Capitol City Rehab And Healthcare Center

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/13/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Capitol City Rehab and Healthcare Center

2425 25th Street SE Washington, DC 20020

SUMMARY STATEMENT OF DEFICIENCIES