01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-06 | 26 | 2025-03-06 | 1 |
| Cycle 2 | 2024-04-18 | 44 | 2024-04-18 | 0 |
| Cycle 3 | 2023-04-27 | 39 | 2023-04-27 | 0 |
CMS CCN 3952702026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Forest Park Nursing And Rehabilitation
700 Walnut Bottom Road · Carlisle, PA 17013 · Cumberland County
Certified beds114CMS provider file
Recent citation rows110current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
110 rows in the current release
5 rows carry G–L scope/severity codes; 3 carry J–L. 26 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-03 · FIREK0711Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-01 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-05-20 · complaint2026-05-01 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-20 · complaint2026-02-24 · HEALTHF0559Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2026-03-05 · complaint2026-02-24 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-05 · complaint2026-01-15 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-10 · complaint2026-01-15 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-02-10 · complaint2026-01-08 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-13 · complaint2026-01-08 · HEALTHF0917Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Correction field: Deficient, Provider has date of correction · 2026-01-21 · complaint2025-12-17 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-13 · complaint2025-07-21 · HEALTHF0839Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2025-06-27 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-15 · complaint2025-06-10 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-25 · complaint2025-03-06 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-092025-03-06 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-04-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-14 | Fine | $66,593 | 0 |
| 2024-12-06 | Fine | $84,789 | 0 |
| 2023-10-02 | Fine | $2,823 | 0 |
| 2023-09-25 | Fine | $2,470 | 0 |
| 2023-09-05 | Fine | $5,244 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PA 3 OPCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/01/2023
- PA 3 HOLDCOOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- BORNSTEIN, SHLOMOIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 08/30/2023
- ELKOUBY, DAVIDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- FERZIGER, BENZIONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- FISHBANE, BENZIONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- MENDIOWITZ, CHAIMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- SENDEROVITS, ELIEZERIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 08/30/2023
- STEINBERG, EPHRAIMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- TRESS, SHMUELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/01/2023
- FISHER YOHN, CARLAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/06/2023
- FP 700 PROPERTY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- FISHER YOHN, CARLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/06/2023
- FP 700 PROPERTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/03/2025
- PA 3 HOLDCOOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/03/2025
- PA 3 OPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/03/2025
- BORNSTEIN, SHLOMOIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2023
- FERZIGER, BENZIONIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.30per resident day
RN hours0.49per resident day
Weekend nurse hours3.05per resident day
Staff turnover71.9%CMS reported field
06 / LOCAL RECORDS
Open the Carlisle ledger →Other published facilities nearby
Carlisle Skilled Nursing And Rehabilitation Center150 beds · CMS overall 1/582 citation rowsChapel Pointe At Carlisle59 beds · CMS overall 5/54 citation rowsClaremont Nursing & Rehabilitation Center282 beds · CMS overall 3/547 citation rowsCumberland Crossings Retirement Community58 beds · CMS overall 5/513 citation rowsLetort Spring Nursing And Rehab Llc109 beds · CMS overall 1/564 citation rowsSarah A Todd Memorial Home117 beds · CMS overall 5/511 citation rowsThornwald Home83 beds · CMS overall 4/519 citation rows