Nursing homes › Pennsylvania › Carlisle Skilled Nursing and Rehabilitation Center
940 Walnut Bottom Road, Carlisle, PA 17013 · 7172490085 · 150 certified beds
Per CMS filings, this facility is affiliated with Genesis Healthcare, a group operating 185 facilities in 18 states. Group record: average rating 2.4/5, 25 abuse citation icons, 18 facilities on the Special Focus list, $7,901,461 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.19 (Pennsylvania median: 3.63). RN hours: 0.39. Weekend total: 2.89. Nursing staff turnover: 61%.
All-time on record: 63 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-04-21 |
| 2026-02-02 | Provide routine and 24-hour emergency dental care for each resident. | E | complaint | corrected 2026-03-10 |
| 2025-12-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-01-13 |
| 2025-06-26 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Health | corrected 2025-08-07 |
| 2025-06-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2025-08-07 |
| 2025-06-26 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2025-08-07 |
| 2025-06-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | 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. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-08-07 |
| 2025-06-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-08-07 |
| 2025-06-26 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-08-07 |
| 2025-06-26 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-08-07 |
| 2025-06-26 | 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. | D | Health | corrected 2025-08-07 |
| 2025-06-26 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-08-07 |
| 2025-06-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-08-07 |
| 2025-06-26 | Provide routine and 24-hour emergency dental care for each resident. | D | Health | corrected 2025-08-07 |
| 2025-06-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-07 |
| 2024-07-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | 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. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | 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. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | 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. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | 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. | E | Health | corrected 2024-10-04 |
| 2024-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-10-04 |
| 2024-07-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-09-10 |
| 2024-07-18 | 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 | Health | corrected 2024-09-10 |
| 2024-07-18 | 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 | Health | corrected 2024-09-10 |
| 2024-07-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-09-10 |
| 2024-07-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-09-10 |
| 2024-07-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-09-10 |
| 2024-07-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-09-10 |
| 2024-07-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-09-10 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-26 | Fine | $31,231 |
| 2024-04-11 | Fine | $8,824 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GENESIS PM PA OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/14/2022 |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| GEN OPERATIONS I LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| GEN OPERATIONS II LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2020 |
| GENESIS HEALTHCARE INC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| GENESIS HEALTHCARE LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| GENESIS HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| SUN HEALTHCARE GROUP INC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 11/14/2022 |
| BERG, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 11/14/2022 |
| BRIDGEFORD, LAURA | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2024 |
| KIRSCHNER, JONATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2019 |
| MENDELSON, AVI | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2024 |
| MURRAY, LAUREN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2019 |
| ANJUM, RASHID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2022 |
| MITRZYK, SUSAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395746. Corrections: data@carerecords.org.