01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2023-01-09 | 12 | 2023-01-09 | 0 |
| Cycle 2 | 2021-04-23 | 11 | 2021-04-23 | 2 |
| Cycle 3 | 2019-09-13 | 11 | 2019-09-13 | 1 |
CMS CCN 0950302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sibley Mem Hosp Renaissance
5255 Loughboro Road Nw · Washington, DC 20016 · The District County
Certified beds45CMS provider file
Recent citation rows37current 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
37 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-08-14 · 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 · 2024-10-07 · complaint2024-08-14 · 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 · 2024-10-07 · complaint2024-08-14 · HEALTHF0880Severity D · isolated; 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 · 2024-10-07 · complaint2024-02-06 · HEALTHF0740Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2024-03-04 · complaint2024-02-06 · HEALTHF0745Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has date of correction · 2024-03-04 · complaint2024-02-06 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-03-04 · complaint2023-01-09 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-01-09 · 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 · 2023-03-102023-01-09 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-01-09 · 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 · 2023-03-102023-01-09 · 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 · 2023-03-102023-01-09 · 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 · 2023-03-102023-01-09 · 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 · 2023-03-102023-01-09 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-01-09 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-01-09 · HEALTHF0880Severity D · isolated; 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 · 2023-03-102023-01-09 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-01-09 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2023-03-102021-04-23 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2021-06-222021-04-23 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2021-06-222021-04-23 · 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 · 2021-06-222021-04-23 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2021-06-222021-04-23 · HEALTHF0761Severity D · isolated; 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 · 2021-06-222021-04-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2021-06-2203 / 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 |
|---|---|---|---|
| 2024-02-06 | Fine | $8,827 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- THE JOHNS HOPKINS HEALTH SYSTEM CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 11/01/2010
- ABELE, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- AMMERMAN, JOSHUAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/09/2013
- ARGO, ARCHIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/22/2004
- BARTON, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/1997
- CARPENTER, CAROLYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/24/2020
- CECIL, GUYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- CERNEA, ANDREIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2021
- CRYER, DONNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- DURAN, MISHAELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- FARR, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2003
- HAJJ, AHMADIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- HARRINGTON, JENNYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- HERTZ, HARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- HORTON, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- HUMPHRIES, FREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- LEWIN, CYNTHIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- LEWIS, JOANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
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 hours6.48per resident day
RN hours4.41per resident day
Weekend nurse hours5.69per resident day
Staff turnover26.0%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