Deficiency timeline

Turtle Creek Rehabilitation and Wellness Center

Dated inspection findings, penalties, and correction notes for this nursing home in Kensington, MD. Newest events first.

50 eventsTimeline fines $80,425Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Jun 8, 2026

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Jun 8, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0947: Nursing and Physician Services

    Nursing & physician services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected Mar 13, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0944: Administration

    Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected Mar 13, 2026

  5. Class IImmediate jeopardy (L)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 13, 2026

  6. Fine $28,880cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0946: Administration

    Administration

    Provide training in compliance and ethics.

    Corrected Mar 13, 2026

  8. Class IIIPotential for more than minimal harm (D)cms

    F0604: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected Apr 30, 2025

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Apr 30, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Apr 30, 2025

  11. Class IIIPotential for more than minimal harm (D)cms

    F0660: Resident Assessment and Care Planning

    Assessment & care planning

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected Apr 30, 2025

  12. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Apr 30, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0725: Nursing and Physician Services

    Nursing & physician services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected Apr 30, 2025

  14. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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 Apr 30, 2025

  15. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Apr 30, 2025

  16. Class IIIPotential for more than minimal harm (E)cms

    F0910: Environmental

    Environment

    Ensure resident rooms meet each resident's needs.

    Corrected Apr 30, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Apr 30, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0561: Resident Rights

    Resident rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected Apr 30, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident 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.

    Corrected Apr 30, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Apr 30, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Apr 30, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Apr 30, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Apr 30, 2025

  24. Class IIIPotential for more than minimal harm (D)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Apr 30, 2025

  25. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Apr 30, 2025

  26. Class IIIPotential for more than minimal harm (D)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Apr 30, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Apr 30, 2025

  28. Fine $51,545cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  29. Class IIActual harm (G)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Dec 12, 2024

  30. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0850: Administration

    Administration

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected Jan 10, 2025

  31. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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 Dec 12, 2024

  32. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Dec 12, 2024

  33. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Dec 12, 2024

  34. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Dec 12, 2024

  35. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Dec 12, 2024

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Dec 12, 2024

  37. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Dec 12, 2024

  38. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected Dec 12, 2024

  39. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Dec 12, 2024

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0660: Resident Assessment and Care Planning

    Assessment & care planning

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected Dec 12, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0691: Quality of Life and Care

    Quality of life & care

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected Dec 12, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Dec 12, 2024

  43. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Dec 16, 2020

  44. Class IIActual harm (G)cms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Oct 15, 2020

  45. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Dec 16, 2020

  46. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Mar 27, 2019

  47. Class IIIPotential for more than minimal harm (E)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 27, 2019

  48. Class IIIPotential for more than minimal harm (E)cms

    F0741: Quality of Life and Care

    Quality of life & care

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Corrected Mar 27, 2019

  49. Class IIIPotential for more than minimal harm (E)cms

    F0742: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected Mar 27, 2019

  50. Class IVMinimal harm / potential for minimal harm (C)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Mar 27, 2019

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile