LeTort Spring Nursing and Rehab LLC

Continuing care retirement community · CCN 395784 · CHURCH OF GOD HOME INC · For profit - Limited Liability company · 109 certified beds · Cumberland · PA


LeTort Spring Nursing and Rehab LLC is a 109-bed nursing home in CARLISLE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1989-04-01. It averages 102.4 residents a day.

What harm was found in the violations cited at LeTort Spring Nursing and Rehab LLC?

CMS lists 59 health-inspection deficiencies for LeTort Spring Nursing and Rehab LLC, 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 2026-03-23.

Survey dateTagDeficiencySeverity
2026-03-23F0760Ensure that residents are free from significant medication errors.D
2026-02-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-11F0584, F0761, F0804, F0880Honor 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2026-02-11F0605, F0641, F0655, F0657, F0658, F0677, F0692, F0693, F0695, F0699, F0756, F0759, F0849Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2026-01-29F0684, F0755Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G
2025-12-26F0689, F0812Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-04-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2025-02-06F0692Provide enough food/fluids to maintain a resident's health.G
2025-02-06F0623, F0625, F0657, F0758, F0812Provide 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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.E
2025-02-06F0641, F0686, F0689, F0790, F0880, F0883, F0887Ensure each resident receives an accurate assessment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide routine and 24-hour emergency dental care for each resident. / Provide and implement an infection prevention and control program. / 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.D
2024-11-25F0880Provide and implement an infection prevention and control program.E
2024-11-25F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-07-30F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-03-21F0692Provide enough food/fluids to maintain a resident's health.G
2024-03-21F0880Provide and implement an infection prevention and control program.F
2024-03-21F0558, F0641, F0657, F0684, F0801, F0812, F0947Reasonably accommodate the needs and preferences of each resident. / 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2024-03-21F0661, F0677, F0689, F0695, F0725, F0730, F0755, F0756, F0804Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / 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 safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D

Why was LeTort Spring Nursing and Rehab LLC fined 3 times?

DateTypeAmount
2025-04-24Fine$17,345
2025-02-06Fine$33,716
2024-03-21Fine$12,831

How is LeTort Spring Nursing and Rehab LLC staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.361013.88823
Average number of residents per day102.4104.6

Who owns LeTort Spring Nursing and Rehab LLC?

LeTort Spring Nursing and Rehab LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name CHURCH OF GOD HOME INC.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEECASEY, RYAN, REITER, STEVENsince 05/01/2008
CORPORATE DIRECTORARTZ, SCOTT, REITER, STEVEN, RITCHIE, CARSON, WALTERS, CYNTHIAsince 01/01/2022
CORPORATE OFFICERCASEY, RYANsince 06/02/2014
OPERATIONAL/MANAGERIAL CONTROLSTONERIDGE RETIREMENT LIVING COMMUNITIES, INC.since 01/01/2014

Were you or a family member harmed at LeTort Spring Nursing and Rehab LLC?