWS-HOLMES, NICOLAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- MATTHEWS, EVETTEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- ENHANCE THERAPIES MASTER PAYCOOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- NEXT LEVEL HOSPITALITY SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- ADDURU, BENJAMINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- ANDREWS-HOLMES, NICOLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- ELEBIARY, AHMEDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- MATTHEWS, EVETTEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- NGANFACK, MARCELINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- TEPPER, ELYSEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- 1380 SOUTHERN AVENUE RE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- APEX GLOBAL SOLUTIONS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- DYNAMIC FISCAL SERVICES, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- ENHANCE THERAPIES MASTER PAYCOOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- HEALTH CONSULTING SERVICESOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- NEXT LEVEL HOSPITALITY SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.64per resident day
RN hours1.06per resident day
Weekend nurse hours3.37per resident day
Staff turnover34.2%CMS reported field
06 / LOCAL RECORDS
Open the Washington ledger →Other published facilities nearby
Ascension Living Carroll Manor252 beds · CMS overall 2/571 citation rowsBridgepoint Subacute And Rehab Capitol Hill117 beds · CMS overall 3/591 citation rowsCapitol City Rehab And Healthcare Center360 beds · CMS overall 1/5186 citation rowsDeanwood Rehabilitation And Wellness Center296 beds · CMS overall 2/5114 citation rowsForest Hills Of Dc55 beds · CMS overall 5/554 citation rowsHarborside Health & Rehabilitation125 beds · CMS overall 2/5108 citation rowsIngleside At Rock Creek34 beds · CMS overall 3/546 citation rowsInspire Rehabilitation And Health Center Llc180 beds · CMS overall 3/583 citation rows