Serenity Rehabilitation and Health Center LLCCMS ratings, inspections and fines
- Address
- 1380 Southern Ave SE, Washington, DC 20032
- CCN
- 095015
- Ownership type
- For-profit, limited liability company
- Certified beds
- 183
- Chain
- None in the CMS record
- Residents per day
- 178
- CMS flags
- No standard survey in more than 2 years
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Serenity Rehabilitation and Health Center LLC an overall rating of 4 of 5 stars. The last standard survey was on 20 Oct 2023. The latest survey cycle has 14 health citations. The median for nursing homes in District of Columbia is 18. CMS lists 1 fine of $47,684 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in District of Columbia (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | District of Columbia median | District of Columbia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 17 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | District of Columbia median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Oct 2023 | 14 | 18 |
| Cycle 2 | 29 Jun 2022 | 43 | 15 |
| Cycle 3 | No date | 19 | 17 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 16 Jan 2026 | F0687 | Provide appropriate foot care. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 20 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0584 | 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. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0726 | 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. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0849 | Arrange 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 | Complaint investigation | 10 Nov 2023 |
| 20 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Nov 2023 |
Survey cycle 2: 43 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0584 | 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. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0625 | 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. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0688 | 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. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0726 | 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. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0761 | 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. | E | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 20 Mar 2025 |
| 5 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Mar 2025 |
| 29 Jun 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0584 | 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. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0625 | 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. | E | Standard survey | 8 Nov 2022 |
| 29 Jun 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 8 Nov 2022 |
| 29 Jun 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0688 | 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. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0726 | 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. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0803 | 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. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Sep 2022 |
| 29 Jun 2022 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 23 Sep 2022 |
Survey cycle 3: 19 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Sep 2019 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0726 | 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. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0761 | 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. | E | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 22 Nov 2019 |
| 3 Sep 2019 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 22 Nov 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 28 Mar 2025 | Fine | $47,684 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | District of Columbia median | District of Columbia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.64 | 4.80 | 4.77 |
| Registered nurses (RN) | 1.06 | 1.30 | 1.55 |
| Licensed practical nurses (LPN) | 0.52 | 0.62 | |
| Nurse aides | 2.07 | 2.59 | |
| All nurse staff, weekends | 3.37 | 4.40 | 4.36 |
- Nurse staff turnover in a year
- 34.2%
- Nurse staff turnover, District of Columbia median
- 32.5%
- RN turnover in a year
- 21.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | District of Columbia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.2% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 0.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.3% | 15.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 7.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 7.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Next Level Hospitality Services LLC | Operational/managerial control | 1 Apr 2025 | |
| 1380 Southern Avenue Re LLC | Adp of the snf | 1 Apr 2025 | |
| Apex Global Solutions LLC | Adp of the snf | 1 Apr 2025 | |
| Dynamic Fiscal Services, Inc. | Adp of the snf | 1 Apr 2025 | |
| Health Consulting Services | Adp of the snf | 1 Apr 2025 | |
| Next Level Hospitality Services LLC | Adp of the snf | 1 Apr 2025 | |
| Rytes Company LLC | Adp of the snf | 1 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in District of Columbia
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Capitol City Rehab and Healthcare Center | Washington | 1 of 5 | 63 | $384,200 | 10 Mar 2023 | |
| Harborside Health & Rehabilitation | Washington | 2 of 5 | 38 | $236,002 | 18 Oct 2024 | |
| Bridgepoint Subacute and Rehab Capitol Hill | Washington | 3 of 5 | 38 | $112,756 | 5 May 2025 | |
| Unique Rehabilitation and Health Center LLC | Washington | 4 of 5 | 18 | $48,887 | 27 Nov 2024 | |
| Deanwood Rehabilitation and Wellness Center | Washington | 2 of 5 | 53 | $97,607 | 20 Apr 2022 | |
| Washington Ctr for Aging Svcs | Washington | 3 of 5 | 23 | $214,785 | 16 Jul 2024 | |
| Inspire Rehabilitation and Health Center LLC | Washington | 3 of 5 | 32 | $0 | 14 Nov 2023 | |
| Jeanne Jugan Residence | Washington | 5 of 5 | 5 | $0 | 30 May 2025 | |
| The HSC Pediatric Skilled Nursing Facility | Washington | 3 of 5 | 5 | $0 | 25 Jul 2025 | |
| Stoddard Baptist Nursing Home | Washington | 3 of 5 | 23 | $97,426 | 20 Mar 2024 | |
| Ascension Living Carroll Manor | Washington | 2 of 5 | 37 | $167,394 | 25 Sep 2024 | |
| Forest Hills of DC | Washington | 5 of 5 | 11 | $0 | 6 Dec 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- DC Health: file a complaint against a health professional or facilityThe complaint page of the State Survey Agency for District of Columbia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Serenity Rehabilitation and Health Center LLC (CCN 095015). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/serenity-rehabilitation-and-health-center-llc-washington-dc-095015/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Serenity Rehabilitation and Health Center LLC last inspected?
- The latest inspection with a citation in the CMS record was on 16 Jan 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 29 Jun 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Serenity Rehabilitation and Health Center LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Next Level Hospitality Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Serenity Rehabilitation and Health Center LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in District of Columbia as a Special Focus Facility or as a candidate.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.