PlainNursing
CMS Nursing Home Compare · August 2026

Thornwald Home

442 Walnut Bottom Road, Carlisle, PA 17013

Thornwald Home, a 83-bed non profit - church related nursing facility in Carlisle, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #203 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7172494118

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4 / 5
Above average · CMS overall · nat'l 3.0
#203 of 652
In-state rank among rated PA homes
4.37
Above average · nurse hrs/day · nat'l 3.86
16
Inspection findings · 1 serious

The verdict

Thornwald Home, a 83-bed non profit - church related nursing facility in Carlisle, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #203 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#203 of 652
In-state rank among rated PA homes
4.37
Nurse hrs/resident-day · national 3.86
16
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 656 PA nursing homes split by ownership sector

This facility is recorded as Non profit - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

4/5

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

How the 4.37 total nursing hours per resident-day are staffed:

RN Hours
0.93 (nat'l avg: 0.69)
LPN Hours
0.88
CNA Hours
2.56
Total Nursing Hours
4.37 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
47.4%
RN Turnover
45.0%

What the CMS Record Reveals About Thornwald Home

According to CMS Nursing Home Compare, Thornwald Home ranks #203 of 652 rated nursing homes in PA on overall stars (tie-broken by health+staffing+quality, then fewer fines). 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 (health inspection 4★ · staffing 4★ · quality 3★).

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. Per resident day, this facility reports 4.37 total nursing hours (national average 3.86) and 0.93 RN hours.

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. Reported nursing staff turnover at this facility is 47.4% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (16 most recent)

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0909

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

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 15, 2026

D - Isolated - Minimal harm Dec 11, 2025 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 15, 2026

E - Pattern - Minimal harm Dec 11, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2026

G - Isolated - Actual harm Jul 21, 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 21, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 4, 2025

D - Isolated - Minimal harm Jan 30, 2025 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: Mar 4, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 4, 2025

D - Isolated - Minimal harm Dec 12, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 21, 2025

D - Isolated - Minimal harm Dec 12, 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: Jan 21, 2025

E - Pattern - Minimal harm Dec 12, 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: Jan 21, 2025

D - Isolated - Minimal harm Jan 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: Mar 5, 2024

D - Isolated - Minimal harm Jan 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: Mar 5, 2024

D - Isolated - Minimal harm Jan 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: Mar 5, 2024

D - Isolated - Minimal harm Jan 18, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 5, 2024

E - Pattern - Minimal harm Jan 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: 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 17.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 34.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 62.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 72.4% No

Penalty History 1 penalties totaling $9K

Date Type Amount
Jul 21, 2025 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Thornwald Home, both outside PA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Thornwald Home

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The PA registry aggregates state averages and the highest-rated homes in this cohort. View PA registry
  • Peer homes near 83 beds show how CMS stars vary at a similar scale in PA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Thornwald Home?
Thornwald Home has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
Where does Thornwald Home rank among nursing homes in PA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Thornwald Home ranks 203rd among 652 rated nursing homes in PA (#203 of 652). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Thornwald Home?
Thornwald Home reports 4.37 total nursing hours per resident day (national average: 3.86). RN hours are 0.93 per resident day (national average: 0.69). Nursing staff turnover is 47.4%.
How many beds does Thornwald Home have?
Thornwald Home has 83 certified beds with approximately 77 residents. The facility is located at 442 Walnut Bottom Road, Carlisle, PA 17013.
Does Thornwald Home have any deficiencies on record?
Yes, Thornwald Home has 16 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Thornwald Home received any fines or penalties?
Yes, Thornwald Home has received 1 penalties totaling $9K.
Who owns Thornwald Home?
Thornwald Home is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Thornwald Home last inspected?
The most recent health inspection for Thornwald Home was on Dec 11, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Thornwald Home?
Thornwald Home 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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