Ascension Living Carroll Manor is an average performer in CMS ratings, earning a C grade with a score of 60/100. Located in Washington, District of Columbia, the facility meets baseline standards across most quality metrics.
Ascension Living Carroll Manor provides above-average staffing with 4.55 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 56 deficiencies at Ascension Living Carroll Manor, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.55 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.93 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.03 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.59 | 2.4 | Average |
| Weekend Total Nursing | 4.10 | 3.8 | Average |
| Weekend RN Hours | 0.70 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0803 Severity DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeJan 4, 2026 · Nutrition and Dietary Deficiencies
- Tag 0804 Severity DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Jan 4, 2026 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 24, 2024 · Quality of Life and Care Deficiencies
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Sep 24, 2024 · Nursing and Physician Services Deficiencies
- Tag 0726 Severity EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Sep 24, 2024 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.6% | 4.5% | Worse |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 11.8% | 14.5% | Better |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 21.2% | 14.0% | Worse |
| Excessive weight loss | 5.2% | 7.5% | Better |
| New/worsened incontinence | 18.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,801
How This Grade Was Calculated
This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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