Ingleside At Rock Creek
Washington, The District County, District of Columbia · CCN 095028 · Non-profit (Corporation) · not part of a chain
CMS rates Ingleside At Rock Creek 3 of 5 overall as of August 2026. 34 certified beds, 29 residents a day on average. 42 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $39,419.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | CMS withheld this rating (footnote 25) |
|---|---|
| Nursing staff turnover | 50% (registered nurses 31.3%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-26 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-01-29 |
| 2025-03-26 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
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 · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
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 · tag F0756 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · tag F0836 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2025-03-26 complaint survey |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-23 |
| 2023-12-08 complaint survey |
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. Administration Deficiencies · tag F0849 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-28 |
| 2023-12-08 complaint survey |
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 · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-28 |
| 2023-12-08 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2023-12-08 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-13 |
| 2022-08-25 | 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 · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · tag F0660 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
| 2022-08-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-10-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-26 | Fine | $14,082 |
| 2023-12-08 | Fine | $25,337 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Baker Tilly Advisory Group Lp Organization | adp of the snf | — | 2015-01-01 |
| Baker Tilly US LLP Organization | adp of the snf | — | 2015-01-01 |
| Flagship Rehabilitation, Inc. Organization | adp of the snf | — | 2015-01-01 |
| Marsh & Mclennan Companies Organization | adp of the snf | — | 2015-01-01 |
| Medical Solutions LLC Organization | adp of the snf | — | 2023-01-01 |
| Richter And Associates Organization | adp of the snf | — | 2015-11-10 |
| Silverbloom Consulting, LLC Organization | adp of the snf | — | 2025-12-16 |
| Summer Health Inc. Organization | adp of the snf | — | 2024-04-01 |
| Ultimate Healthcare Services Inc. Organization | adp of the snf | — | 2023-12-01 |
| Silverbloom Consulting, LLC Organization | operational/managerial control | — | 2021-11-01 |
| Basile, Jason Individual | adp of the snf | — | 2022-10-24 |
| Burgess, Jacqueline Individual | adp of the snf | — | 2025-03-10 |
| Green, Lynn Individual | adp of the snf | — | 2024-03-14 |
| Isang, Grace Individual | adp of the snf | — | 2024-01-25 |
| Massetti, Amanda Individual | adp of the snf | — | 2020-04-11 |
| Naqvi, Fatima Individual | adp of the snf | — | 2025-12-03 |
| Quarles, Shirley Individual | adp of the snf | — | 2024-09-02 |
| Sweeney, Nathaniel Individual | adp of the snf | — | 2025-11-17 |
| Wilson, Eileen Individual | adp of the snf | — | 2024-04-29 |
| Bartels, Bruce Individual | corporate director | — | 2015-03-04 |
| Cecchine, Margaret Individual | corporate director | — | 2023-04-01 |
| Cox, Sally Individual | corporate director | — | 2018-01-01 |
| Gleckman, Howard Individual | corporate director | — | 2024-01-01 |
| Hauge, Jennifer Individual | corporate director | — | 2022-01-01 |
| Johnson, Gregg Individual | corporate director | — | 2021-01-01 |
| Katz, Ruth Individual | corporate director | — | 2024-01-01 |
| Kearney, Jonathan Individual | corporate director | — | 2025-02-01 |
| Kreutzer, John Individual | corporate director | — | 2018-01-01 |
| Kuhn, Nancy Individual | corporate director | — | 2015-10-07 |
| Magidson, Phillip Individual | corporate director | — | 2023-01-01 |
| Massey, Nathaniel Individual | corporate director | — | 2025-01-01 |
| Ortiz, Elizabeth Individual | corporate director | — | 2025-01-01 |
| Sharkey, Joan Individual | corporate director | — | 2011-02-11 |
| Wagner, Steven Individual | corporate director | — | 2017-01-01 |
| Alley, Traci Individual | corporate officer | — | 2021-08-02 |
| Delovska-Trajkova, Dusanka Individual | corporate officer | — | 2013-01-01 |
| Gordon, Nancy Individual | corporate officer | — | 2025-01-01 |
| O'Connor, Lynn Individual | corporate officer | — | 2010-07-01 |
| Basile, Jason Individual | operational/managerial control | — | 2022-10-24 |
| Green, Lynn Individual | operational/managerial control | — | 2024-03-14 |
| Massetti, Amanda Individual | operational/managerial control | — | 2020-04-11 |
| Mour, Christine Individual | operational/managerial control | — | 2015-08-24 |
| Quarles, Shirley Individual | operational/managerial control | — | 2024-09-02 |
| Sweeney, Nathaniel Individual | operational/managerial control | — | 2025-11-17 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Ingleside At Rock Creek.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in The District County.