Starfile

Starfile / Pennsylvania

LeTort Spring Nursing and Rehab LLC

801 N. HANOVER STREET, CARLISLE, PA 17013 · CCN 395784

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing

Facility

Ownership type
Non profit - Church related
Certified beds
109
Avg residents/day
Phone
7172495322

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
12025-02-061810.19.5+7.9 worse
22024-03-212210.99.8+11.1 worse
32023-04-05910.59.3-1.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning2
Resident rights2
Nutrition and dietary2
Pharmacy service2
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)
RN staffing (reported)
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$63,892
Number of fines
3
Number of penalties
3
Payment denials
0

Inspection citations (49)1 immediate jeopardy4 actual harm

  1. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-29 · Health · corrected 2026-02-05

    Actual harm

  2. GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-29 · Health · corrected 2026-02-05

    Actual harm

  3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-26 · Health · corrected 2026-01-27

    Potential for more than minimal harm

  4. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-26 · Health · corrected 2026-01-27

    Potential for more than minimal harm

  5. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-04-22

    Immediate jeopardy

  6. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  7. 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.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  8. DF0641Ensure each resident receives an accurate assessment.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  9. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  12. GF0692Provide enough food/fluids to maintain a resident's health.2025-02-06 · Health · corrected 2025-03-14

    Actual harm

  13. 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.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  14. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  16. DF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  17. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  18. 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.2025-02-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  19. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  21. EF0880Provide and implement an infection prevention and control program.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-30 · Health · corrected 2024-08-23

    Potential for more than minimal harm

  23. EF0558Reasonably accommodate the needs and preferences of each resident.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  24. EF0641Ensure each resident receives an accurate assessment.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  25. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  26. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  27. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  28. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  30. GF0692Provide enough food/fluids to maintain a resident's health.2024-03-21 · Health · corrected 2024-04-18

    Actual harm

  31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  32. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  33. DF0730Observe each nurse aide's job performance and give regular training.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  35. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  36. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  37. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-21 · Health · corrected 2024-04-18

    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.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  39. FF0880Provide and implement an infection prevention and control program.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  40. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-21 · Health · corrected 2024-04-18

    Potential for more than minimal harm

  41. DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  42. 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.2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  43. DF0637Assess the resident when there is a significant change in condition2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  44. EF0641Ensure each resident receives an accurate assessment.2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-05 · Health · corrected 2023-06-22

    Potential for more than minimal harm

  46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  47. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-05 · Health · corrected 2023-06-22

    Potential for more than minimal harm

  48. EF0730Observe each nurse aide's job performance and give regular training.2023-04-05 · Health · corrected 2023-05-23

    Potential for more than minimal harm

  49. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-05 · Health · corrected 2023-06-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
STONERIDGE RETIREMENT LIVING COMMUNITIES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2014-01-01
ARTZ, SCOTTIndividualCORPORATE DIRECTOR2022-01-01
REITER, STEVENIndividualCORPORATE DIRECTOR2008-05-01
RITCHIE, CARSONIndividualCORPORATE DIRECTOR2022-01-01
WALTERS, CYNTHIAIndividualCORPORATE DIRECTOR2022-01-01
CASEY, RYANIndividualCORPORATE OFFICER2014-06-02
CASEY, RYANIndividualW-2 MANAGING EMPLOYEE2014-06-02
REITER, STEVENIndividualW-2 MANAGING EMPLOYEE2008-05-01

Other facilities in CARLISLE

NameOverallBeds
CHAPEL POINTE AT CARLISLE★★★★★59
SARAH A TODD MEMORIAL HOME★★★★★117
THORNWALD HOME★★★★☆83
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY★★★★☆58
CARLISLE SKILLED NURSING AND REHABILITATION CENTER★☆☆☆☆150

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