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CARLISLE SKILLED NURSING AND REHABILITATION CENTER

Open-data reference.

CARLISLE SKILLED NURSING AND REHABILITATION CENTER is a for profit - limited liability company facility in CARLISLE, PA with 150 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $20K.

940 WALNUT BOTTOM ROAD, CARLISLE, PA 17013

Phone: 7172490085

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
395746
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
150
Residents
134
In Hospital
No
County
Cumberland
Last Inspection
Jun 26, 2025

Staffing Data

RN Hours
0.36 (nat'l avg: 0.68)
LPN Hours
1.01
CNA Hours
1.85
Total Nursing Hours
3.22 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
59.2%
RN Turnover
73.3%

What the CMS Record Reveals About CARLISLE SKILLED NURSING AND REHABILITATION CENTER

CARLISLE SKILLED NURSING AND REHABILITATION CENTER operates 150 certified beds in CARLISLE, PA with approximately 134 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $20K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.36 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CARLISLE SKILLED NURSING AND REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 59.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 15, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 13, 2026

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 7, 2025

K — Pattern - Jeopardy Jun 26, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

J — Isolated - Jeopardy Jun 26, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2025

D — Isolated - Minimal harm Jun 26, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jun 26, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Aug 7, 2025

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 4, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 4, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm Jul 18, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm May 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 19, 2024

G — Isolated - Actual harm Apr 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 14, 2024

D — Isolated - Minimal harm Aug 31, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm Aug 31, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm Aug 31, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Aug 31, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Aug 31, 2023 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm Aug 31, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Aug 31, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm Aug 31, 2023 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 70.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 60.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.9% Yes

Penalty History 2 penalties totaling $20K

Date Type Amount
Jun 26, 2025 Fine $11K
Apr 11, 2024 Fine $9K

Frequently Asked Questions

What is the overall CMS rating for CARLISLE SKILLED NURSING AND REHABILITATION CENTER?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (1★).
What are the staffing levels at CARLISLE SKILLED NURSING AND REHABILITATION CENTER?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER reports 3.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.36 per resident day (national average: 0.68). Nursing staff turnover is 59.2%.
How many beds does CARLISLE SKILLED NURSING AND REHABILITATION CENTER have?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER has 150 certified beds with approximately 134 residents. The facility is located at 940 WALNUT BOTTOM ROAD, CARLISLE, PA 17013.
Does CARLISLE SKILLED NURSING AND REHABILITATION CENTER have any deficiencies on record?
Yes, CARLISLE SKILLED NURSING AND REHABILITATION CENTER has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has CARLISLE SKILLED NURSING AND REHABILITATION CENTER received any fines or penalties?
Yes, CARLISLE SKILLED NURSING AND REHABILITATION CENTER has received 2 penalties totaling $20K.
Who owns CARLISLE SKILLED NURSING AND REHABILITATION CENTER?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CARLISLE SKILLED NURSING AND REHABILITATION CENTER last inspected?
The most recent health inspection for CARLISLE SKILLED NURSING AND REHABILITATION CENTER was on Jun 26, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for CARLISLE SKILLED NURSING AND REHABILITATION CENTER?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial