Carlisle Skilled Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 940 Walnut Bottom Road, Carlisle, PA 17013
- CCN
- 395746
- Ownership type
- For-profit, limited liability company
- Certified beds
- 150
- Chain
- Genesis Healthcare
- Residents per day
- 135
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Carlisle Skilled Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 26 Jun 2025. The latest survey cycle has 21 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $40,055 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cumberland County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Jun 2025 | 21 | 8 |
| Cycle 2 | 18 Jul 2024 | 21 | 8 |
| Cycle 3 | No date | 21 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 21 Apr 2026 |
| 2 Feb 2026 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | E | Complaint investigation | 10 Mar 2026 |
| 15 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 Jan 2026 |
| 26 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 7 Aug 2025 |
| 26 Jun 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0688 | 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. | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 7 Aug 2025 |
| 26 Jun 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0761 | 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. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Aug 2025 |
| 26 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Aug 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0584 | 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. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0625 | 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. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0688 | 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. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0761 | 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. | E | Standard survey | 4 Oct 2024 |
| 18 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Oct 2024 |
| 18 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 10 Sep 2024 |
| 18 Jul 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 10 Sep 2024 |
Survey cycle 3: 21 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 19 Jun 2024 |
| 11 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 14 May 2024 |
| 31 Aug 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Oct 2023 |
| 31 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 30 Oct 2023 |
| 31 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 30 Oct 2023 |
| 31 Aug 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 30 Oct 2023 |
| 31 Aug 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 30 Oct 2023 |
| 31 Aug 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 30 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 26 Jun 2025 | Fine | $31,231 | |
| 11 Apr 2024 | Fine | $8,824 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.19 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.39 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.87 | 0.91 | |
| Nurse aides | 1.93 | 2.19 | |
| All nurse staff, weekends | 2.89 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 61.3%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 58.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.6% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- 940 Walnut Bottom Road Operations LLC
- Chain
- Genesis Healthcare (184 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis PM PA Operations LLC | 5% or greater direct ownership interest | 100% | 14 Nov 2022 |
| FC-Gen Operations Investment LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| GHC Holdings LLC | 5% or greater indirect ownership interest | 14 Nov 2022 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | 14 Nov 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cumberland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Forest Park Nursing and Rehabilitation | Carlisle | 1 of 5 | 26 | $161,919 | 6 Mar 2025 | |
| Thornwald Home | Carlisle | 4 of 5 | 4 | $9,110 | 11 Dec 2025 | |
| Sarah A Todd Memorial Home | Carlisle | 5 of 5 | 2 | $0 | 8 Jan 2026 | |
| Chapel Pointe at Carlisle | Carlisle | 5 of 5 | 0 | $0 | 19 Feb 2026 | |
| Cumberland Crossings Retirement Community | Carlisle | 5 of 5 | 0 | $0 | 7 May 2026 | |
| Letort Spring Nursing and Rehab LLC | Carlisle | 1 of 5 | 23 | $63,892 | 11 Feb 2026 | |
| Claremont Nursing & Rehabilitation Center | Carlisle | 3 of 5 | 10 | $0 | 21 Nov 2025 | |
| Swaim Health Center | Newville | 3 of 5 | 5 | $8,278 | 2 Jul 2025 | |
| Vibra Rehabilitation Center | Mechanicsburg | 3 of 5 | 18 | $0 | 28 Aug 2025 | |
| Fox Subacute at Mechanicsburg | Mechanicsburg | 2 of 5 | 7 | $14,886 | 22 Jan 2026 | |
| Messiah Lifeways at Messiah Village | Mechanicsburg | 5 of 5 | 2 | $8,018 | 28 Aug 2025 | |
| Bethany Village Retirement Center | Mechanicsburg | 5 of 5 | 4 | $0 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Carlisle Skilled Nursing and Rehabilitation Center (CCN 395746). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/carlisle-skilled-nursing-and-rehabilitation-center-carlisle-pa-395746/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Carlisle Skilled Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 20 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 18 Jul 2024.
- Who operates Carlisle Skilled Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Genesis Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Carlisle Skilled Nursing and Rehabilitation Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.