Concordia Lutheran Health and Human Care
134 Marwood Road · Cabot, PA · 16023 · 7243521571
142 certified beds Non profit - Corporation Chain: Concordia Lutheran Ministries Part of a CCRC
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $8,021 |
Inspection citations (34 in the current record)
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Potential for harm · D August 8, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · E August 8, 2025
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 September 15, 2025 · Pharmacy Service
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Potential for harm · F August 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2025
Provide and implement an infection prevention and control program.
Corrected September 15, 2025 · Infection Control
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Potential for harm · D August 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 15, 2025 · Infection Control
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Potential for harm · D August 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 15, 2025 · Quality of Life and Care
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No harm found · C September 12, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 14, 2024 · Resident Rights
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Potential for harm · D August 29, 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 October 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
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 October 14, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Ensure that residents are free from significant medication errors.
Corrected October 14, 2024 · Pharmacy Service
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Potential for harm · D August 29, 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 October 14, 2024 · Pharmacy Service
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Potential for harm · F August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 14, 2024 · Nutrition and Dietary
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected October 14, 2024 · Infection Control
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Immediate jeopardy · J July 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D July 12, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 24, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 12, 2024 | Fine | $8,021 |
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 395684 · certified since December 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.