Forest Hills Of Dc
FOREST HILLS OF DC in WASHINGTON, DC — inspection on March 27, 2026.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the NOMNC sent to Resident #68 revealed the following:ˆˆ- Skilled Services Episode Start Date: 08/29/2025ˆ- Last covered day of Part A Service: 09/22/2025ˆ- NOMNC - on the signature line, Resident #68 printed full name and dated 09/22/2025.
The NOMC was not sent to Resident #68 at least two days before the end of covered services.On 3/24/2026 approximately at 4:35PM, during a face-to-face interview, Employee #5 (Social Worker), affirmed that the Notices of Medicare Non-Coverage (NOMNC) were not sent to the two residents (Resident #61 and #68) 48 hours in advance the covered services end dates.
Employee #5 added that the facility staff already understood not sending NOMNCs at least 48 in advance before covered services were ending was not a compliant practice and corrected it.
Employee #5 said, we have been sending NOMNCs at proper notification time to residents since then.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
095038 03/27/2026
Forest Hills of DC 4901 Connecticut Avenue, NW Washington, DC 20008
During a face-to-face interview on 03/26/26 1: 36 PM, Employee #3 (Registered Nurse/Clinical Nurse Manager), when asked what the process was for ensuring that the pharmacist's medication review recommendations are seen by the physician/prescriber and so the physician/ prescriber can respond, she stated, The pharmacist reviews the resident's medications from the resident's electronic health record monthly. If the consultant pharmacist has any medication recommendations, she writes a pharmacy review progress note and sends the residents' MRRs to me by email. I then print a hard copy of each resident's MRR from my email and flag it in each Resident's paper chart for the physician/prescriber to respond.
Once the physician responds, I place the resident's MRR in a binder in my office.
When asked where the physician/prescriber's response to the pharmacist's recommendations on 12/08/25 was, the Employee stated that she could not find the physician's response to the 12/08/25 MRR.
When asked how she ensures that no residents' MRRs are missed, the Employee made no comment and acknowledged the finding.
095038 03/27/2026
Forest Hills of DC 4901 Connecticut Avenue, NW Washington, DC 20008
serve food in accordance with professional standards.
distribute food under sanitary conditions as evidenced by the following observations.
The findings
following observations were made: Undated shredded cheese in opened plastic bag inside refrigeratorMultiple half gallons milk in the reach-in refrigerator passed their sell-by dates 3/23/2026), content looked settledCondensation water leaking onto packaged food (potato fries in plastic bags) in the walk-in freezer.Employee # 9 (kitchen manager) checked food (tuna salad) temperature before washing handsSignificant food residue built-up on cooking equipment and floor at the cooking and dish washing areasExcessive limescale accumulation on interior surfaces of the automatic dish washing machineA dish washing employee used towel to dry-up food contact surfaces of the washed-sanitized kitchenware.Mold on wall surfaces and caulk lines at the automatic dish washing area.Employee #7 (Corporate chef) and Employee #6 (Kitchen manager) were immediately made aware of these findings and proceeded to implement measures to address the issue.Record review of the pest control report from [company named] dated 2.19.2026 in part .Kitchen - Inspected.
Some general cleaning is needed under equipment on cooking line.
Clean floor along wall an floor drain under 3 compartment sink in dish room.
Clean corner area of floor under juice counter.
Everything else was ok.
Record review of the pest control report from [company named] dated 7.18.2025 in part .Kitchen - Inspected.
Floor area along wall under counters and behind cooking equipment need to be cleaned.
There are a lot of food debris in areas.
Small center drain on cooking line needs to be cleaned.
Everything else was ok.During a face-to-face interview on 03/24/2026, approximately at 10:15 AM, the above observations were acknowledged by Employee #7 (Corporate Chef) and Employee #6(Kitchen Manager).During follow-up kitchen survey on 03/27/2026 approximately at 11:00 AM, the following observation was made: Employee belongings jacket and backpack stored on racks in dry storage room, not properly stored in a locker room, to prevent cross contamination of the food and food contact surfaces stored in the dry storage room.During a face-to-face interview on 3/27/2026, approximately at 11:10 AM, the above observation was acknowledged by Employee #6 (Kitchen Manager)
095038 03/27/2026
Forest Hills of DC 4901 Connecticut Avenue, NW Washington, DC 20008
in accordance with accepted professional standards.
record reviews and staff interviews for two (2) of 33 sampled residents, it was determined that
resident on aspiration precautions; and for a resident on fall precautions and at risk for pressure injury.
Residents' #10, #1.The findings included: A facility policy titled ?Charting and Documentation' and ?Electronic Medical Records' with review dates of 02/11/2026 documented, in part: Documentation in the medical record will be objective, complete and accurate.
Electronic records are an acceptable form of medical record management.1. Resident #10 was admitted to the facility on [DATE] with multiple diagnoses that included: Dementia, Parkinson's Disease and Severe Protein-Calorie Malnutrition.A physician's order dated 01/23/26 documented, ASPIRATION PRECAUTIONS EVERY SHIFT.A Significant Change Minimum Data Set (MDS) assessment dated [DATE] documented that facility staff coded a Brief Interview for Mental Status (BIMS) summary score of ?03,' that indicated the resident was severely impaired.During a review of the resident's Treatment Administration Record dated March 1, 2026, to March 31, 2026, it revealed there was no documented evidence that facility staff ensured aspiration precautions were being conducted on the following dates and times: 03/07/26 night shift and 03/18/26 evening shift.2. Resident #1 was admitted to the facility on [DATE] with multiple diagnoses that included: Respiratory Failure, Pneumonia, Asthma and Chronic Back Pain.A physician's order dated 02/06/26 documented the following orders: NON SKID SOCKS ON 3-11 SHIFT, OFF 7-3 SHIFT-FALL RISK every day and evening shift and ELEVATE/FLOAT HEELS ON PILLOWS FOR PRESSURE RELIEF EVERY SHIFT WHILE IN BED every shift.An admission Minimum Data Set (MDS) assessment dated [DATE] documented that facility staff coded a Brief Interview for Mental Status (BIMS) summary score of ?13,' that indicated the resident was cognitively intact and required supervision with Activities of Daily Living.During a review of the resident's Treatment Administration Record dated February 1, 2026, to February 28, 2026, it revealed no documented evidence that facility staff ensured non-skid socks were placed on the resident during the evening shift for the following dates: 02/07/26, 02/13/26, 02/21/26 and 02/22/26.During a review of the resident's Treatment Administration Record dated February 1, 2026, to February 28, 2026, it revealed no documented evidence that facility staff ensured the resident's heels were elevated/floated on pillows for pressure relief during the evening shift for the following dates: 02/07/26, 02/13/26, 02/21/26 and 02/22/26.During a face-to-face interview conducted on 03/26/26 at approximately 11:40 AM with Employee #3 (Clinical Nurse Manager) she acknowledged the findings and stated, Normally the night shift do [does] 24-hr chart check for new orders, but I'm not sure if they check the documentation to see if those orders were documented as being done.Cross Reference: DCMR S 3231.2
095038 03/27/2026
Forest Hills of DC 4901 Connecticut Avenue, NW Washington, DC 20008
03/24/2026 approximately at 10:15 AM, the following observation was made: The condensation pipe
a face-to-face interview on 03/24/2026, approximately at 10:30 AM, the above observation was acknowledged by Employee #6 (Kitchen Manager) and Employee #7 (Corporate Chef).
095038 03/27/2026
Forest Hills of DC 4901 Connecticut Avenue, NW Washington, DC 20008
the initial kitchen tour on 03/24/ 2026 approximately at 10:15 AM, it was observed multiple live flies
pest management Co.
Inc dated 2.19.2026 in part .Kitchen - Inspected.
Some general cleaning is needed under equipment on cooking line.
Clean floor along wall an floor drain under 3 compartment sink in dish room.
Clean corner area of floor under juice counter.
Everything else was ok.Record review of the pest control report from Bay City pest management Co.
Inc dated 7.18.2025 in part .Kitchen - Inspected.
Floor area along wall under counters and behind cooking equipment need to be cleaned.
There area a lot of food debris in areas.
Small center drain on cooking line needs to be cleaned.
Everything else was ok.During a face-to-face interview on 03/24/2026, approximately at 10:15 AM, Employee #7 (Corporate Chef) and Employee #6 (Kitchen manager) acknowledged the above observation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.