Turtle Creek Rehabilitation and Wellness Center
Turtle Creek Rehabilitation and Wellness Center is a 140-bed nursing home in KENSINGTON, Maryland. CMS has certified it for Medicare and Medicaid since 1971-01-01. It averages 131.0 residents a day.
What harm was found in the violations cited at Turtle Creek Rehabilitation and Wellness Center?
CMS lists 58 health-inspection deficiencies for Turtle Creek Rehabilitation and Wellness Center since 2020-11-02, 55 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-10 | F0580, F0610 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. | D |
| 2026-04-22 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2026-04-22 | F0550, F0578, F0628, F0645, F0657, F0658, F0678, F0679, F0684, F0686, F0690, F0697, F0759, F0849 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2026-02-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L |
| 2026-02-09 | F0944, F0946, F0947 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2025-02-27 | F0584, F0812, F0910 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure resident rooms meet each resident's needs. | E |
| 2025-02-27 | F0550, F0561, F0578, F0604, F0610, F0623, F0641, F0660, F0684, F0725, F0755, F0756, F0759, F0761, F0814, F0842, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-10-02 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-10-02 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F |
| 2024-10-02 | F0584, F0609, F0657, F0684, F0686 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-10-02 | F0550, F0580, F0655, F0656, F0660, F0691, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2020-11-02 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2020-11-02 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2020-11-02 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
Why was Turtle Creek Rehabilitation and Wellness Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-09 | Fine | $28,880 |
| 2024-10-02 | Fine | $51,545 |
How is Turtle Creek Rehabilitation and Wellness Center staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.45395 | 3.87381 |
| Total nursing staff turnover (%) | 34.2 | 40.2 |
| Average number of residents per day | 131.0 | 105.7 |
Who owns Turtle Creek Rehabilitation and Wellness Center?
Turtle Creek Rehabilitation and Wellness Center is registered with CMS as For profit - Limited Liability company.
Were you or a family member harmed at Turtle Creek Rehabilitation and Wellness Center?