Nursing homes › Washington DC › Washington › Ascension Living Carroll Manor
725 Buchanan St., Ne, Washington, DC 20017 · (202) 854-7100 · 252 certified beds
Per CMS filings, this facility is affiliated with Ascension Living, a group operating 12 facilities in 8 states. Group record: average rating 2.8/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $880,682 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 5.27 (Washington DC median: 4.84). RN hours: 1.24. Weekend total: 4.72. Nursing staff turnover: 30%.
All-time on record: 67 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-16 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | J | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Assist a resident in gaining access to vision and hearing services. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-03-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-05-16 |
| 2026-03-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-05-16 |
| 2026-01-05 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | complaint | corrected 2026-01-28 |
| 2026-01-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2026-01-28 |
| 2024-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-01-11 |
| 2024-09-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2024-10-15 |
| 2024-09-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-01-11 |
| 2024-09-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-10-15 |
| 2024-09-25 | Keep all essential equipment working safely. | E | complaint | corrected 2024-10-15 |
| 2024-09-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | Deficient, Provider has no plan of correction |
| 2024-09-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | Deficient, Provider has no plan of correction |
| 2024-09-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2025-01-11 |
| 2024-09-25 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | complaint | corrected 2025-01-11 |
| 2024-09-25 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Assist a resident in gaining access to vision and hearing services. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Provide routine and 24-hour emergency dental care for each resident. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Health | corrected 2025-01-11 |
| 2024-09-25 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-10-15 |
| 2024-09-25 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | complaint | corrected 2024-10-15 |
| 2023-05-30 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2023-08-07 |
| 2023-05-30 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2023-08-07 |
| 2023-05-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-08-07 |
| Date | Type | Amount |
|---|---|---|
| 2026-06-16 | Fine | $137,333 |
| 2026-03-24 | Fine | $13,260 |
| 2024-09-25 | Fine | $16,801 |
| 2024-09-25 | Payment Denial | 76 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2014 |
| MUSGRAVE, LISA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMOOT, KENNETH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHADBOLT, ERIN | Corporate Officer | Individual | NOT APPLICABLE | since 02/28/2023 |
| DALE, KEYSHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| JOSEPH, BINDU | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/29/2017 |
How to cite this page: CareRecords, “Ascension Living Carroll Manor — compliance, penalty and ownership record” (CCN 095034), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/ascension-living-carroll-manor-washington-dc/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 095034. Corrections: data@carerecords.org.