| Ingleside at Rock Creek | |
| 3050 Military Road Nw, Washington, District Of Columbia 20015 | |
| (202) 363-8310 | |
| Name | Ingleside at Rock Creek |
|---|---|
| Location | 3050 Military Road Nw, Washington, District Of Columbia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 34 |
| Occupancy Rate | 85.59% |
| Medicare ID (CCN) | 095028 |
| Legal Business Name | Ingleside at Rock Creek Inc |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1770578288 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ingleside at Rock Creek, Inc |
| Doing Business As | Ingleside at Rock Creek |
| Address | 3050 Military Road, Nw, Washington, DC 20015 |
| Phone Number | 202-596-3131 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: CMS could not validate the staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: CMS could not validate the staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | 50% | 45.8% |
| Registered nurse turnover | 31.3% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $39,419 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 26, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Mar 26, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Mar 26, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Mar 26, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Mar 26, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | 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. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 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. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | 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. F0836, Administration, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Mar 26, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Dec 8, 2023 | 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. F0849, Administration, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Assure the security of all personal funds of residents deposited with the facility. F0570, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | 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. F0625, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 28, 2024 |
| Dec 8, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 28, 2024 |
| Dec 8, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Dec 8, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 13, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.39 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.28 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.19 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.82 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.19 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.52 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.14 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.41 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.38 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.49 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.47 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.75 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.8 | 15.38 |
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