CARLISLE SKILLED NURSING AND REHABILITATION CENTER
CARLISLE SKILLED NURSING AND REHABILITATION CENTER is a 150-bed nursing home in CARLISLE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1987-10-29. It averages 135.2 residents a day.
What harm was found in the violations cited at CARLISLE SKILLED NURSING AND REHABILITATION CENTER?
CMS lists 63 health-inspection deficiencies for CARLISLE SKILLED NURSING AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-20 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-02-02 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | E |
| 2025-12-15 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-06-26 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K |
| 2025-06-26 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-06-26 | F0628, F0641, F0657, F0684, F0686, F0730, F0761, F0812 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Observe each nurse aide's job performance and give regular training. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-06-26 | F0655, F0676, F0685, F0688, F0697, F0725, F0790, F0880 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide routine and 24-hour emergency dental care for each resident. / Provide and implement an infection prevention and control program. | D |
| 2024-07-18 | F0550, F0623, F0625, F0641, F0657, F0688, F0695, F0756, F0758, F0761, F0812, F0883, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate 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. | E |
| 2024-07-18 | F0584, F0609, F0655, F0656, F0658, F0684, F0690, F0692 | Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. | D |
| 2024-05-08 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-04-11 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2023-08-31 | F0607, F0641, F0657, F0684, F0725, F0803, F0883 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-08-31 | F0585, F0655, F0677, F0689, F0692, F0695, F0698, F0730, F0755, F0804, F0868, F0887 | Honor 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Educate 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. | D |
Why was CARLISLE SKILLED NURSING AND REHABILITATION CENTER fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-06-26 | Fine | $31,231 |
| 2024-04-11 | Fine | $8,824 |
How is CARLISLE SKILLED NURSING AND REHABILITATION CENTER staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.18764 | 3.88823 |
| Total nursing staff turnover (%) | 61.3 | 44.5 |
| Average number of residents per day | 135.2 | 104.6 |
Who owns CARLISLE SKILLED NURSING AND REHABILITATION CENTER, and what chain is it in?
CARLISLE SKILLED NURSING AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name 940 WALNUT BOTTOM ROAD OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GENESIS PM PA OPERATIONS LLC | since 11/14/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | FC-GEN OPERATIONS INVESTMENT LLC, GEN OPERATIONS I LLC, GEN OPERATIONS II LLC, GENESIS HEALTHCARE INC, GENESIS HEALTHCARE LLC, GENESIS HOLDINGS LLC, GHC HOLDINGS LLC, SUN HEALTHCARE GROUP INC | since 11/14/2020 |
| CORPORATE OFFICER | BERG, MICHAEL, BRIDGEFORD, LAURA, KIRSCHNER, JONATHAN, MENDELSON, AVI, MURRAY, LAUREN | since 01/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | ANJUM, RASHID, MITRZYK, SUSAN | since 05/01/2020 |
| ADP OF THE SNF | ANJUM, RASHID, MITRZYK, SUSAN | since 02/14/2025 |
Were you or a family member harmed at CARLISLE SKILLED NURSING AND REHABILITATION CENTER?