ASCENSION LIVING CARROLL MANOR

The District · DC · Non profit - Corporation · ASCENSION LIVING chain · 252 certified beds · CCN 095034 · CARROLL MANOR


ASCENSION LIVING CARROLL MANOR operates 252 certified beds in WASHINGTON, the District of Columbia. Its Medicare and Medicaid certification dates to 1996-03-20. It averages 163.5 residents a day.

What harm was found in the violations cited at ASCENSION LIVING CARROLL MANOR?

CMS lists 67 health-inspection deficiencies for ASCENSION LIVING CARROLL MANOR since 2021-07-28, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-16.

Survey dateTagDeficiencySeverity
2026-06-16F0584Honor 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.J
2026-06-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H
2026-06-16F0628, F0645, F0656, F0685, F0812, F0825, F0842Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Assist a resident in gaining access to vision and hearing services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide or get specialized rehabilitative services as required for a resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-03-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-01-05F0803, F0804Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2024-09-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-09-25F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2024-09-25F0726, F0755, F0812, F0908Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely.E
2024-09-25F0580, F0607, F0609, F0623, F0625, F0641, F0657, F0658, F0684, F0685, F0697, F0756, F0759, F0761, F0790, F0836, F0880, F0887Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Ensure 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. / Provide and implement an infection prevention and control program. / Educate 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.D
2023-05-30F0584, F0625, F0655, F0656, F0657, F0689, F0711, F0755, F0812, F0842, F0919Honor 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. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2021-07-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2021-07-28F0584, F0677, F0755, F0812, F0880Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2021-07-28F0622, F0641, F0655, F0656, F0657, F0676, F0684, F0688, F0695, F0758, F0842, F0908, F0919Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Implement 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area.D

Why was ASCENSION LIVING CARROLL MANOR fined 3 times?

DateTypeAmount
2026-06-16Fine$137,333
2026-03-24Fine$13,260
2024-09-25Fine$16,801

Has ASCENSION LIVING CARROLL MANOR had payment denied by Medicare?

Payment denial startLength in days
2024-10-2776

How is ASCENSION LIVING CARROLL MANOR staffed?

MeasureThis facilityDC average
Total nurse staffing hours per resident per day5.267844.76506
Total nursing staff turnover (%)29.834.0
Average number of residents per day163.5126.9

Who owns ASCENSION LIVING CARROLL MANOR, and what chain is it in?

ASCENSION LIVING CARROLL MANOR is registered with CMS as Non profit - Corporation, operates under the legal business name CARROLL MANOR and belongs to the ASCENSION LIVING chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTASCENSION HEALTH SENIOR CAREsince 07/01/2014
CORPORATE DIRECTORMUSGRAVE, LISA, SMOOT, KENNETHsince 01/01/2024
CORPORATE OFFICERSHADBOLT, ERINsince 02/28/2023
OPERATIONAL/MANAGERIAL CONTROLDALE, KEYSHA, JOSEPH, BINDUsince 07/01/2024
ADP OF THE SNFASCENSION HEALTH SENIOR CARE, HANNAH GEORGE, HEALTH DIMENSIONS CONSULTING INC, HOUSE HEALTHCARE SOLUTIONS LLC, MEDICAL SOLUTIONS LLC, DALE, KEYSHA, JOSEPH, BINDU, MUSGRAVE, LISA, SHADBOLT, ERIN, SMOOT, KENNETHsince 01/01/2024

Were you or a family member harmed at ASCENSION LIVING CARROLL MANOR?