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Nursing home

Thornwald Home (Skilled Nursing and Continuing Care)

442 Walnut Bottom Road, Carlisle, PA 17013 · Map
Non profit - Church related · 83 certified beds

Medicare and Medicaid certified
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Thornwald Home (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Carlisle, Pennsylvania. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.13 hours per resident per day, above the Pennsylvania average of 3.89. Its most recent inspection on Dec 11, 2025 cited 5 deficiencies.

4 out of 5Overall CMS rating
3 out of 5Health inspections
5 out of 5Staffing
83 bedsCertified beds
  • 1 fine totaling $9,110In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating4/5
Health inspections3/5
Staffing5/5
Quality measures3/5
Long-stay quality4/5
Short-stay quality2/5

How Thornwald Home (Skilled Nursing and Continuing Care) compares

This facility vs. the Pennsylvania and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityPennsylvania avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.133.893.89above avg
RN staffing (hrs/resident/day)0.900.780.68above avg
Aide staffing (hrs/resident/day)2.382.202.34above avg
Nursing staff turnover34.0%46.6%46.4%below avg
Deficiencies cited, last inspection5.010.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.13Total nurse hrs/resident/day
0.90RN hrs/resident/day
0.84LPN hrs/resident/day
2.38Aide hrs/resident/day
3.74Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff34.0%
Registered nurses20.0%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 11, 2025Most recent inspection
5Deficiencies found
40Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $9,110, 1 total penalty.

What inspectors found at Thornwald Home (Skilled Nursing and Continuing Care)

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Environmental Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Actual harm

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

    Quality of Life and Care Deficiencies · Jul 21, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 30, 2025 · Full report (PDF)
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 30, 2025 · Full report (PDF)
  • Potential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 30, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies · Dec 12, 2024 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Dec 12, 2024 · Full report (PDF)
  • Potential for harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Quality of Life and Care Deficiencies · Dec 12, 2024 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Jan 18, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
442 Walnut Bottom Road
Carlisle, PA 17013
CMS certification #
395802
Ownership
Non profit - Church related
Certified beds
83
Avg residents/day
77.1
Provider type
Medicare and Medicaid
First certified
1989-09-01
Setting
Urban

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Location and nearby

Explore the area around Thornwald Home (Skilled Nursing and Continuing Care) using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Upmc Carlisle, Carlisle. 1.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Forest Park Nursing and Rehabilitation, Carlisle. 0.1 miles away, straight line.
Nearest home health agency office
Community Home Nursing And Therapy Services, Inc, Carlisle. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 17013 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Carlisle Regional Dialysis, Carlisle, 0.8 miles away, straight line (CMS rating 2 of 5 stars)
Fkc Cumberland County, Carlisle, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Carlisle, Carlisle, 1.3 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
16 Medicare hospices tell CMS they serve ZIP code 17013.
Residential Hospice Of Carlisle, LLC, office in Mechanicsburg, 9.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gentiva, office in Camp Hill, 15.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Adoration Hospice, office in Camp Hill, 15.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Provider Partners Care Management Lp, York. 26.5 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Thornwald Home (Skilled Nursing and Continuing Care) a good nursing home?

CMS gives Thornwald Home (Skilled Nursing and Continuing Care) an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Thornwald Home (Skilled Nursing and Continuing Care) staffed?

Thornwald Home (Skilled Nursing and Continuing Care) reports 4.13 total nurse hours per resident per day, compared with the Pennsylvania average of 3.89.

Has Thornwald Home (Skilled Nursing and Continuing Care) had inspection problems?

Its most recent CMS inspection cited 5 deficiencies.

How many beds does Thornwald Home (Skilled Nursing and Continuing Care) have?

Thornwald Home (Skilled Nursing and Continuing Care) is certified for 83 beds.