Carlisle Skilled Nursing and Rehabilitation Center
940 Walnut Bottom Road · Carlisle, PA · 17013 · 7172490085
150 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $40,055 |
Inspection citations (63 in the current record)
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Actual harm · G March 20, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · E February 2, 2026 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D December 15, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 13, 2026 · Pharmacy Service
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Immediate jeopardy · J June 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 7, 2025 · Quality of Life and Care
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Immediate jeopardy · K June 26, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 7, 2025 · Nutrition and Dietary
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Potential for harm · E June 26, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · E June 26, 2025
Ensure each resident receives an accurate assessment.
Corrected August 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
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.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Observe each nurse aide's job performance and give regular training.
Corrected August 7, 2025 · Nursing and Physician Services
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Potential for harm · E June 26, 2025
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.
Corrected August 7, 2025 · Pharmacy Service
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Potential for harm · D June 26, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 7, 2025 · Nutrition and Dietary
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Potential for harm · D June 26, 2025
Provide and implement an infection prevention and control program.
Corrected August 7, 2025 · Infection Control
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Potential for harm · E June 26, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 7, 2025 · Nursing and Physician Services
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Potential for harm · E July 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D July 18, 2024
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.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D July 18, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 18, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 10, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $31,231 |
| April 11, 2024 | Fine | $8,824 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395746 · certified since October 29, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.