CONCORDIA LUTHERAN HEALTH AND HUMAN CARE
134 MARWOOD ROAD, CABOT, PA 16023 · CCN 395684
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 142
- Avg residents/day
- 135.6
- Phone
- 7243521571
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 | 2025-08-08 | 12 | 10.1 | 9.5 | +1.9 worse |
| 2 | 2024-08-29 | 13 | 10.9 | 9.8 | +2.1 worse |
| 3 | 2023-10-20 | 9 | 10.5 | 9.3 | -1.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.44 | 32.9% |
| RN staffing (reported) | 0.82 | 20.8% |
| Total nurse staffing (adjusted) | 3.24 | — |
Fines & penalties
- Total fines
- $8,021
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CONCORDIA LUTHERAN MINISTRIES
- Facilities in chain
- 8
- Chain avg overall
- 3.30 / 5
Inspection citations (34)1 immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0575Post 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.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-08 · Health · corrected 2025-09-15
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.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- EF0761Ensure 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.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-08 · Health · corrected 2025-09-15
Potential for more than minimal harm
- CF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-12 · Health · corrected 2024-10-14
Potential for minimal harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-08-29 · Health · corrected 2024-10-14
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.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-08-29 · Health · corrected 2024-10-14
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.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-10-14
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-12 · Health · corrected 2024-07-24
Immediate jeopardy
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-07-12 · Health · corrected 2024-07-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-10-20 · Health · corrected 2023-11-24
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.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-20 · Health · corrected 2023-11-24
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.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0728Ensure 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.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-10-20 · Health · corrected 2023-11-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-13 · Health · corrected 2023-08-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CONCORDIA LUTHERAN MINISTRIES | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-03-22 |
| BEILSTEIN, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-15 |
| BEILSTEIN, KAREN | Individual | CORPORATE DIRECTOR | — | 2021-12-15 |
| FALBO, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| FRNDAK, KEITH | Individual | CORPORATE DIRECTOR | — | 2013-03-01 |
| FRNDAK-SUDER, KAY | Individual | CORPORATE DIRECTOR | — | 2013-03-01 |
| HEINTZ, FREDERICK | Individual | CORPORATE DIRECTOR | — | 2016-04-01 |
| HOFFMAN, PAUL | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| HORTERT, BRIAN | Individual | CORPORATE DIRECTOR | — | 2017-04-01 |
| INGRAM, MISTY | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| YOUNG, TAMMY | Individual | CORPORATE DIRECTOR | — | 2015-01-06 |
| FALBO, MICHAEL | Individual | CORPORATE OFFICER | — | 2019-01-01 |
| FRNDAK, KEITH | Individual | CORPORATE OFFICER | — | 2006-07-01 |
| CONCORDIA CARE NETWORK | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2022-09-01 |
| HORTERT, BRIAN | Individual | CORPORATE OFFICER | — | 2016-04-01 |
Other facilities in CABOT
| 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.