The home failed to ensure residents received food prepared in a form that met their individual needs. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: K
Nursing home report
CARLISLE SKILLED NURSING AND REHABILITATION CENTER
CARLISLE, PA · Medicare-certified · 150 beds
Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall
1 of 5 stars overall. Carlisle Skilled Nursing and Rehabilitation Center is a Special Focus Facility candidate with 1-star health inspection, staffing, and quality ratings; reported nurse staffing is 3.00 hours per resident per day versus the 4.1 federal benchmark, and it had $11,180 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0047 hrs/resident/day
Quality measures
Last inspection: March 20, 2026Penalties, last 24 months: $11,180special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0047.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.87
- Nurse aides
- 1.77
- Weekend nursing
- 2.65
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.6%Worsening
Residents with a fall causing major injury
4.2%Improving
Residents with pressure ulcers (bedsores)
4.2%Worsening
Residents with a urinary tract infection
3.6%Worsening
Residents who lost too much weight
6.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.8%Improving
Residents whose ability to walk got worse
26%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.7%Improving
Short-stay residents newly given an antipsychotic
3.3%Improving
Residents with a long-term catheter
1%Steady
Residents with new or worsening incontinence
27.6%Improving
Residents with depressive symptoms
8.3%Improving
Long-stay residents given the seasonal flu vaccine
92.4%Steady
Long-stay residents given the pneumonia vaccine
92.5%Worsening
Short-stay residents given the seasonal flu vaccine
60.3%Steady
Short-stay residents given the pneumonia vaccine
75.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to ensure residents had routine and emergency dental care available when needed. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 790 — 42 CFR §483.55 — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $11,180 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $20,004 in total fines.
- $11,180
Federal fine
Jun 26, 2025
- $8,824
Federal fine
Apr 11, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GENESIS HEALTHCARE · 187 homes · 2.4 stars avg
- Occupancy
- 134 residents on an average day (89% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.