ElderGrade
B

74/100

Above average

Thornwald Home

442 Walnut Bottom Road, Carlisle, PA 17013

CMS 3/5 stars #7 of 17 in Cumberland County (717) 249-4118
Certified beds
83
Occupancy
92%
Ownership
Non-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.

  • 1 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.

  • $9,110 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

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

Inspection safety

26/30

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

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

22/30

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

  • 4.4 total nurse hours per resident per day (national median 3.77)
  • 0.93 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

9/15

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

  • 47% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

8/10

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

  • $9,110 in federal fines across 1 action(s)

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 4.37 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.93 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 4.13 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 47.40%
National average 45.80% Below average

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

Recent inspection findings

All 16 citations

Last standard health inspection: December 11, 2025 (8 months ago).

E Dec 11, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Dec 11, 2025 F0606

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

No actual harm, potential for more than minimal harm

D Dec 11, 2025 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

D Dec 11, 2025 F0909

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

No actual harm, potential for more than minimal harm

G Jul 21, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

D Jan 30, 2025 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Jan 30, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Jan 30, 2025 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BLOSE, LEROY Individual MANAGING CONTROL - GOVERNING BODY
BOONE, REBECCA Individual MANAGING CONTROL - GOVERNING BODY
DEANER, KAY Individual MANAGING CONTROL - GOVERNING BODY
DOMINGOS, TITA Individual MANAGING CONTROL - GOVERNING BODY
FIELDS, TONY Individual MANAGING CONTROL - GOVERNING BODY
HEIN, DWIGHT Individual MANAGING CONTROL - GOVERNING BODY
KERN, CRAIG Individual MANAGING CONTROL - GOVERNING BODY
LYONS, JAMES Individual MANAGING CONTROL - GOVERNING BODY
PAUL, EMERSON Individual MANAGING CONTROL - GOVERNING BODY
PRINZ, DONNA Individual MANAGING CONTROL - GOVERNING BODY
RANKIN, CHRISTOPHER Individual MANAGING CONTROL - GOVERNING BODY
RIEKER, JOHN Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about Thornwald Home

What is the ElderGrade for Thornwald Home? +

Thornwald Home holds an ElderGrade of B (74 out of 100), which we describe as "above average". 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 Thornwald Home? +

Residents receive an average of 4.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Thornwald Home been cited for harming residents? +

Yes. 1 of the 16 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 Thornwald Home accept Medicaid? +

Yes, Thornwald Home 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.