Cycle 1
Health 2025-03-26 · Fire 2025-03-26
15 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Washington, DC
Ingleside At Rock Creek
5-star overall rating with 3-star inspections with $39,419 in total fines with 15 recent health deficiencies
3050 Military Road Nw, Washington, DC
(202) 363-8310
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
34
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ingleside Engaged Living
Operator or chain grouping
Approved since
1993-11-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
3 facilities
Chain averages 5 overall / 4 health / 5 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.53
Registered nurse staffing · state 1.74 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.69 · national 0.87
Aide hours / resident day
3.06
Nurse aide staffing · state 2.55 · national 2.35
Total nurse hours
5.94
All reported nurse hours · state 4.85 · national 3.89
Licensed hours
2.88
RN + LPN hours · state 2.30 · national 1.54
Weekend hours
5.32
Weekend nurse staffing · state 4.35 · national 3.43
Weekend RN hours
2.15
Weekend registered nurse coverage · state 1.38 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
2.43
CMS adjusted RN staffing hours
Adjusted total hours
5.70
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 31% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 33% · national 46%
SNF VBP
Value-based purchasing
Program rank
586
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.94
Composite VBP score used to determine payment impact.
Payment multiplier
1.0206
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.44
Baseline 19.92% · Performance 18.91% · Measure score 5.44 · Achievement 5.44 · Improvement 3
Healthcare-associated infections
5.71
Baseline 5.73% · Performance 6.13% · Measure score 5.71 · Achievement 5.71 · Improvement 0
Total nurse turnover
5.63
Baseline 92.19% · Performance 50.94% · Measure score 5.63 · Achievement 3.12 · Improvement 5.63
Adjusted total nurse staffing
10
Baseline 5.18 hours · Performance 6.11 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 166 · Observed rate 6.02% · Lower 95% interval 6.61% |
| Discharge to community | 72.25% |
50.57%
21.7 pts better
|
Better than the National Rate · Eligible stays 169 · Observed rate 76.92% · Lower 95% interval 66.28% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.05% |
95.27%
3.8 pts better
|
Numerator 104 · Denominator 105 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 105 |
| Discharge self-care score | 58.51% |
53.69%
4.8 pts better
|
Numerator 55 · Denominator 94 |
| Discharge mobility score | 42.55% |
50.94%
8.4 pts worse
|
Numerator 40 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 3.81% |
2.29%
1.5 pts worse
|
Numerator 4 · Denominator 105 · Adjusted rate 3.59% |
| Healthcare-associated infections requiring hospitalization | 6.13% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 3.3% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 11.35% |
8.2%
3.2 pts better
|
Numerator 26 · Denominator 229 |
| Staff flu vaccination coverage | 91.25% |
42%
49.2 pts better
|
Numerator 219 · Denominator 240 |
| Discharge function score | 63.83% |
56.45%
7.4 pts better
|
Numerator 60 · Denominator 94 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.39% |
96.28%
0.1 pts better
|
Numerator 80 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 55.77% |
25.2%
30.6 pts better
|
Numerator 29 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.1
0.5 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
0.7
0.1 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.8% |
89.9%
8.1 pts worse
|
93.4%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.2% · Q2 86.4% · Q3 83.3% · Q4 81.0% · 4Q avg 81.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.0%
3 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
1.1%
1.2 pts worse
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.2% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
5.8%
5.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.9%
4.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.7% |
11.8%
6.1 pts better
|
19.6%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
8.6%
0.5 pts worse
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.1% |
23.8%
2.3 pts worse
|
14.9%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.7%
0.6 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 40.1% |
23.2%
16.9 pts worse
|
19.8%
20.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 33.2% · Q3 57.5% · Q4 37.4% · 4Q avg 40.1% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
7.9%
3.5 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 9.1% · Q3 4.6% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.7% |
66.1%
4.6 pts better
|
81.7%
11 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.8% · Q2 63.2% · Q3 72.1% · Q4 72.1% · 4Q avg 70.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
7.2%
0.9 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 5.5% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
0.7%
0.2 pts worse
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.5% |
73.2%
2.7 pts worse
|
79.7%
9.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 10.4% |
18.1%
7.7 pts better
|
23.9%
13.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 8.8% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-08 · Fire 2023-12-08
16 health deficiencies
Top issue: Resident Rights (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-08-25 · Fire 2022-08-25
11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-12-08
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-01-17
C · Minimal harm
2023-12-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-17
C · Minimal harm
2023-12-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-17
F · Potential for more than minimal harm
2022-08-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-27
Inspection history
Recent health citations
J · Immediate jeopardy
2025-03-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-29
E · Potential for more than minimal harm
2025-03-26
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-23
E · Potential for more than minimal harm
2025-03-26
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-23
E · Potential for more than minimal harm
2025-03-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F761 · Pharmacy Service Deficiencies
Health
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 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F836 · Administration Deficiencies
Health
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.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-03-26
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-05-23
E · Potential for more than minimal harm
2023-12-08
F849 · Administration Deficiencies
Health
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.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-28
D · Potential for more than minimal harm
2023-12-08
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-28
D · Potential for more than minimal harm
2023-12-08
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-12-08
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-02-13
E · Potential for more than minimal harm
2022-08-25
F578 · Resident Rights Deficiencies
Health
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 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-08-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-27
Penalties and ownership
What sits behind the stars
$14,082
2025-03-26
Fine
Fine · fine $14,082
Fine
$25,337
2023-12-08
Fine
Fine · fine $25,337
Fine
Ownership
Alley, Traci
Corporate Officer · Individual
Bartels, Bruce
Corporate Director · Individual
Basile, Jason
Operational/Managerial Control · Individual
Cecchine, Margaret
Corporate Director · Individual
Cox, Sally
Corporate Director · Individual
Delovska-Trajkova, Dusanka
Corporate Officer · Individual
Gleckman, Howard
Corporate Director · Individual
Gordon, Nancy
Corporate Officer · Individual
Green, Lynn
Operational/Managerial Control · Individual
Hauge, Jennifer
Corporate Director · Individual
Johnson, Gregg
Corporate Director · Individual
Katz, Ruth
Corporate Director · Individual
Kearney, Jonathan
Corporate Director · Individual
Kreutzer, John
Corporate Director · Individual
Kuhn, Nancy
Corporate Director · Individual
Magidson, Phillip
Corporate Director · Individual
Massetti, Amanda
Operational/Managerial Control · Individual
Massey, Nathaniel
Corporate Director · Individual
Mour, Christine
Operational/Managerial Control · Individual
O'connor, Lynn
Corporate Officer · Individual
Ortiz, Elizabeth
Corporate Director · Individual
Quarles, Shirley
Operational/Managerial Control · Individual
Sharkey, Joan
Corporate Director · Individual
Silverbloom Consulting, LLC
Operational/Managerial Control · Organization
Sweeney, Nathaniel
Operational/Managerial Control · Individual
Wagner, Steven
Corporate Director · Individual
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