Capitol City Rehab And Healthcare Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
found her unresponsive. I had been complaining to the nurses that [Resident #20] did not seem like herself.
She appeared pale and almost unresponsive. Her [pressure] wound became infected . [Staff]only called an ambulance after my daughter alerted them around 4:15 PM. [on 09/03/25] that she was having a hard time [waking Resident #20] up. During a telephone interview on 10/20/25 at 9:34 AM, Employee #5 (assigned LPN) stated that she coordinated the resident's transfer to the emergency room (ER). The employee said that at the time of transfer the granddaughter in the resident's room, and the resident seemed off [disoriented]. Because when she asked the resident what her name was? She was saying something that was not her name. The employee also stated that she received the order to transfer the resident to the emergency room at approximately 1:58 PM 09/03/25. However, she could not explain why she did not coordinate the residents' transport (EMS 911) to the ER until 4:57 PM (approximately three hours after receiving the order). During a telephone interview conducted on 10/20/25 at 2:00 PM with Employee #6 (Nurse Practitioner) she stated that on the evening shift around 4 to 5pm [between 4:00 PM to 5:00 PM] on 9/2/2025 the nurse called. I believe I saw her [Resident #20] at the bedside; her vital signs were fine. A family member was at the bedside, [I] ordered some stat labs.the next day [09/03/25] in the afternoon around 1 to 2-ish [between 1:00 PM and 2:00 PM] the staff called me saying she [Resident #20] had altered mental status, so I ordered for the resident to be sent out. During a face-to-face interview conducted on 10/20/25 at approximately 4:00 PM with Employee #1 (Administrator) and Employee #2 (Director of Nursing) they acknowledged the findings.
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Capitol City Rehab and Healthcare Center
2425 25th Street SE Washington, DC 20020
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842
interview conducted on 09/15/25 at approximately 11:55 AM with Employee #1 (Director of Nursing), she acknowledged the findings.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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Facility ID:
If continuation sheet
CAPITOL CITY REHAB AND HEALTHCARE CENTER in WASHINGTON, DC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WASHINGTON, DC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CAPITOL CITY REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.