Starfile

Starfile / Pennsylvania

CARLISLE SKILLED NURSING AND REHABILITATION CENTER

940 WALNUT BOTTOM ROAD, CARLISLE, PA 17013 · CCN 395746

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★☆☆☆☆ 1
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
150
Avg residents/day
133.9
Phone
7172490085

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-06-261910.19.5+8.9 worse
22024-07-182310.99.8+12.1 worse
32023-08-311910.59.3+8.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care8
Resident assessment and care planning3
Nursing and physician services2
Resident rights1
Nutrition and dietary2
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2259.2%
RN staffing (reported)0.3673.3%
Total nurse staffing (adjusted)3.35

Fines & penalties

Total fines
$20,004
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
GENESIS HEALTHCARE
Facilities in chain
193
Chain avg overall
2.40 / 5

Inspection citations (61)2 immediate jeopardy1 actual harm

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-15 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  2. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  3. EF0641Ensure each resident receives an accurate assessment.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  4. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  5. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  6. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  7. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  8. DF0685Assist a resident in gaining access to vision and hearing services.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  9. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  10. DF0688Provide 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.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  11. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-26 · Health · corrected 2025-08-07

    Immediate jeopardy

  12. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  13. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  14. EF0730Observe each nurse aide's job performance and give regular training.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  15. EF0761Ensure 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.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  16. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  17. KF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-06-26 · Health · corrected 2025-08-07

    Immediate jeopardy

  18. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2025-06-26 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  20. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  21. DF0584Honor 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.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  22. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  23. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  24. EF0625Notify 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.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  25. EF0641Ensure each resident receives an accurate assessment.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  26. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  28. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  29. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  31. EF0688Provide 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.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  33. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  34. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  35. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  36. EF0758Implement 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.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  37. EF0761Ensure 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.2024-07-18 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-18 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  39. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  40. EF0887Educate 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.2024-07-18 · Health · corrected 2024-09-10

    Potential for more than minimal harm

  41. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-08 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  42. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-05-14

    Actual harm

  43. DF0585Honor 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.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  44. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  45. EF0641Ensure each resident receives an accurate assessment.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  46. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  47. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  48. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  49. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  50. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  51. DF0692Provide enough food/fluids to maintain a resident's health.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  52. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  53. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  54. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  55. DF0730Observe each nurse aide's job performance and give regular training.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  56. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  57. EF0803Ensure 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.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  58. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  59. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  60. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  61. DF0887Educate 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.2023-08-31 · Health · corrected 2023-10-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GENESIS PM PA OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-11-14
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-11-14
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
HCCF MANAGEMENT GROUP XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
SUNDANCE REHABILITATION HOLDCO INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
WELLTOWER OP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-01-01
ZAC PROPERTIES XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-11-14
ANJUM, RASHIDIndividualOPERATIONAL/MANAGERIAL CONTROL2022-06-01
MITRZYK, SUSANIndividualOPERATIONAL/MANAGERIAL CONTROL2020-05-01
BERG, MICHAELIndividualCORPORATE OFFICER2022-11-14
BRIDGEFORD, LAURAIndividualCORPORATE OFFICER2024-06-01
KIRSCHNER, JONATHANIndividualCORPORATE OFFICER2019-01-01
MENDELSON, AVIIndividualCORPORATE OFFICER2024-06-01
MURRAY, LAURENIndividualCORPORATE OFFICER2019-01-01

Other facilities in CARLISLE

NameOverallBeds
CHAPEL POINTE AT CARLISLE★★★★★59
SARAH A TODD MEMORIAL HOME★★★★★117
THORNWALD HOME★★★★☆83
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY★★★★☆58
LeTort Spring Nursing and Rehab LLC★☆☆☆☆109

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.