Turtle Creek Rehabilitation and Wellness Center
3000 McComas Avenue · Kensington, MD · 20895 · 3019330060
140 certified beds For profit - Corporation Chain: Communicare Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $95,975 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$95,975 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 2 · $95,975 |
Inspection citations (48 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected June 8, 2026 · Quality of Life and Care
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Immediate jeopardy · L February 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 13, 2026 · Administration
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Potential for harm · D February 9, 2026 · found via complaint
Provide training in compliance and ethics.
Corrected March 13, 2026 · Administration
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Potential for harm · D February 9, 2026 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 13, 2026 · Nursing and Physician Services
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Potential for harm · D February 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
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.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025
Ensure each resident receives an accurate assessment.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Plan the resident's discharge to meet the resident's goals and needs.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 30, 2025 · Nursing and Physician Services
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Potential for harm · D February 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
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.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · D February 27, 2025
Dispose of garbage and refuse properly.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · D February 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2025
Ensure resident rooms meet each resident's needs.
Corrected April 30, 2025 · Environmental
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Potential for harm · D February 27, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 30, 2025 · Environmental
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Potential for harm · E February 27, 2025 · found via complaint
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.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 30, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 9, 2026 | Fine | $44,430 |
| October 2, 2024 | Fine | $51,545 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215043 · certified since January 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.