Pennsylvania › Cumberland County › Carlisle
Letort Spring Nursing and Rehab LLC
801 N. Hanover Street, Carlisle, PA 17013
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Letort Spring Nursing and Rehab LLC is a For-profit, limited liability company nursing home in Carlisle, Pennsylvania, certified for 109 beds and caring for about 102 residents a day.
CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 59 health deficiencies across the three most recent survey cycles (23, 17, 19 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 54.1 per 100 beds, more than the state median of 22.2.
CMS lists 3 penalties in the period covered: fines totalling $64K.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Pennsylvania median of 3.6.
Compared with county, state and nation
| Measure | This facility | Cumberland Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 59 | 37 | 26 | 28.7 |
| Citations per 100 beds | 54.1 | 19.3 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | — | 43.8% | 44.3% | 45.8% |
| Fines listed | $63,892 | $8,018 | $0 | — |
County and state figures are medians across facilities (17 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Feb 2026, 6 Feb 2025.
Severity mix: K ×1 G ×4 D ×35 E ×17 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 18 Mar 2026 |
| 11 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Mar 2026 |
| 11 Feb 2026 | 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. | E | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | 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 | 17 Mar 2026 |
| 11 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | 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 | 17 Mar 2026 |
| 11 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Mar 2026 |
| 11 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Mar 2026 |
| 11 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Mar 2026 |
| 11 Feb 2026 | F0849 | 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. | D | Standard survey | 17 Mar 2026 |
| 29 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 5 Feb 2026 |
| 29 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | Complaint investigation | 5 Feb 2026 |
| 26 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Jan 2026 |
| 26 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 27 Jan 2026 |
| 24 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 22 Apr 2025 |
| 6 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | 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 | 14 Mar 2025 |
| 6 Feb 2025 | 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 | 14 Mar 2025 |
| 6 Feb 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 | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | 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 | 14 Mar 2025 |
| 6 Feb 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 | 14 Mar 2025 |
| 6 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 14 Mar 2025 |
| 6 Feb 2025 | 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 | 14 Mar 2025 |
| 25 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Dec 2024 |
| 25 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Dec 2024 |
| 25 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Dec 2024 |
| 30 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 23 Aug 2024 |
| 21 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 18 Apr 2024 |
| 21 Mar 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 | 18 Apr 2024 |
| 21 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 18 Apr 2024 |
| 21 Mar 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 | 18 Apr 2024 |
| 21 Mar 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | 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 | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 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. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 18 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Apr 2025 | Fine | $17,345 | |
| 6 Feb 2025 | Fine | $33,716 | |
| 21 Mar 2024 | Fine | $12,831 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.2% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.7% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Church Of God Home Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stoneridge Retirement Living Communities, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cumberland County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethany Village Retirement Center | Mechanicsburg | 69 | 5 | 4 | 4 | 12 | 17.4 | — | 18 Dec 2025 |
| Chapel Pointe At Carlisle | Carlisle | 59 | 5 | 5 | 5 | 2 | 3.4 | — | 13 Mar 2025 |
| Cumberland Crossings Retirement Community | Carlisle | 58 | 5 | 5 | 5 | 8 | 13.8 | — | 10 Apr 2025 |
| Messiah Lifeways At Messiah Village | Mechanicsburg | 118 | 5 | 4 | 5 | 5 | 4.2 | $8K | 28 Aug 2025 |
| Sarah A Todd Memorial Home | Carlisle | 117 | 5 | 4 | 5 | 6 | 5.1 | — | 8 Jan 2026 |
| Shippensburg Rehabilitation and Health Care Center | Shippensburg | 125 | 4 | 4 | 2 | 13 | 10.4 | — | 23 Apr 2026 |
| Thornwald Home | Carlisle | 83 | 4 | 4 | 4 | 16 | 19.3 | $9K | 11 Dec 2025 |
| Claremont Nursing & Rehabilitation Center | Carlisle | 282 | 3 | 2 | 2 | 37 | 13.1 | — | 15 Apr 2026 |
All 17 facilities in Cumberland County
Questions and answers
How many deficiencies has Letort Spring Nursing and Rehab LLC been cited for?
59 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Letort Spring Nursing and Rehab LLC been fined?
Yes. CMS lists fines totalling $64K in the period covered.
How does staffing at Letort Spring Nursing and Rehab LLC compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Letort Spring Nursing and Rehab LLC?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Stoneridge Retirement Living Communities, Inc.. Individual owners and managers are not listed on this site.
When was Letort Spring Nursing and Rehab LLC last inspected?
The most recent survey or investigation in the CMS record is dated 23 Mar 2026; the most recent standard health survey was 11 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.