CARLISLE SKILLED NURSING AND REHABILITATION CENTER

Special Focus Facility candidate · CCN 395746 · 940 WALNUT BOTTOM ROAD OPERATIONS LLC · For profit - Limited Liability company · GENESIS HEALTHCARE chain · 150 certified beds · Cumberland · PA


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 dateTagDeficiencySeverity
2026-03-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-02-02F0790Provide routine and 24-hour emergency dental care for each resident.E
2025-12-15F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-06-26F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K
2025-06-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-06-26F0628, F0641, F0657, F0684, F0686, F0730, F0761, F0812Provide 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
2025-06-26F0655, F0676, F0685, F0688, F0697, F0725, F0790, F0880Create 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
2024-07-18F0550, F0623, F0625, F0641, F0657, F0688, F0695, F0756, F0758, F0761, F0812, F0883, F0887Honor 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
2024-07-18F0584, F0609, F0655, F0656, F0658, F0684, F0690, F0692Honor 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
2024-05-08F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2024-04-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2023-08-31F0607, F0641, F0657, F0684, F0725, F0803, F0883Develop 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
2023-08-31F0585, F0655, F0677, F0689, F0692, F0695, F0698, F0730, F0755, F0804, F0868, F0887Honor 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?

DateTypeAmount
2025-06-26Fine$31,231
2024-04-11Fine$8,824

How is CARLISLE SKILLED NURSING AND REHABILITATION CENTER staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.187643.88823
Total nursing staff turnover (%)61.344.5
Average number of residents per day135.2104.6

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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGENESIS PM PA OPERATIONS LLCsince 11/14/2022
5% OR GREATER INDIRECT OWNERSHIP INTERESTFC-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 INCsince 11/14/2020
CORPORATE OFFICERBERG, MICHAEL, BRIDGEFORD, LAURA, KIRSCHNER, JONATHAN, MENDELSON, AVI, MURRAY, LAURENsince 01/01/2019
OPERATIONAL/MANAGERIAL CONTROLANJUM, RASHID, MITRZYK, SUSANsince 05/01/2020
ADP OF THE SNFANJUM, RASHID, MITRZYK, SUSANsince 02/14/2025

Were you or a family member harmed at CARLISLE SKILLED NURSING AND REHABILITATION CENTER?