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Complaint Investigation

Lisner Louise Dickson Hurthome

November 13, 2025 · Washington, DC · 5425 Western Ave Nw
Citations 2
CMS Rating 5/5
Beds 60
Provider ID 095025
Healthcare Facility
Lisner Louise Dickson Hurthome
Washington, DC  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

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

Facility ID:

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 LISNER LOUISE DICKSON HURTHOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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