Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carlisle Manor Health Care Inc during CMS and state inspections, most recent first.
A resident with multiple medical conditions reported $1,000 in cash missing after giving it to a nurse, who then allegedly gave it to a visitor. The incident was reported to police and internally investigated, but the facility failed to report the allegation of misappropriation to the State Survey Agency as required by policy.
A resident with multiple health issues, including dementia, was not provided timely incontinence care as per their care plan, resulting in a saturated and soiled brief. Observations showed the resident was left unattended for nearly three hours, and staff interviews confirmed the lapse in care. The DON acknowledged the need for more staff education.
A resident in a wheelchair sustained multiple fractures after falling while being assisted off a facility bus. The incident occurred when the resident's wheelchair got stuck in a gap between the ramp platform and the bus, causing the resident to flip out of the chair. The resident, who had a history of falls and moderate cognitive impairment, was in pain and required emergency room evaluation. Staff interviews indicated that the resident pulled himself out of the wheelchair by grabbing the lift railing, contributing to the fall.
Failure to Report Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to report an allegation of misappropriation of property to the State Survey Agency as required by policy and regulation. A resident, who was cognitively intact and had diagnoses including left femur fracture, diabetes mellitus, depression, chronic ischemic heart disease, and anxiety, reported missing $1,000 in cash. The resident stated that he gave the money to a nurse to place in his nightstand, and later the nurse put the money in her medication cart. The following day, the nurse allegedly gave the money to one of the resident's visitors. The resident subsequently called the police and filed a report regarding the missing money. The police report indicated that the unit manager had not seen the cash since the resident refused to secure it in a locked box and noted that the resident had visitors on two consecutive days. The facility's social services staff confirmed that an internal investigation was initiated, including witness statements from the DON, a CNA, and the unit manager. However, the facility did not report the allegation of misappropriation to the State Survey Agency, as confirmed by the administrator. Facility policy required reporting such allegations within 24 hours, but this was not done.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide timely incontinence care for a resident, identified as Resident #29, who was admitted with multiple diagnoses including dementia, depression, and chronic diastolic heart failure. The resident was cognitively impaired and dependent on staff for bathing and hygiene. The care plan required incontinence care every two hours and as needed, along with the application of a moisture barrier cream. However, observations revealed that the resident was left unattended in a Geri chair for nearly three hours without being offered incontinence care. Interviews with State Tested Nurse Aides (STNAs) confirmed that the resident was incontinent of bowel and bladder and should have been checked every two hours. Despite this, the resident's incontinence brief was found saturated with urine and smeared with feces, indicating a lapse in care. The Director of Nursing acknowledged the need for more education for the STNAs, as they were not timely in providing the necessary care. The facility's policy stated that all incontinent residents should receive appropriate care, which was not adhered to in this instance.
Resident Injury Due to Unsafe Transportation
Penalty
Summary
The facility failed to ensure the safe transportation of residents on and off the facility vehicle, resulting in actual harm to a resident. On the day of the incident, a resident in a wheelchair was being assisted off the facility bus when a gap between the ramp platform and the bus caused the wheelchair to turn and get stuck. This led to the resident flipping out of the wheelchair and sustaining multiple fractures, including a fracture to the left leg and ribs. The resident was in pain and was subsequently transported to the emergency room for evaluation and treatment. The resident involved had a history of altered mental status, type two diabetes mellitus, and chronic pain, and was at risk for falls due to frequent falls and low tolerance for activity. The resident required the use of a wheelchair for mobility and had moderate cognitive impairment. On the day of the incident, the resident was being assisted by a transporter who was helping unload residents from the bus. The transporter unlocked the resident's wheelchair and attempted to move it onto the lift, but the resident grabbed onto the lift railing, causing the wheelchair to get stuck in the gap and the resident to fall. Staff interviews revealed that the transporter was assisting the resident when the incident occurred, and the activity director was driving the bus. The transporter stated that the resident pulled himself out of the wheelchair by grabbing the lift railing, which contributed to the fall. The incident was witnessed by several staff members who provided statements about the resident's position and condition after the fall. The facility's Director of Nursing was not present during the incident but was informed of the events that transpired.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 670 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Carlisle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Momentous Health At Franklin | 2.3 mi | ★★★★★ | 28 | 0 |
| Willow Knoll Post-acute And Senior Living | 3.3 mi | ★★★★★ | 10 | 0 |
| Kingston Of Miamisburg | 3.7 mi | ★★★★★ | 1 | 0 |
| Astoria Health & Rehab Center | 4.3 mi | ★★★★★ | 1 | 0 |
| Sycamore Trails Post Acute | 5.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.