About Turtle Creek Rehabilitation and Wellness Center
Turtle Creek Rehabilitation And Wellness Center, located in KENSINGTON, MD, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Turtle Creek Rehabilitation and Wellness Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.30 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the COMMUNICARE HEALTH network. This chain operates 121 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Turtle Creek Rehabilitation and Wellness Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 283 | Feb 27, 2025 |
| Weighted Average | 248 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 10.5% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 5.8% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.8% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 80.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 61.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 3.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 99.3% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 70.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 23.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 20.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 13 complaints
- 2025: 4 complaints
- 2026: 9 complaints
- Total: 26 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jun 08, 2026 | Provide activities to meet all resident's needs. |
| Jun 08, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Mar 13, 2026 | Have approved installation, maintenance and testing program for fire alarm systems. |
| Mar 13, 2026 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Mar 13, 2026 | Provide training in compliance and ethics. |
| Mar 13, 2026 | Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. |
| Mar 13, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 13, 2026 | Develop and maintain an Emergency Preparedness Program (EP). |
| Mar 13, 2026 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| Apr 30, 2025 | 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. |
| Apr 30, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Apr 30, 2025 | Respond appropriately to all alleged violations. |
| Jan 10, 2025 | Hire a qualified full-time social worker in a facility with more than 120 beds. |
| Dec 12, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 12, 2024 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| Dec 12, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Dec 12, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 12, 2024 | Plan the resident's discharge to meet the resident's goals and needs. |
| Dec 12, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Dec 12, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 12, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Dec 12, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Dec 12, 2024 | 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. |
| Dec 12, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Dec 12, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Dec 12, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
Nearby Hospitals
UNIVERSITY OF MD CAPITAL REGION MEDICAL CENTER
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HOWARD UNIVERSITY HOSPITAL CORP
WASHINGTON, DC
HOLY CROSS GERMANTOWN HOSPITAL
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VA MARYLAND HEALTHCARE SYSTEM - BALTIMORE
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GEORGE WASHINGTON UNIV HOSPITAL
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NORTHWEST HOSPITAL CENTER
RANDALLSTOWN, MD
HOLY CROSS HOSPITAL
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MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
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ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
ROCKVILLE, MD
ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER
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UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS
BALTIMORE, MD
MEDSTAR MONTGOMERY MEDICAL CENTER
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SINAI HOSPITAL OF BALTIMORE
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JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER
COLUMBIA, MD
UNITED MEDICAL CENTER
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UNIVERSITY OF MARYLAND MEDICAL CENTER
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MEDSTAR WASHINGTON HOSPITAL CENTER
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MERCY MEDICAL CENTER INC
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MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
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Owner & Operator Information
Business Entity
KENSINGTON NURSING, LLC
Ownership Structure
Management & Direction
- DONNA GROVES CORPORATE OFFICER
- SUELA KABA OPERATIONAL/MANAGERIAL CONTROL
- SUELA KABA ADP OF THE SNF
- MCCOMAS MGT LLC OPERATIONAL/MANAGERIAL CONTROL
- MCCOMAS MGT LLC ADP OF THE SNF
- RICHARD ODENTHAL INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- DOMINIC ROMEO CORPORATE OFFICER
- DOMINIC ROMEO OPERATIONAL/MANAGERIAL CONTROL
- REID SCHOLAR OPERATIONAL/MANAGERIAL CONTROL
- REID SCHOLAR ADP OF THE SNF
- CHARLES STOLTZ CORPORATE OFFICER
- RONALD WILHEIM CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Maplewood Park Place | N/A | 5 |
| Birmingham Green | N/A | 5 |
| Riderwood Village | N/A | 5 |
| Jeanne Jugan Residence | N/A | 5 |
| Lisner Louise Dickson Hurthome | N/A | 5 |
| Roland Park Place | N/A | 5 |
| Montgomery Village Care Center | N/A | 5 |
| North Oaks Communities | N/A | 5 |
| Sacred Heart Home Inc | N/A | 5 |
| The Hsc Pediatric Skilled Nursing Facility | N/A | 4 |
Related Analysis
Best Nursing Homes in KENSINGTON, MD
Compare Turtle Creek Rehabilitation and Wellness Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Turtle Creek Rehabilitation and Wellness Center directly at 3019330060. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.