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

Concordia Lutheran Health And Human Care

134 Marwood Road, Cabot, PA · (724) 352-1571

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
142
Residents per day
137
Ownership
Non-Profit
Chain
Concordia Lutheran Ministries
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1984

1

How this home got 2 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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Concordia Lutheran Health And Human Care carries 85.75 inspection points. That is fewer than 32% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 85.75 pts · 2★

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

33 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 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

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

Potential for harmNo one was hurt, but could have been

D 24 4 pts
E 4 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (1)

  1. J

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

    July 12, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 24, 2024

Everything else, by area of care

Quality of Life and Care8E
  1. D

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

    August 8, 2025 · Complaint · F686 · Corrected September 15, 2025

  2. D

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

    August 8, 2025 · Standard · F689 · Corrected September 15, 2025

  3. E

    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 29, 2024 · Standard · F690 · Corrected October 14, 2024

  4. D

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

    August 29, 2024 · Standard · F684 · Corrected October 14, 2024

  5. D

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

    August 29, 2024 · Standard · F686 · Corrected October 14, 2024

  6. D

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

    August 29, 2024 · Standard · F695 · Corrected October 14, 2024

  7. D

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

    October 20, 2023 · Standard · F684 · Corrected November 24, 2023

  8. 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.

    October 20, 2023 · Standard · F690 · Corrected November 24, 2023

Resident Rights5E
  1. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    August 8, 2025 · Standard · F628 · Corrected September 15, 2025

  2. D

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

    August 8, 2025 · Standard · F550 · Corrected September 15, 2025

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    August 8, 2025 · Standard · F558 · Corrected September 15, 2025

  4. D

    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.

    August 8, 2025 · Standard · F575 · Corrected September 15, 2025

  5. E

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

    August 29, 2024 · Standard · F554 · Corrected October 14, 2024

Resident Assessment and Care Planning5D
  1. D

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

    August 8, 2025 · Standard · F656 · Corrected September 15, 2025

  2. C

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 12, 2024 · Complaint · F658 · Corrected October 14, 2024

  3. D

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

    August 29, 2024 · Standard · F657 · Corrected October 14, 2024

  4. D

    Ensure each resident receives an accurate assessment.

    October 20, 2023 · Standard · F641 · Corrected November 24, 2023

  5. D

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

    October 20, 2023 · Standard · F656 · Corrected November 24, 2023

Nutrition and Dietary3F
  1. F

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

    August 8, 2025 · Standard · F812 · Corrected September 15, 2025

  2. F

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

    August 29, 2024 · Standard · F812 · Corrected October 14, 2024

  3. F

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

    October 20, 2023 · Standard · F812 · Corrected November 24, 2023

Pharmacy Service3E
  1. 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.

    August 8, 2025 · Standard · F761 · Corrected September 15, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    August 29, 2024 · Standard · F760 · Corrected October 14, 2024

  3. 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.

    August 29, 2024 · Standard · F761 · Corrected October 14, 2024

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    August 8, 2025 · Standard · F880 · Corrected September 15, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    August 8, 2025 · Standard · F883 · Corrected September 15, 2025

  3. D

    Provide and implement an infection prevention and control program.

    August 29, 2024 · Standard · F880 · Corrected October 14, 2024

Nursing and Physician Services3D
  1. D

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    October 20, 2023 · Standard · F728 · Corrected November 24, 2023

  2. D

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

    October 20, 2023 · Standard · F730 · Corrected November 24, 2023

  3. D

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

    October 20, 2023 · Standard · F947 · Corrected November 24, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    August 8, 2025 · Standard · F605 · Corrected September 15, 2025

Administration1D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    July 12, 2024 · Complaint · F835 · Corrected July 24, 2024

Inspection history

  1. 2025-08-08

    12 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  2. 2024-08-29

    10 health deficiencies · 3 fire-safety deficiencies

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

  3. 2023-10-20

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nursing and Physician Services (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 32 min of nursing staff time a day, 49 min of it from a registered nurse.

This home

3 h 32 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 19% of registered nurses left in the past year.

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

$8,021 in federal fines on record over the past three years.

DatePenaltyAmount
2024-07-12Fine$8,021

6

Resident outcomes

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

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.51.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse1.71.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts better99.5%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts worse92.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better2.7%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms11.5 pts better2.3%13.8%13.5%
Percentage of long-stay residents who lose too much weight4.6 pts better1.4%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better19.1%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts better14.6%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 worsened9 pts worse24.4%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse18.1%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse1.7%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.4 pts worse36.4%25.0%18.3%
Percentage of long-stay residents with pressure ulcers2 pts better2.7%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.2 pts better99.0%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better7.0%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better0.7%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.8 pts better87.7%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse25.9%22.0%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Concordia Lutheran Ministries5% Or Greater Indirect Ownership Interest · Organization100%1 facilities
Beilstein, KarenCorporate Director · Individual0%2 facilities
Beilstein, KarenOperational/Managerial Control · Individual0%2 facilities
Beilstein, KarenAdp Of The SNF · Individual0%2 facilities
Concordia Care Network5% Or Greater Direct Ownership Interest · Organization0%6 facilities
Falbo, MichaelCorporate Director · Individual0%8 facilities
Falbo, MichaelCorporate Officer · Individual0%8 facilities
Falbo, MichaelAdp Of The SNF · Individual0%8 facilities
Frndak, KeithCorporate Director · Individual0%8 facilities
Frndak, KeithCorporate Officer · Individual0%8 facilities
Frndak, KeithAdp Of The SNF · Individual0%8 facilities
Frndak-Suder, KayCorporate Director · Individual0%4 facilities
Heintz, FrederickCorporate Director · Individual0%3 facilities
Hoffman, PaulCorporate Director · Individual0%2 facilities
Hortert, BrianCorporate Director · Individual0%8 facilities
Hortert, BrianCorporate Officer · Individual0%8 facilities
Hortert, BrianAdp Of The SNF · Individual0%8 facilities
Ingram, MistyCorporate Director · Individual0%3 facilities
Oster, MarcAdp Of The SNF · Individual0%5 facilities
Young, TammyCorporate Director · Individual0%3 facilities

·

Fire safety

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

Smoke4E
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 8, 2025 · K353 · Corrected August 25, 2025

  2. C

    Provide properly protected cooking facilities.

    August 8, 2025 · K324 · Corrected August 25, 2025

  3. B

    Have an enclosure around a vertical opening shaft.

    August 8, 2025 · K311 · Corrected August 25, 2025

  4. C

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 29, 2024 · K345 · Corrected September 11, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have proper medical gas storage and administration areas.

    August 8, 2025 · K923 · Corrected August 25, 2025

  2. B

    Have power receptacles that are properly grounded.

    August 8, 2025 · K912 · Corrected August 25, 2025

  3. D

    Ensure proper usage of power strips and extension cords.

    October 20, 2023 · K920 · Corrected November 13, 2023

Construction2F
  1. F

    Meet other general requirements.

    August 29, 2024 · K100 · Corrected September 11, 2024

  2. D

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    August 29, 2024 · K111 · Corrected September 11, 2024

Miscellaneous1E
  1. E

    Provide properly sized and located linen or trash receptacles.

    October 20, 2023 · K754 · Corrected November 13, 2023

·

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