THORNWALD HOME
Open-data reference.
THORNWALD HOME is a non profit - church related facility in CARLISLE, PA with 83 certified beds and a 4-star overall CMS rating. The facility has 16 deficiency records on file. Total penalties: $9K.
442 WALNUT BOTTOM ROAD, CARLISLE, PA 17013
Phone: 7172494118
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 395802
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 83
- Residents
- 77
- In Hospital
- No
- County
- Cumberland
- Last Inspection
- Dec 11, 2025
Staffing Data
- RN Hours
- 0.90 (nat'l avg: 0.68)
- LPN Hours
- 0.84
- CNA Hours
- 2.38
- Total Nursing Hours
- 4.13 (nat'l avg: 3.89)
- PT Hours
- 0.03
- Nursing Turnover
- 34.0%
- RN Turnover
- 20.0%
What the CMS Record Reveals About THORNWALD HOME
THORNWALD HOME operates 83 certified beds in CARLISLE, PA with approximately 77 residents currently in care, and carries a CMS overall rating of 4 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 (3★), staffing levels (5★), and quality measures (3★). 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 16 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.13 total nursing hours per resident day (national average 3.89), with RN coverage at 0.90 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, THORNWALD HOME 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 34.0%, within a range generally associated with stable care teams. 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 (16 most recent)
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Category: Environmental Deficiencies
Corrected: Jan 15, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 15, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 15, 2026
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 15, 2026
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 21, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 4, 2025
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: Mar 4, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 4, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2025
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: Jan 21, 2025
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: Jan 21, 2025
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: Mar 5, 2024
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: Mar 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 5, 2024
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: Mar 5, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 5, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 14.1% | 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 | 0.4% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.9% | 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 | 93.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 63.8% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 23.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 94.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 72.4% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 33.8% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | Yes |
Penalty History 1 penalties totaling $9K
| Date | Type | Amount |
|---|---|---|
| Jul 21, 2025 | Fine | $9K |
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Frequently Asked Questions
What is the overall CMS rating for THORNWALD HOME?
What are the staffing levels at THORNWALD HOME?
How many beds does THORNWALD HOME have?
Does THORNWALD HOME have any deficiencies on record?
Has THORNWALD HOME received any fines or penalties?
Who owns THORNWALD HOME?
When was THORNWALD HOME last inspected?
What quality measures are tracked for THORNWALD HOME?
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.
Read our methodology — how this data is sourced, computed, and verified.