ElderGrade
F

25/100

Poor

Carlisle Skilled Nursing And Rehabilitation Center

940 Walnut Bottom Road, Carlisle, PA 17013

CMS 1/5 stars #16 of 17 in Cumberland County (717) 249-0085
Certified beds
150
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $40,055 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 61%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 0/30 Staffing 13/30 Stability 5/15 Outcomes 2/15 Enforcement 5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -10 for 63 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.29 total nurse hours per resident per day (national median 3.77)
  • 0.39 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 61% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $40,055 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.19 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.39 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.89 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 61.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 63 citations

Last standard health inspection: June 26, 2025 (1 year ago).

G Mar 20, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

E Feb 2, 2026 F0790 From a complaint

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

No actual harm, potential for more than minimal harm

D Dec 15, 2025 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

K Jun 26, 2025 F0805

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Immediate jeopardy to resident health or safety

J Jun 26, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

E Jun 26, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E Jun 26, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Jun 26, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of GENESIS HEALTHCARE, which operates 185 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BERG, MICHAEL Individual CORPORATE OFFICER
BRIDGEFORD, LAURA Individual CORPORATE OFFICER
KIRSCHNER, JONATHAN Individual CORPORATE OFFICER
MENDELSON, AVI Individual CORPORATE OFFICER
MURRAY, LAUREN Individual CORPORATE OFFICER
ANJUM, RASHID Individual OPERATIONAL/MANAGERIAL CONTROL
MITRZYK, SUSAN Individual OPERATIONAL/MANAGERIAL CONTROL
ANJUM, RASHID Individual ADP OF THE SNF
MITRZYK, SUSAN Individual ADP OF THE SNF
FC-GEN OPERATIONS INVESTMENT LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GEN OPERATIONS I LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GEN OPERATIONS II LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Carlisle Skilled Nursing And Rehabilitation Center

What is the ElderGrade for Carlisle Skilled Nursing And Rehabilitation Center? +

Carlisle Skilled Nursing And Rehabilitation Center holds an ElderGrade of F (25 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Carlisle Skilled Nursing And Rehabilitation Center? +

Residents receive an average of 3.19 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Carlisle Skilled Nursing And Rehabilitation Center been cited for harming residents? +

Yes. 4 of the 63 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Carlisle Skilled Nursing And Rehabilitation Center accept Medicaid? +

Yes, Carlisle Skilled Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.