Starfile / Pennsylvania

FOREST PARK NURSING AND REHABILITATION

700 WALNUT BOTTOM ROAD, CARLISLE, PA 17013 · CCN 395270

Inspection history vs Pennsylvania & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$170,109

Number of fines

6

Number of penalties

6

Payment denials

0

Inspection citations (108)3 immediate jeopardy1 actual harm

1. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-15 · Health · corrected 2026-02-10

   Potential for more than minimal harm

2. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-15 · Health · corrected 2026-02-10

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-08 · Health · corrected 2026-01-13

   Potential for more than minimal harm

4. DF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.2026-01-08 · Health · corrected 2026-01-21

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-17 · Health · corrected 2026-01-13

   Potential for more than minimal harm

6. EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2025-07-21 · Health · corrected 2025-07-25

   Potential for more than minimal harm

7. 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.2025-06-27 · Health · corrected 2025-07-15

   Potential for more than minimal harm

8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-10 · Health · corrected 2025-06-25

   Potential for more than minimal harm

9. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-06 · Health · corrected 2025-04-09

   Potential for more than minimal harm

10. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

11. DF0625Notify 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.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

14. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

15. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

16. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

17. EF0692Provide enough food/fluids to maintain a resident's health.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

19. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

20. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

21. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

22. 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.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

23. DF0761Ensure 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.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

24. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

25. EF0881Implement a program that monitors antibiotic use.2025-03-06 · Health · corrected 2025-04-09

    Potential for more than minimal harm

26. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

27. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

28. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

29. BF0732Post nurse staffing information every day.2025-02-25 · Health · corrected 2025-04-02

    Potential for minimal harm

30. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

32. EF0880Provide and implement an infection prevention and control program.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

33. DF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.2025-02-25 · Health · corrected 2025-04-02

    Potential for more than minimal harm

34. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-14 · Health · corrected 2025-03-11

    Immediate jeopardy

35. EF0880Provide and implement an infection prevention and control program.2024-12-31 · Health · corrected 2025-01-29

    Potential for more than minimal harm

36. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-06 · Health · corrected 2025-01-07

    Immediate jeopardy

37. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-06 · Health · corrected 2024-12-02

    Immediate jeopardy

38. EF0584Honor 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.2024-10-08 · Health · corrected 2024-10-30

    Potential for more than minimal harm

39. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-08 · Health · corrected 2024-10-30

    Potential for more than minimal harm

40. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-30 · Health · corrected 2024-08-14

    Potential for more than minimal harm

41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

42. DF0732Post nurse staffing information every day.2024-06-20 · Health · corrected 2024-07-08

    Potential for more than minimal harm

43. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

44. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

45. EF0584Honor 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.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

46. DF0610Respond appropriately to all alleged violations.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

47. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

48. 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.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

49. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

50. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

51. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

52. DF0641Ensure each resident receives an accurate assessment.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

53. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

54. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

55. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

56. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

57. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

58. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

59. EF0699Provide care or services that was trauma informed and/or culturally competent.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

60. EF0730Observe each nurse aide's job performance and give regular training.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

61. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

62. 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.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

63. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

64. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

65. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

66. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

67. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

68. EF0880Provide and implement an infection prevention and control program.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

69. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-04-18 · Health · corrected 2024-05-16

    Potential for more than minimal harm

70. EF0660Plan the resident's discharge to meet the resident's goals and needs.2024-04-05 · Health · corrected 2024-04-29

    Potential for more than minimal harm

71. EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-04-05 · Health · corrected 2024-04-29

    Potential for more than minimal harm

72. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-04-05 · Health · corrected 2024-04-29

    Potential for more than minimal harm

73. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-05 · Health · corrected 2024-04-29

    Potential for more than minimal harm

74. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-26 · Health · corrected 2024-04-08

    Potential for more than minimal harm

75. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-26 · Health · corrected 2024-04-08

    Potential for more than minimal harm

76. DF0685Assist a resident in gaining access to vision and hearing services.2024-03-07 · Health · corrected 2024-03-28

    Potential for more than minimal harm

77. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-15 · Health · corrected 2024-02-26

    Potential for more than minimal harm

78. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-25 · Health · corrected 2024-02-06

    Potential for more than minimal harm

79. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-03 · Health · corrected 2024-01-18

    Potential for more than minimal harm

80. EF0584Honor 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.2023-12-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

81. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

82. DF0790Provide routine and 24-hour emergency dental care for each resident.2023-12-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

83. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-04 · Health · corrected 2023-08-28

    Potential for more than minimal harm

84. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-23 · Health · corrected 2023-07-14

    Actual harm

85. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

86. DF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

87. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

88. 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.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

89. DF0610Respond appropriately to all alleged violations.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

90. DF0641Ensure each resident receives an accurate assessment.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

91. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

92. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

93. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

94. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

95. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

96. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

97. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

98. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

99. 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.2023-04-27 · Health · corrected 2023-05-14

    Potential for more than minimal harm

100. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

101. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

102. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

103. EF0880Provide and implement an infection prevention and control program.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

104. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

105. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

106. 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.2023-04-27 · Health · corrected 2023-05-14

     Potential for more than minimal harm

107. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-19 · Health · corrected 2023-05-14

     Potential for more than minimal harm

108. DF0732Post nurse staffing information every day.2023-04-19 · Health · corrected 2023-05-14

     Potential for more than minimal harm

Ownership

Other facilities in CARLISLE

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