Complaint Investigation

Letort Spring Nursing And Rehab Llc

January 29, 2026 · Carlisle, PA · 801 N. Hanover Street

Citations 2

CMS Rating 1/5

Beds 109

Provider ID 395784

Healthcare Facility

Letort Spring Nursing And Rehab Llc

Carlisle, PA · View full profile →

Inspection Summary

LeTort Spring Nursing and Rehab LLC in CARLISLE, PA — inspection on January 29, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0684

Quality of Life and Care Deficiencies

Actual Harm

licensee28 Pa.

Code 201.18(b)(1) Management28 Pa.

Code 211.9(a)(1) Pharmacy services28 Pa.

Code 211.10(c) Resident care policies28 Pa.

Code 211.12(d)(1)(2)(3)(5) Nursing services

Facility ID:

IDENTIFICATION NUMBER:

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Letort Spring Nursing and Rehab LLC

801 N.

Hanover Street Carlisle, PA 17013

SUMMARY STATEMENT OF DEFICIENCIES

FF0755

Pharmacy Service Deficiencies

Actual Harm

NHA, DON, and Employee 9 on January 29, 2026, between 3:48 PM and 4:00 PM, the DON indicated that she would expect nursing staff to reorder a medication when they are down to a five-day supply.

The DON confirmed that she would expect the pharmacy to dispense and deliver medications timely or to notify the facility immediately if there was an issue with filling a medication order.

The DON confirmed that she would expect staff to complete the Receipt Verification on a resident's Controlled Substance Record. At time of interview, no additional information was provided regarding when nursing staff reordered Resident 2's Xanax from the pharmacy or why there was a delay in delivery from the pharmacy. 28 Pa.

Code 201.14(a) Responsibility of licensee28 Pa.

Code 201.18(b)(1) Management28 Pa.

Code 211.9(a)(1) Pharmacy services28 Pa.

Code 211.10(c) Resident care policies28 Pa.

Code 211.12(d)(1)(2)(3)(5) Nursing services

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CARLISLE, PA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LeTort Spring Nursing and Rehab LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Letort Spring Nursing And Rehab Llc

Inspection Findings

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