Concordia at Arbutus Park
207 Ottawa Street · Johnstown, PA · 15904 · 8142668621
141 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 3 · $16,800 |
Inspection citations (27 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D August 21, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 26, 2025 · Nursing and Physician Services
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Potential for harm · D July 1, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · D September 19, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · E September 19, 2024
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 November 8, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
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 November 8, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
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.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · D September 19, 2024
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 November 8, 2024 · Pharmacy Service
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Potential for harm · E September 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 8, 2024 · Nutrition and Dietary
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Potential for harm · D September 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Provide and implement an infection prevention and control program.
Corrected November 8, 2024 · Infection Control
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Potential for harm · D September 19, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 8, 2024 · Environmental
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Actual harm · G March 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 14, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 8, 2024 · Resident Assessment and Care Planning
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Actual harm · G March 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2024 | Fine | $5,600 |
| March 14, 2024 | Fine | $5,600 |
| March 14, 2024 | Fine | $5,600 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 396069 · certified since January 17, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.