Turtle Creek Rehabilitation and Wellness Center

Nursing Home · Kensington, MD

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number215043

Contact & location

3000 McComas Avenue
Kensington, MD 20895
Montgomery County
Phone
(301) 933-0060
ZIP code
20895 – all care providers

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Facility details

Certified beds
140
Residents per day
131.0 (94% occupied)
Ownership
For profit - Limited Liability company
Legal name
Legal Business Name Not Available
Medicare certified since
January 1, 1971
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.2
Quality measures★★★★★ 5/5
State avg 3.9
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.45 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.84 · U.S. 0.69)
Licensed practical nurses
0.88 (state 0.91 · U.S. 0.86)
Nurse aides
2.01 (state 2.12 · U.S. 2.32)
Weekend total
3.03 (state 3.47 · U.S. 3.42)
Nursing staff turnover
34.2 (state 40.2 · U.S. 45.8)%
RN turnover
42.1 (state 38.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
April 22, 2026
Health deficiencies (last cycle)
21.0 (state 17.5 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
58 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-10
2026-06-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-10
2026-04-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-04-22 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.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-08
2026-02-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
L
Immediate jeopardy to resident health or safety
Corrected 2026-03-13
2026-02-09 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-13
2026-02-09 Provide training in compliance and ethics.
F0946 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-13
2026-02-09 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-13
2025-02-27 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Ensure resident rooms meet each resident's needs.
F0910 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2024-10-02 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-12-12
2024-10-02 Hire a qualified full-time social worker in a facility with more than 120 beds.
F0850 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-01-10
2024-10-02 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-12
2024-10-02 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $80,425 in fines.

DateTypeAmount
2026-02-09Fine$28,880
2024-10-02Fine$51,545

Ownership & management

NameRoleSince
Ownership Data Not Available

Frequently asked questions

What is the rating of Turtle Creek Rehabilitation and Wellness Center?

Turtle Creek Rehabilitation and Wellness Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Turtle Creek Rehabilitation and Wellness Center have?

It has 140 certified beds and cares for about 131 residents per day.

Has Turtle Creek Rehabilitation and Wellness Center been fined?

Yes. CMS lists 2 penalties totaling $80,425 in the last three years.

What is the phone number of Turtle Creek Rehabilitation and Wellness Center?

(301) 933-0060. The facility is located at 3000 McComas Avenue, Kensington, MD 20895.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.