CONCORDIA AT VILLA ST JOSEPH
1030 STATE STREET, BADEN, PA 15005 · CCN 396026
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 112.1
- Phone
- 7248696300
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-28 | 21 | 10.1 | 9.5 | +10.9 worse |
| 2 | 2024-03-14 | 6 | 10.9 | 9.8 | -4.9 better |
| 3 | 2023-05-03 | 8 | 10.5 | 9.3 | -2.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.64 | 35.2% |
| RN staffing (reported) | 0.81 | 31.0% |
| Total nurse staffing (adjusted) | 3.48 | — |
Fines & penalties
- Total fines
- $31,788
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- CONCORDIA LUTHERAN MINISTRIES
- Facilities in chain
- 8
- Chain avg overall
- 3.30 / 5
Inspection citations (35)1 immediate jeopardy2 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-30 · Health · corrected 2026-02-07
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-30 · Health · corrected 2026-02-07
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0625Notify 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.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0693Ensure 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.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-28 · Health · corrected 2025-04-05
Immediate jeopardy
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0761Ensure 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.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2025-02-28 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0761Ensure 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.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-26 · Health · corrected 2023-11-10
Actual harm
- DF0610Respond appropriately to all alleged violations.2023-10-26 · Health · corrected 2023-11-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-26 · Health · corrected 2023-11-10
Actual harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0761Ensure 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.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-03 · Health · corrected 2023-06-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CONCORDIA CARE NETWORK | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2022-09-01 |
| ARNOLD, RACHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-26 |
| ARNOLD, RACHELLE | Individual | CORPORATE DIRECTOR | — | 2018-04-26 |
| FALBO, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| FRNDAK, KEITH | Individual | CORPORATE DIRECTOR | — | 2018-04-26 |
| GRIMENSTEIN, EDWARD | Individual | CORPORATE DIRECTOR | — | 2018-04-26 |
| HORTERT, BRIAN | Individual | CORPORATE DIRECTOR | — | 2018-04-26 |
| RICCI, PHIL | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| SULLIVAN, MELISSA | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| WOLF, JAMES | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| FALBO, MICHAEL | Individual | CORPORATE OFFICER | — | 2019-01-01 |
| FRNDAK, KEITH | Individual | CORPORATE OFFICER | — | 2018-04-26 |
| HORTERT, BRIAN | Individual | CORPORATE OFFICER | — | 2018-04-26 |
Other facilities in BADEN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.