FOREST PARK NURSING AND REHABILITATION
FOREST PARK NURSING AND REHABILITATION is a 114-bed nursing home in CARLISLE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1972-07-29. It averages 107.3 residents a day.
What harm was found in the violations cited at FOREST PARK NURSING AND REHABILITATION?
CMS lists 109 health-inspection deficiencies for FOREST PARK NURSING AND REHABILITATION since 2023-04-27, 87 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 2026-05-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-01 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-05-01 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2026-02-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-02-24 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D |
| 2026-01-15 | F0686, F0690 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2026-01-08 | F0684, F0917 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make 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. | D |
| 2025-12-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-21 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E |
| 2025-06-27 | F0584 | 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. | D |
| 2025-06-10 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-03-06 | F0550, F0684, F0692, F0758, F0812, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. | E |
| 2025-03-06 | F0623, F0625, F0641, F0657, F0658, F0686, F0695, F0697, F0700, F0756, F0761 | 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Try 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | D |
| 2025-02-25 | F0677, F0755, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2025-02-25 | F0690, F0725, F0842, F0920 | 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 nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide 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. | D |
| 2025-02-25 | F0732 | Post nurse staffing information every day. | B |
| 2025-02-14 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| 2024-12-31 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-12-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| 2024-12-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-10-08 | F0584 | 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. | E |
| 2024-10-08 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-07-30 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-07-10 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-06-20 | F0732 | Post nurse staffing information every day. | D |
| 2024-04-18 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-18 | F0584, F0623, F0625, F0640, F0657, F0684, F0689, F0690, F0699, F0730, F0756, F0758, F0804, F0880, F0947 | 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. / 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 care or services that was trauma informed and/or culturally competent. / Observe each nurse aide's job performance and give regular training. / 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-04-18 | F0550, F0582, F0610, F0636, F0638, F0641, F0677, F0695, F0806, F0810, F0868 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Respond appropriately to all alleged violations. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2024-04-05 | F0660, F0661, F0745, F0755 | Plan the resident's discharge to meet the resident's goals and needs. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-03-26 | F0580, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-03-07 | F0685 | Assist a resident in gaining access to vision and hearing services. | D |
| 2024-02-15 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-01-25 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-01-03 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-12-01 | F0584 | 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. | E |
| 2023-12-01 | F0656, F0790 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide routine and 24-hour emergency dental care for each resident. | D |
| 2023-08-04 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2023-04-27 | F0578, F0657, F0658, F0695, F0698, F0700, F0756, F0758, F0812, F0842, F0880, F0887 | Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / 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 |
| 2023-04-27 | F0550, F0575, F0584, F0610, F0641, F0656, F0660, F0804, F0882, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Post 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. / 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. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was FOREST PARK NURSING AND REHABILITATION fined 5 times?
| Date | Type | Amount |
|---|---|---|
| 2025-02-14 | Fine | $66,593 |
| 2024-12-06 | Fine | $84,789 |
| 2023-10-02 | Fine | $2,823 |
| 2023-09-25 | Fine | $2,470 |
| 2023-09-05 | Fine | $5,244 |
How is FOREST PARK NURSING AND REHABILITATION staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.29895 | 3.88823 |
| Total nursing staff turnover (%) | 71.9 | 44.5 |
| Average number of residents per day | 107.3 | 104.6 |
Who owns FOREST PARK NURSING AND REHABILITATION?
FOREST PARK NURSING AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name FP 700 OPERATIONS LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PA 3 OPCO LLC | since 06/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PA 3 HOLDCO, BORNSTEIN, SHLOMO, ELKOUBY, DAVID, FERZIGER, BENZION, FISHBANE, BENZION, MENDIOWITZ, CHAIM, SENDEROVITS, ELIEZER, STEINBERG, EPHRAIM, TRESS, SHMUEL | since 06/01/2023 |
| CORPORATE DIRECTOR | FISHER YOHN, CARLA | since 06/06/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | FP 700 PROPERTY LLC, FISHER YOHN, CARLA | since 06/01/2023 |
| ADP OF THE SNF | FP 700 PROPERTY LLC, PA 3 HOLDCO, PA 3 OPCO LLC, BORNSTEIN, SHLOMO, FERZIGER, BENZION, FISHBANE, BENZION, FISHER YOHN, CARLA, GUISTWITE, DARRYL, SENDEROVITS, ELIEZER | since 06/01/2023 |
Were you or a family member harmed at FOREST PARK NURSING AND REHABILITATION?