Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CUMBERLAND CROSSINGS RETIREMENT COMMUNITY

CARLISLE, PA · 58 certified beds · Last Life Safety survey April 10, 2025

CMS Certification Number 395876 · first certified May 1992

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within PA

5 citations — more than 25% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (February 2026 to April 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility5PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-0532024-0522025-04
Citations at each Life Safety survey
Survey dateCitations
May 25, 20230
May 16, 20243
April 10, 20252

Most-cited tags

Most-cited tags at this facility
K-03631K-01611K-03531K-03211K-02251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.12025-04-10
K-0161Use approved construction type or materials.12024-05-16
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-05-16
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-04-10
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12024-05-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Construction Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Construction Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 10, 2025 — 2 citations

Citations issued on April 10, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 10, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 10, 2025)

May 16, 2024 — 3 citations

Citations issued on May 16, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (June 28, 2024)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 28, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 28, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.