Ingleside at Rock Creek

Name: Ingleside at Rock Creek
Address: 3050 MILITARY ROAD NW, Washington, DC, 20015, US
Telephone: 2023638310

3050 Military Road NW, Washington, DC 20015 · The District County · 34 certified beds · avg 29 residents/day · certified since Nov 17, 1993

3/5

Health inspection rating (on-site)

Serious findings on record

$39,419

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Mar 26, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jan 29, 2025 (Past Non-Compliance)

All citations in the current public record (42)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 26, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Mar 26, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Mar 26, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Dec 8, 2023	E · Potential for harm, repeated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not properly protect the personal money residents deposited with it for safekeeping. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Aug 25, 2022	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 25, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 25, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (16 → 15).

Year	Citations	Serious (G–L)	Worst severity that year
2022	11	0	E
2023	16	0	E
2025	15	1	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $39,419.

Date	Type	Amount / length
Mar 26, 2025	Fine	$14,082
Dec 8, 2023	Fine	$25,337

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	District of Columbia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	4.76	3.95	—
Registered Nurse hours	0.00	1.48	0.69	—
Weekend total nurse staffing	0.00	4.35	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	1.28	0.48	—
Total nursing staff turnover (%)	50.0	34.0	45.8	bottom 13% in District of Columbia; bottom 38% in the U.S.
RN turnover (%)	31.3	32.5	42.9	top 47% in District of Columbia; top 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Alley, Traci	Individual	Corporate Officer	NOT APPLICABLE	08/02/2021
Baker Tilly Advisory Group LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2015
Baker Tilly Us LLP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2015
Bartels, Bruce	Individual	Corporate Director	NOT APPLICABLE	03/04/2015
Basile, Jason	Individual	Operational/Managerial Control	NOT APPLICABLE	10/24/2022
Basile, Jason	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2022
Burgess, Jacqueline	Individual	ADP of the SNF	NOT APPLICABLE	03/10/2025
Cecchine, Margaret	Individual	Corporate Director	NOT APPLICABLE	04/01/2023
Cox, Sally	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Delovska-Trajkova, Dusanka	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Flagship Rehabilitation, INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2015
Gleckman, Howard	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Gordon, Nancy	Individual	Corporate Officer	NOT APPLICABLE	01/01/2025
Green, Lynn	Individual	Operational/Managerial Control	NOT APPLICABLE	03/14/2024
Green, Lynn	Individual	ADP of the SNF	NOT APPLICABLE	03/14/2024
Hauge, Jennifer	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Isang, Grace	Individual	ADP of the SNF	NOT APPLICABLE	01/25/2024
Johnson, Gregg	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Katz, Ruth	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Kearney, Jonathan	Individual	Corporate Director	NOT APPLICABLE	02/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Forest Hills of DC	0.7 mi	Washington, DC	★★★★★	4/5
Knollwood HSC	0.8 mi	Washington, DC	★★★★☆	3/5
Lisner Louise Dickson Hurthome	1.2 mi	Washington, DC	★★★★★	5/5
Stoddard Baptist Nursing Home	2.1 mi	Washington, DC	★★★☆☆	3/5
Fox Chase Healthcare	2.6 mi	Silver Spring, MD	★☆☆☆☆	1/5
Autumn Lake Healthcare at Chevy Chase	2.6 mi	Chevy Chase, MD	★★★☆☆	3/5
Sibley Mem Hosp Renaissance	3.1 mi	Washington, DC	★★★★★	4/5
Woodside Rehab & Nursing	3.2 mi	Silver Spring, MD	★★★☆☆	3/5
Jeanne Jugan Residence	3.5 mi	Washington, DC	★★★★★	5/5
Sligo Creek Healthcare	3.5 mi	Takoma Park, MD	★★★☆☆	2/5
Ascension Living Carroll Manor	3.6 mi	Washington, DC	★★☆☆☆	1/5
Inspire Rehabilitation and Health Center LLC	3.7 mi	Washington, DC	★★★☆☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 095028.

The Care File

Visit checklist — Ingleside at Rock Creek

3050 Military Road NW, Washington, DC 20015 · 2023638310

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $39,419

Most serious findings on record:

▲ Mar 26, 2025 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 095028 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)