Autumn Lake Healthcare at Oakview
Silver Spring · 0.8 mi · 138 beds
Citations0Substantiated0
Turtle Creek Rehabilitation and Wellness Center
3000 MCCOMAS AVENUE, Kensington, MD, 20895
Nursing home140 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 25 deficiencies against Turtle Creek Rehabilitation and Wellness Center in Kensington, Maryland at its most recent standard inspection on 2025-02-27, 8 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $80,425. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
140certified beds
25deficiencies at the last inspection
1immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $80,425
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.44
Potential for minimal harmThe least serious band.1
Most recentDDLDDDEEEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-04-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2026-04-22 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-02-09 · from a complaint · Immediate jeopardy to resident health or safety
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2026-02-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide training in compliance and ethics.
Administration Deficiencies · F0946 · 2026-02-09 · from a complaint · No actual harm, potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · F0947 · 2026-02-09 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-02-27 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure resident rooms meet each resident's needs.
Environmental Deficiencies · F0910 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2025-02-27 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · F0660 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.45395
Nursing staff turnoverShare of nursing staff who left in a year34.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$80,425
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Montcare at Wheaton
Wheaton · 1.3 mi · 94 beds
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Complete Care at Wheaton
Wheaton · 2.0 mi · 116 beds
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Autumn Lake Healthcare at Arcola
Silver Spring · 2.0 mi · 151 beds
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Regency Care of Silver Spring, LLC
Silver Spring · 2.2 mi · 92 beds
Citations0Substantiated0
Autumn Lake Healthcare at Chevy Chase
Chevy Chase · 2.4 mi · 172 beds
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Contact
Ask Turtle Creek Rehabilitation and Wellness Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 215043.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction