Allison Park, PA

Concordia At Rebecca Residence

4-star overall rating with 3-star inspections with 6 recent health deficiencies

3746 Cedar Ridge Road, Allison Park, PA

(724) 444-0600

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-10-25

CMS approved date

Coverage

Medicare

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.65

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.20

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.83

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.69

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.85

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.27

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,973

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9849

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.39

Baseline 21.92% · Performance 21.48% · Measure score 0.39 · Achievement 0 · Improvement 0.39

Healthcare-associated infections

9.34

Baseline 4.43% · Performance 5.04% · Measure score 9.34 · Achievement 9.34 · Improvement 0

Total nurse turnover

Baseline 54.72% · Performance 62.30% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.56

Baseline 3.66 hours · Performance 3.52 hours · Measure score 1.56 · Achievement 1.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.8%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 308 · Observed rate 10.71% · Lower 95% interval 8.24%
Discharge to community	69.06%	50.57% 18.5 pts better	Better than the National Rate · Eligible stays 288 · Observed rate 62.85% · Lower 95% interval 61.94%
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 171 · Denominator 171
Falls with major injury	0.58%	0.77% 0.2 pts better	Numerator 1 · Denominator 171
Discharge self-care score	68.35%	53.69% 14.7 pts better	Numerator 95 · Denominator 139
Discharge mobility score	58.27%	50.94% 7.3 pts better	Numerator 81 · Denominator 139
Pressure ulcers or injuries, new or worsened	1.75%	2.29% 0.5 pts better	Numerator 3 · Denominator 171 · Adjusted rate 1.71%
Healthcare-associated infections requiring hospitalization	5.04%	7.12% 2.1 pts better	No Different than the National Rate · Eligible stays 161 · Observed rate 2.48% · Lower 95% interval 2.96%
Staff COVID-19 vaccination coverage	1.13%	8.2% 7.1 pts worse	Numerator 2 · Denominator 177
Staff flu vaccination coverage	21.01%	42% 21 pts worse	Numerator 29 · Denominator 138
Discharge function score	74.82%	56.45% 18.4 pts better	Numerator 104 · Denominator 139
Transfer of health information to provider	99.26%	95.95% 3.3 pts better	Numerator 135 · Denominator 136
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	29.41%	25.2% 4.2 pts better	Numerator 25 · Denominator 85

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.2% 3.2 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.3%	6.5% 1.8 pts worse	11.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3%
Percentage of long-stay residents who lose too much weight	12.8%	6.5% 6.3 pts worse	5.4% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.4%	19.9% 4.5 pts better	19.6% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.4%
Percentage of long-stay residents who received an antipsychotic medication	18.2%	18.7% 0.5 pts better	16.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	3.0%	18.3% 15.3 pts better	14.9% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.0%	26.4% 6.6 pts worse	19.8% 13.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 33.0%
Percentage of long-stay residents with pressure ulcers	6.5%	5.3% 1.2 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.9%	68.9% 26 pts better	81.7% 13.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 94.3% · Q3 95.6% · Q4 97.1% · 4Q avg 94.9%
Percentage of short-stay residents who had an outpatient emergency department visit	6.1%	9.8% 3.7 pts better	12.0% 5.9 pts better	Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 5.4% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.5% 0.7 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.9% · Q3 0.9% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.1%	68.7% 17.4 pts better	79.7% 6.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.5%	23.1% 1.4 pts worse	23.9% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 20.8% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-15 · Fire 2024-08-15

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-06-30 · Fire 2023-06-30

10 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

C · Minimal harm 2024-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-27

E · Potential for more than minimal harm 2023-06-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-20

E · Potential for more than minimal harm 2023-06-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-08-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-31

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-02-18

E · Potential for more than minimal harm 2025-03-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-13

F584 · Resident Rights Deficiencies

Health

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 2025-04-30

D · Potential for more than minimal harm 2025-03-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-30

F · Potential for more than minimal harm 2024-08-15

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-07

E · Potential for more than minimal harm 2024-08-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F585 · Resident Rights Deficiencies

Health

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 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F625 · Resident Rights Deficiencies

Health

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 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F690 · Quality of Life and Care Deficiencies

Health

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 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-07

E · Potential for more than minimal harm 2023-06-30

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-21

C · Minimal harm 2023-06-30

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2023-08-21

Penalties and ownership