Carlisle, PA

Claremont Nursing & Rehabilitation Center

1-star overall rating with 2-star inspections with $13,780 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1000 Claremont Road, Carlisle, PA

(717) 243-2031

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

282

Certified beds

Average residents

262

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Allaire Health Services

Operator or chain grouping

Approved since

1984-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.94

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.61

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,978

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9883

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.96

Baseline 19.19% · Performance 20.52% · Measure score 1.96 · Achievement 1.96 · Improvement 0

Healthcare-associated infections

3.11

Baseline 5.12% · Performance 6.91% · Measure score 3.11 · Achievement 3.11 · Improvement 0

Total nurse turnover

5.56

Baseline 91.06% · Performance 50.93% · Measure score 5.56 · Achievement 3.12 · Improvement 5.56

Adjusted total nurse staffing

3.13

Baseline 2.71 hours · Performance 3.82 hours · Measure score 3.13 · Achievement 2.61 · Improvement 3.13

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.31%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 167 · Observed rate 11.98% · Lower 95% interval 8.42%
Discharge to community	33.46%	50.57% 17.1 pts worse	Worse than the National Rate · Eligible stays 131 · Observed rate 25.19% · Lower 95% interval 25.42%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	95.56%	95.27% 0.3 pts better	Numerator 129 · Denominator 135
Falls with major injury	2.22%	0.77% 1.5 pts worse	Numerator 3 · Denominator 135
Discharge self-care score	53.93%	53.69% 0.2 pts better	Numerator 48 · Denominator 89
Discharge mobility score	49.44%	50.94% 1.5 pts worse	Numerator 44 · Denominator 89
Pressure ulcers or injuries, new or worsened	1.48%	2.29% 0.8 pts better	Numerator 2 · Denominator 135 · Adjusted rate 1.23%
Healthcare-associated infections requiring hospitalization	6.91%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 88 · Observed rate 6.82% · Lower 95% interval 4.6%
Staff COVID-19 vaccination coverage	1.1%	8.2% 7.1 pts worse	Numerator 1 · Denominator 91
Staff flu vaccination coverage	26.72%	42% 15.3 pts worse	Numerator 144 · Denominator 539
Discharge function score	76.4%	56.45% 20 pts better	Numerator 68 · Denominator 89
Transfer of health information to provider	87.5%	95.95% 8.5 pts worse	Numerator 42 · Denominator 48
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	36.99%	25.2% 11.8 pts better	Numerator 27 · Denominator 73

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.2 0.5 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.0%	86.9% 6.1 pts better	93.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 96.5% · Q3 80.7% · Q4 99.6% · 4Q avg 93.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.1%	3.2% 2.9 pts worse	3.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.7% · Q3 6.4% · Q4 4.0% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	74.9%	6.5% 68.4 pts worse	11.4% 63.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 95.9% · Q3 86.9% · Q4 91.9% · 4Q avg 74.9%
Percentage of long-stay residents who lose too much weight	6.8%	6.5% 0.3 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.1% · Q3 4.7% · Q4 3.6% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.8%	19.9% 7.9 pts worse	19.6% 8.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 28.2% · Q3 29.1% · Q4 27.3% · 4Q avg 27.8%
Percentage of long-stay residents who received an antipsychotic medication	19.4%	18.7% 0.7 pts worse	16.7% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 19.9% · Q3 18.4% · Q4 20.4% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.5%	19.6% 14.1 pts better	16.3% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.1% · Q3 7.8% · Q4 4.9% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.1%	18.3% 13.2 pts better	14.9% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.6% · Q3 3.6% · Q4 4.3% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	1.7% 0.8 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.4% · Q3 0.8% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.8%	26.4% 0.4 pts worse	19.8% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 24.2% · Q3 29.2% · Q4 24.9% · 4Q avg 26.8%
Percentage of long-stay residents with pressure ulcers	3.4%	5.3% 1.9 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.3% · Q3 3.7% · Q4 2.9% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.0%	68.9% 26.1 pts better	81.7% 13.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 95.2% · Q3 95.7% · Q4 96.0% · 4Q avg 95.0%
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	9.8% 2.2 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 7.6% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.5% 0.2 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.3% · Q3 0.0% · Q4 2.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.8%	68.7% 25.1 pts better	79.7% 14.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.2%	23.1% 2.1 pts worse	23.9% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 26.1% · Expected 24.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-21 · Fire 2025-11-21

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-10-31 · Fire 2024-10-31

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2023-12-14 · Fire 2023-12-14

20 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-11-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-02-15

E · Potential for more than minimal harm 2025-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-11-21

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-12-26

C · Minimal harm 2025-11-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-02-15

F · Potential for more than minimal harm 2024-10-31

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-04

E · Potential for more than minimal harm 2024-10-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-04

C · Minimal harm 2024-10-31

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-12-04

E · Potential for more than minimal harm 2023-12-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-01-23

E · Potential for more than minimal harm 2023-12-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-11-21

F761 · Pharmacy Service Deficiencies

Health

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 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-11-21

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-12-26

E · Potential for more than minimal harm 2025-01-14

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-02-07

E · Potential for more than minimal harm 2024-10-31

F584 · Resident Rights Deficiencies

Health

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 2024-12-06

E · Potential for more than minimal harm 2024-10-31

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-31

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-31

F693 · Quality of Life and Care Deficiencies

Health

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 2024-12-06

D · Potential for more than minimal harm 2024-10-31

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-31

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-07-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-07-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-04-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-04-30

E · Potential for more than minimal harm 2023-12-14

F584 · Resident Rights Deficiencies

Health

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 2024-01-23

E · Potential for more than minimal harm 2023-12-14

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-01-23

E · Potential for more than minimal harm 2023-12-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-23

E · Potential for more than minimal harm 2023-12-14

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-23

E · Potential for more than minimal harm 2023-12-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-23