Lisner Louise Dickson Hurthome
LISNER LOUISE DICKSON HURTHOME in WASHINGTON, DC — inspection on November 13, 2025.
Found 2 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
During a face-to- face interview at 09/23/25 at 3:35 PM, Employee #2 (Director of Nursing/DON) acknowledged that facility staff failed to report of an injury of unknown origin to the State Agency within 24 hours and stated, I was having IT issues and couldn't send off the report. It was typed up and I had to wait until someone was able to help me to send it off.Cross Reference 22B DCMR Sec. 3232.4
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 REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lisner Louise Dickson Hurthome
5425 Western Ave NW Washington, DC 20015
SUMMARY STATEMENT OF DEFICIENCIES
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, for one (1) of five (5) sampled residents, facility failed to ensure the physician signed and dated progress notes at the time of each visit. Resident #1.
The findings included:Resident #1 was admitted to the facility on [DATE] with multiple diagnoses that included: Depression, Anxiety Disorder, Sepsis, Hyperlipidemia and Intrahepatic Bile Duct Carcinoma.
Review of the resident's medical record revealed the following:An admission Minimum Data Set (MDS) assessment date 07/09/25 showed that facility staff coded: a Brief Interview for Mental Status (BIMS) summary score of 15 indicating, intact cognitive status; Resident Mood Interview (PHQ-2 to 9 (C)) total severity score of 05 indicating mild depression; and received antianxiety and antidepressant medications.07/20/25 Initial Psych Consultation Note:- - Appetite decreased.- - Depression moderate.- - Gradual dose reduction: clinically contraindicated.- - Patient reports persistent feeling of low mood and lack of motivation. - Recommendations and plan: continue antidepressant medication regimen; consider adjustment to address low motivation - Wellbutrin (type of antidepressant) 150 XL (extended-release) mg (milligrams) daily.- Discussed risk and benefit of multiple antidepressants including serotine syndrome. 07/20/25 at 5:25 PM Nurses Note: Resident was seen by the Behavior MD (medical doctor) on unit, new order entered for Wellbutrin ER 24 hours 150 mg in am for depression.
Resident (self RP) made aware of the new order.
Review of the initial psych consultation note showed that the physician signed the note on 09/10/25 at 2:59 PM, 52 days later.The evidence showed that facility staff failed to ensure that the physician signed and dated Resident #1's progress note at the time of the visit.During a telephone interview on 09/19/25 at 10:52 AM, Employee #4 (Doctor of Nurse Practitioner - Psychiatric-Mental Health) acknowledged the findings and stated, This is a bad habit. I like to read over my notes and make sure I have everything documented and then I'll get pulled away and forget to sign.Cross Reference 22B DCMR Sec. 3207.10
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