Letort Spring Nursing and Rehab LLC
801 N. Hanover Street · Carlisle, PA · 17013 · 7172495322
109 certified beds For profit - Limited Liability company Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $51,061 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$51,061 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
1.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5
| Total nurse hours / resident-day | 1.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 1.68 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $63,892 |
Inspection citations (59 in the current record)
-
Potential for harm · D March 23, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 18, 2026 · Pharmacy Service
-
Potential for harm · E February 11, 2026
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 March 17, 2026 · Resident Rights
-
Potential for harm · D February 11, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 11, 2026
Ensure each resident receives an accurate assessment.
Corrected March 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 26, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · D February 11, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · D February 11, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · D February 11, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 17, 2026 · Quality of Life and Care
-
Potential for harm · D February 11, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · D February 11, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · E February 11, 2026
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 March 17, 2026 · Pharmacy Service
-
Potential for harm · E February 11, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 17, 2026 · Nutrition and Dietary
-
Potential for harm · F February 11, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2026 · Nutrition and Dietary
-
Potential for harm · D February 11, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 17, 2026 · Administration
-
Potential for harm · E February 11, 2026
Provide and implement an infection prevention and control program.
Corrected March 17, 2026 · Infection Control
-
Potential for harm · D February 11, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 26, 2026 · Quality of Life and Care
-
Actual harm · G January 29, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 5, 2026 · Quality of Life and Care
-
Actual harm · G January 29, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 5, 2026 · Pharmacy Service
-
Potential for harm · D December 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 27, 2026 · Quality of Life and Care
-
Potential for harm · D December 26, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2026 · Nutrition and Dietary
-
Immediate jeopardy · K April 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 22, 2025 · Quality of Life and Care
-
Actual harm · G February 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 14, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2025 | Fine | $17,345 |
| February 6, 2025 | Fine | $33,716 |
| March 21, 2024 | Fine | $12,831 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395784 · certified since April 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.