Federal inspection record · CMS data as of October 1, 2026
Concordia At Spiritrust Gettysburg
1075 Old Harrisburg Road, Gettysburg, PA · (717) 334-6204
- CMS high-performer trophy
- Certified beds
- 60
- Residents per day
- 47
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1984
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Concordia At Spiritrust Gettysburg carries 33 inspection points. That is fewer than 66% of Pennsylvania's 652 rated homes.
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
17 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning3E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary3F
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights2E
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2E
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-04-30
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-06-12
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-05-02
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
3 h 59 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 58% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.0 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better | 96.3% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.2 pts better | 4.6% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 4.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts better | 10.1% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.2 pts better | 7.4% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse | 16.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 16.7% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts worse | 33.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.9 pts better | 96.7% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better | 7.7% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.7 pts better | 98.6% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 20.4% | 22.0% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowen, Robert | Corporate Director · Individual | 0% | 5 facilities |
| Bowen, Robert | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Combs, Stanley | Corporate Director · Individual | 0% | 4 facilities |
| Combs, Stanley | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Dunlop, James | Corporate Director · Individual | 0% | 5 facilities |
| Dunlop, James | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Frownfelter, Melissa | Corporate Officer · Individual | 0% | 4 facilities |
| Frownfelter, Melissa | Adp Of The SNF · Individual | 0% | 4 facilities |
| Keller, Thomas | Adp Of The SNF · Individual | 0% | 4 facilities |
| Kessler, Stephanie | Corporate Director · Individual | 0% | 2 facilities |
| Kessler, Stephanie | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Lyons, Jodi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lyons, Jodi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Neinstedt, William | Corporate Director · Individual | 0% | 4 facilities |
| Neinstedt, William | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Smeltzer, Samantha | Corporate Director · Individual | 0% | 4 facilities |
| Smeltzer, Samantha | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Stout, Kevin | Corporate Director · Individual | 0% | 4 facilities |
| Stout, Kevin | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Straley, Edward | Corporate Director · Individual | 0% | 4 facilities |
| Straley, Edward | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Thomas, Angela | Corporate Director · Individual | 0% | 4 facilities |
| Thomas, Angela | Trustee Of The SNF · Individual | 0% | 4 facilities |
| Young, Lawrence | Corporate Officer · Individual | 0% | 4 facilities |
| Young, Lawrence | Trustee Of The SNF · Individual | 0% | 4 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress2F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2D
- D
Have power receptacles that are properly grounded.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Construction1E
- E
Use approved construction type or materials.
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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