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Nursing home report

Church of God Home

Registered name: LeTort Spring Nursing and Rehab LLC

CARLISLE, PA · Medicare-certified · 109 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Church of God Home in Carlisle, PA has a 1-star overall rating, with 1-star health inspections, 2-star staffing, and 2-star quality measures. It reports nurse staffing of 3.36 hours per resident per day versus the 4.1 federal benchmark, $51,061 in fines over the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.361 hrs/resident/day

Quality measures

Last inspection: March 23, 2026Penalties, last 24 months: $51,061recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.361.

Staffing detail

Registered nurses
0.48
Licensed practical nurses
0.81
Nurse aides
2.07
Weekend nursing
3.03

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20.8%33.3%Worsening

Residents with a fall causing major injury

4.7%3.6%Improving

Residents with pressure ulcers (bedsores)

1.8%4.2%Worsening

Residents with a urinary tract infection

1.6%1.2%No change

Residents who lost too much weight

3.6%13.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.1%37.1%Worsening

Residents whose ability to walk got worse

15%27%Worsening

Long-stay residents on antianxiety or sleep medication

28.6%32%Worsening

Short-stay residents newly given an antipsychotic

0%4.7%Worsening

Residents with a long-term catheter

2.4%2.7%No change

Residents with new or worsening incontinence

36.2%31.7%Improving

Residents with depressive symptoms

0%4.1%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.5%

Long-stay residents given the pneumonia vaccine

56.2%53%Worsening

Short-stay residents given the seasonal flu vaccine

32.7%

Short-stay residents given the pneumonia vaccine

12.5%23.5%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,345 was recorded.

  6. PENALTY

    A federal fine of $33,716 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $63,892 in total fines.

  • Federal fine

    Apr 24, 2025

    $17,345
  • Federal fine

    Feb 6, 2025

    $33,716
  • Federal fine

    Mar 21, 2024

    $12,831

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
102.4 residents on an average day (94% of 109 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 37 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.