The District government is revoking the license of the Washington Nursing Facility in Southeast to provide skilled nursing care and will move 19 patients from the facility, according to court papers filed yesterday in D.C. Superior Court.

The facility had sought a temporary restraining order to prevent the revocation, effective tomorrow, and had planned the patient moves, but its request for the order was turned down by the court.

Most of the 272 patients at the facility require intermediate nursing care and they will not be affected by the home's loss of its license for the higher level of skilled nursing care, said the home's administrator, Gail Walsh.

A number of serious deficiencies, including unsanitary conditions and poor medical care, were found during an April inspection of the home, at 2524 25th St. SE, officials said.

In June the District said it intended to cut off federal payments to the home under Medicaid and Medicare, which support most of the patients there, and it barred the facility from accepting new patients.

After reviewing the home's plans to correct deficiencies, the city informed the facility on July 26 that it would continue to license the home for intermediate care but would revoke the home's license for skilled nursing care, according to court papers filed by the facility yesterday.

Francis Bowie, administrator of the D.C. Service Facility Regulation Administration, which made the decision, was on vacation yesterday and declined to return a reporter's phone call, according to the Mayor's Command Center.

The home can reapply for a skilled care license in 60 days and intends to do so, Walsh said.

She said the city has identified 12 skilled nursing home beds in other facilities in the city but that it is unclear where the remaining seven patients will go.

"We feel we are on the same level as all other nursing homes in the District, and our patients are satisfied with their care," she said.

In its request for a restraining order, the home said relocation of the 19 patients would be contrary to their medical needs and could pose significant risks.