Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carrier Mills Nsg & Rehab Ctr during CMS and state inspections, most recent first.
The facility failed to provide scheduled showers twice per week for two residents, one with Parkinson's disease and another with heart failure, due to missed showers and incomplete documentation. Staff interviews confirmed that showers were sometimes missed, and the required documentation was not consistently completed.
A resident with severe cognitive deficits and multiple diagnoses did not receive timely restorative programs to prevent a decline in condition. Despite recommendations for a restorative ambulation program, the facility delayed implementation for nearly a month. Observations showed the resident was tearful and unable to walk due to the lack of an oxygen tank, and the care plan lacked focus on restorative programs. The facility's policy required restorative care to promote safety and independence, but this was not adhered to in a timely manner.
The facility failed to implement planned fall interventions for two residents, leading to deficiencies in accident prevention. One resident, who required supervision for toileting, fell due to the absence of a bedside commode, while another resident with severe cognitive impairment was not provided with a concave mattress as prescribed. Staff were unaware of these requirements, indicating a lapse in following the facility's fall risk management policy.
A facility failed to include dementia care in a resident's care plan, despite the resident's diagnosis of dementia, bipolar disorder, and anxiety, and documented memory problems. The care plan lacked interventions for cognitive deficits, which was acknowledged as an oversight by the DON and Care Plan Coordinator.
Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to provide showers or bathing alternatives twice per week for two residents, R7 and R56, as required. R7, who was admitted with diagnoses including muscle weakness and Parkinson's disease, required partial moderate assistance for showering. Despite being cognitively intact, R7 reported not receiving scheduled showers on Tuesdays and Fridays, with documentation missing for several dates over a three-month period. Similarly, R56, who had diagnoses of heart failure and moderate cognitive impairment, required substantial maximum assistance for bathing. R56 reported not receiving scheduled showers on Wednesdays and Sundays, with documentation missing for multiple dates. Interviews with staff revealed that showers were sometimes missed due to workload, and documentation was not consistently completed or available. The facility's policy required documentation of showers and any refusals, but this was not adhered to, as confirmed by the Director of Nursing. The lack of documentation and adherence to the shower schedule resulted in the deficiency noted by the surveyors.
Failure to Implement Restorative Programs for Resident
Penalty
Summary
The facility failed to implement restorative programs for a resident, R35, to prevent a decline in condition. R35 was admitted with diagnoses including heart failure, heart disease, insomnia, and obstructive and reflux uropathy. The Minimum Data Set (MDS) indicated a severe cognitive deficit, but did not document any restorative programs or physical therapy. Observations revealed that R35 was tearful and expressed a desire to walk, but was unable to due to the lack of an oxygen tank. The Director of Nursing acknowledged that physical therapy did not have R35 on their list, and the resident's care plan lacked a focus area for restorative programs or therapy. R35's Physical Therapy Discharge Summary recommended a restorative ambulation program, but the Nursing Restorative Care Program did not start until nearly a month later. The program included exercises with weights, but the walking program was not included. The Director of Rehabilitation confirmed that the initial restorative programs were turned in before 10/22/24, but could not explain why they were not started earlier. The Restorative Aid confirmed that no restorative programs were in place for R35 prior to 10/22/24. The facility's policy stated that residents should receive restorative nursing care to promote safety and independence. However, the delay in starting R35's restorative programs was acknowledged by the Director of Rehabilitation, who noted that a decline in condition could occur within thirty days. The facility has since started weekly meetings to ensure residents begin restorative programs promptly after therapy, but this was not in place at the time of the deficiency.
Failure to Implement Fall Interventions for Two Residents
Penalty
Summary
The facility failed to implement planned fall interventions for two residents, leading to deficiencies in accident prevention and supervision. The first resident, R7, who was cognitively intact and required supervision for toileting, fell while attempting to walk to the bathroom unassisted. Despite the care plan indicating the need for a bedside commode to prevent such incidents, observations over several days revealed that the commode was not present in the resident's room. The resident confirmed that the facility staff did not provide or offer a bedside commode after the fall. The second resident, R52, who had severe cognitive impairment, was found on the floor next to the bed. The care plan included the use of a concave mattress to prevent falls, but observations showed that a regular mattress was in use instead. The Director of Nursing and a Certified Nursing Assistant were unaware of the requirement for a concave mattress, indicating a failure to implement the prescribed intervention. The facility's policy on fall risk management emphasizes the need for specific interventions to prevent falls, which were not followed in these cases.
Failure to Address Dementia in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a care plan for a resident diagnosed with dementia, which included appropriate treatment and services to maintain the highest practicable well-being. The resident, admitted with diagnoses of dementia, bipolar disorder, and anxiety, was documented as having short and long-term memory problems and was unable to participate in a Brief Interview for Mental Status assessment. Despite these cognitive deficits, the resident's care plan did not include any focus area or interventions specifically addressing dementia care. Interviews with the Director of Nursing and the Care Plan Coordinator revealed that the omission of dementia care in the resident's care plan was an oversight, as it was expected to be included for residents with such a diagnosis.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Carrier Mills
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Axiom Healthcare Of Harrisburg | 4.9 mi | — | 4 | 0 |
| Saline Care Nursing & Rehab | 5.3 mi | — | 0 | 0 |
| Eldorado Rehab & Healthcare | 13.3 mi | — | 1 | 0 |
| Integrity Hc Of Marion | 15.8 mi | — | 12 | 0 |
| Parkway Manor | 19.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.