Federal inspection record · CMS data as of October 1, 2026

Concordia at Arbutus Park

207 Ottawa Street, Johnstown, PA · (814) 266-8621

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
141
Residents per day
94
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 17, 2000

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Concordia at Arbutus Park carries 51 inspection points. That is fewer than 51% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 51 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 14, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 8, 2024

  2. G

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 14, 2024 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected March 8, 2024

  3. G

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

    March 14, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 8, 2024

Everything else, by area of care

Resident Rights6E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 8, 2026 · Complaint · F550 · Corrected May 8, 2026

  2. E

    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.

    September 19, 2024 · Standard · F584 · Corrected November 8, 2024

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    September 19, 2024 · Standard · F554 · Corrected November 8, 2024

  4. D

    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.

    September 19, 2024 · Standard · F585 · Corrected November 8, 2024

  5. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 19, 2024 · Standard · F623 · Corrected November 8, 2024

  6. D

    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.

    September 19, 2024 · Standard · F625 · Corrected November 8, 2024

Quality of Life and Care6E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 21, 2025 · Standard · F684 · Corrected September 26, 2025

  2. D

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

    August 21, 2025 · Standard · F690 · Corrected September 26, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 1, 2025 · Complaint · F684 · Corrected September 26, 2025

  4. E

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

    April 9, 2025 · Complaint · F689 · Corrected April 2, 2025

  5. D

    Provide care or services that was trauma informed and/or culturally competent.

    September 19, 2024 · Standard · F699 · Corrected November 8, 2024

  6. D

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

    October 19, 2023 · Standard · F689 · Corrected December 6, 2023

Resident Assessment and Care Planning4E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 19, 2024 · Standard · F656 · Corrected November 8, 2024

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 19, 2024 · Standard · F657 · Corrected November 8, 2024

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 19, 2024 · Standard · F842 · Corrected November 8, 2024

  4. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 19, 2023 · Standard · F842 · Corrected December 6, 2023

Nutrition and Dietary3E
  1. D

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

    August 21, 2025 · Standard · F812 · Corrected September 26, 2025

  2. E

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

    September 19, 2024 · Standard · F812 · Corrected November 8, 2024

  3. E

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

    October 19, 2023 · Standard · F812 · Corrected December 6, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    August 21, 2025 · Standard · F607 · Corrected September 26, 2025

Nursing and Physician Services1D
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    August 21, 2025 · Standard · F947 · Corrected September 26, 2025

Pharmacy Service1D
  1. D

    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.

    September 19, 2024 · Standard · F761 · Corrected November 8, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    September 19, 2024 · Standard · F880 · Corrected November 8, 2024

Environmental1D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    September 19, 2024 · Standard · F921 · Corrected November 8, 2024

Inspection history

  1. 2025-08-21

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-09-19

    15 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

  3. 2023-10-19

    6 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 39 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

3 h 39 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$16,800 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-14Fine$5,600
2024-03-14Fine$5,600
2024-03-14Fine$5,600

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better94.3%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better97.5%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better2.9%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms10.5 pts better3.3%13.8%13.5%
Percentage of long-stay residents who lose too much weight3.7 pts better2.3%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts worse24.8%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse19.3%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.9 pts worse21.3%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts worse25.5%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.4 pts worse3.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better1.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse28.8%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts better4.4%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine41.4 pts worse29.4%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better9.3%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better1.3%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts worse65.4%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts worse25.0%22.0%23.4%

·

Who owns and runs it

6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Beglin, JulianCorporate Officer · Individual0%1 facilities
Kamler, ChadOperational/Managerial Control · Individual0%1 facilities
Kamler, ChadAdp Of The SNF · Individual0%1 facilities
Kelley, SarahCorporate Officer · Individual0%1 facilities
Macy, AllisonOperational/Managerial Control · Individual0%1 facilities
Reinbold, RonaldCorporate Officer · Individual0%1 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 21, 2025 · K321 · Corrected August 20, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 21, 2025 · K353 · Corrected August 20, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    August 21, 2025 · K363 · Corrected August 20, 2025

  4. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 21, 2025 · K374 · Corrected August 20, 2025

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 19, 2024 · K353 · Corrected November 11, 2024

  6. E

    Have an enclosure around a vertical opening shaft.

    September 19, 2024 · K311 · Corrected November 11, 2024

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 19, 2024 · K321 · Corrected November 11, 2024

  8. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 19, 2024 · K372 · Corrected November 11, 2024

  9. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 19, 2023 · K321 · Corrected December 16, 2023

  10. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 19, 2023 · K353 · Corrected December 16, 2023

  11. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    October 19, 2023 · K374 · Corrected December 16, 2023

Gas, Vacuum, and Electrical Systems5E
  1. E

    Have proper medical gas storage and administration areas.

    September 19, 2024 · K923 · Corrected November 11, 2024

  2. C

    Have generator or other power source capable of supplying service within 10 seconds.

    September 19, 2024 · K918 · Corrected November 11, 2024

  3. E

    Meet requirements for the installation and maintenance of electrical systems.

    October 19, 2023 · K911 · Corrected December 16, 2023

  4. E

    Have power receptacles that are properly grounded.

    October 19, 2023 · K912 · Corrected December 16, 2023

  5. E

    Ensure proper usage of power strips and extension cords.

    October 19, 2023 · K920 · Corrected December 16, 2023

Construction2F
  1. F

    Install a two-hour-resistant firewall separation.

    September 19, 2024 · K133 · Corrected November 11, 2024

  2. F

    Install a two-hour-resistant firewall separation.

    October 19, 2023 · K133 · Corrected December 16, 2023

Egress2E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 19, 2024 · K211 · Corrected November 11, 2024

  2. E

    Meet other general requirements.

    October 19, 2023 · K200 · Corrected December 16, 2023

Emergency Preparedness1C
  1. C

    Implement emergency and standby power systems.

    September 19, 2024 · E41 · Corrected November 11, 2024

·

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