Elder Care Record

District of Columbia › The District County › Washington

Ascension Living Carroll Manor

725 Buchanan St., Ne, Washington, DC 20017

CCN 095034 · Non-profit, corporation · 252 certified beds · chain Ascension Living

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 252 beds, Ascension Living Carroll Manor serves Washington in The District County, District of Columbia and has taken Medicare and Medicaid residents since 1996.

CMS gives it 2 of 5 stars overall, below the District of Columbia median of 3; the health inspection rating is 1, staffing 5 and quality measures 5.

Inspectors recorded 67 health deficiencies across the three most recent survey cycles (37, 11, 19 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 26.6 per 100 beds, fewer than the state median of 45.3.

CMS lists 4 penalties in the period covered: fines totalling $167K and 1 payment denial.

Reported nurse staffing is 5.3 hours per resident per day (1.2 RN), close to the District of Columbia median of 4.8; nursing staff turnover is 29.8%.

67health deficiencies, 3 survey cycles5 at actual harm or worse
$167Kfines listed by CMS4 penalties in period
5.3nurse hours per resident per daystate median 4.8
65%occupancy (residents ÷ beds)164 residents a day

Compared with county, state and nation

MeasureThis facilityThe District Co. medianDistrict of Columbia medianUS average
Overall star rating2333.0
Health citations, 3 cycles67565628.7
Citations per 100 beds26.645.345.326.8
Total nurse hours per resident day5.34.84.83.9
RN hours per resident day1.21.31.30.7
Nursing staff turnover29.8%32.5%32.5%45.8%
Fines listed$167,394$47,684$47,684—

County and state figures are medians across facilities (17 in the county, 17 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)37
Cycle 211
Cycle 319

Dark bar: this facility. Grey bar: District of Columbia average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Sep 2024, 30 May 2023.

Severity mix: J ×3 G ×1 H ×1 D ×51 E ×10 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jun 2026F0584Honor 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.JComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigationDeficient, Provider has no plan of correction
24 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation16 May 2026
24 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation16 May 2026
5 Jan 2026F0803Ensure 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.DComplaint investigation28 Jan 2026
5 Jan 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation28 Jan 2026
25 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation11 Jan 2025
25 Sep 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation15 Oct 2024
25 Sep 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation15 Oct 2024
25 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation11 Jan 2025
25 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation15 Oct 2024
25 Sep 2024F0908Keep all essential equipment working safely.EComplaint investigation15 Oct 2024
25 Sep 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation15 Oct 2024
25 Sep 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigationDeficient, Provider has no plan of correction
25 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigationDeficient, Provider has no plan of correction
25 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation11 Jan 2025
25 Sep 2024F0625Notify 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.DComplaint investigation11 Jan 2025
25 Sep 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation15 Oct 2024
25 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation15 Oct 2024
25 Sep 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation15 Oct 2024
25 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Oct 2024
25 Sep 2024F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation15 Oct 2024
25 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation15 Oct 2024
25 Sep 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation15 Oct 2024
25 Sep 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation15 Oct 2024
25 Sep 2024F0761Ensure 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.DComplaint investigation15 Oct 2024
25 Sep 2024F0790Provide routine and 24-hour emergency dental care for each resident.DComplaint investigation15 Oct 2024
25 Sep 2024F0836Ensure 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.DStandard survey11 Jan 2025
25 Sep 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation15 Oct 2024
25 Sep 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint investigation15 Oct 2024
30 May 2023F0584Honor 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.DStandard survey7 Aug 2023
30 May 2023F0625Notify 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.DStandard survey7 Aug 2023
30 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Aug 2023
30 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Aug 2023
30 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Aug 2023
30 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Aug 2023
30 May 2023F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey7 Aug 2023
30 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Aug 2023
30 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey7 Aug 2023
30 May 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Aug 2023
30 May 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey7 Aug 2023
28 Jul 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey17 Sep 2021
28 Jul 2021F0584Honor 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.EStandard survey17 Sep 2021
28 Jul 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey17 Sep 2021
28 Jul 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey17 Sep 2021
28 Jul 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Sep 2021
28 Jul 2021F0880Provide and implement an infection prevention and control program.EStandard survey17 Sep 2021
28 Jul 2021F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey17 Sep 2021
28 Jul 2021F0641Ensure each resident receives an accurate assessment.DStandard survey17 Sep 2021
28 Jul 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey17 Sep 2021
28 Jul 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Sep 2021
28 Jul 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey17 Sep 2021
28 Jul 2021F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey17 Sep 2021
28 Jul 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Sep 2021
28 Jul 2021F0688Provide 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.DStandard survey17 Sep 2021
28 Jul 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Sep 2021
28 Jul 2021F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey17 Sep 2021
28 Jul 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey17 Sep 2021
28 Jul 2021F0908Keep all essential equipment working safely.DStandard survey17 Sep 2021
28 Jul 2021F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey17 Sep 2021

Penalties

DateTypeAmountDetail
16 Jun 2026Fine$137,333
24 Mar 2026Fine$13,260
25 Sep 2024Payment denial—76 days
25 Sep 2024Fine$16,801

Staffing

Total nursing5.27 h
Nurse aides3 h
LPN1.03 h
RN1.24 h
Weekend total4.72 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the District of Columbia average. Turnover: nursing staff 29.8%, RNs 39.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityDistrict of Columbia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.2%17.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%0.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.1%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.5%7.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.6%7.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Carroll Manor. Chain: Ascension Living (12 facilities).

OrganisationRole in the CMS recordInterestSince
Ascension Health Senior Care5% or greater direct ownership interest100%07/01/2014
Ascension Health Senior CareAdp of the snfNOT APPLICABLE07/01/2015
Health Dimensions Consulting IncAdp of the snfNOT APPLICABLE08/02/2019
House Healthcare Solutions LLCAdp of the snfNOT APPLICABLE06/10/2025
Medical Solutions LLCAdp of the snfNOT APPLICABLE06/14/2017

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in The District County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Forest Hills of DcWashington555454683.6—27 Mar 2026
Jeanne Jugan ResidenceWashington405551127.5—30 May 2025
Lisner Louise Dickson HurthomeWashington605551931.7—13 Nov 2025
Sibley Mem Hosp RenaissanceWashington455453475.6$9K14 Aug 2024
Knollwood HscWashington694343956.5—30 May 2025
Serenity Rehabilitation and Health Center LLCWashington1834347641.5$48K16 Jan 2026
Unique Rehabilitation and Health Center LLCWashington2304257231.3$49K24 Nov 2025
Bridgepoint Subacute and Rehab Capitol HillWashington1173237967.5$113K6 May 2026

All 17 facilities in The District County

Questions and answers

How many deficiencies has Ascension Living Carroll Manor been cited for?

67 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The District of Columbia median is 56 per facility.

Has Ascension Living Carroll Manor been fined?

Yes. CMS lists fines totalling $167K in the period covered, plus 1 payment denial.

How does staffing at Ascension Living Carroll Manor compare?

Reported total nurse staffing is 5.3 hours per resident per day against a District of Columbia median of 4.8 and a national average of 3.9.

Who operates Ascension Living Carroll Manor?

It is part of the Ascension Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Ascension Health Senior Care. Individual owners and managers are not listed on this site.

When was Ascension Living Carroll Manor last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 25 Sep 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.