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CONCORDIA LUTHERAN HEALTH AND HUMAN CARE

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CONCORDIA LUTHERAN HEALTH AND HUMAN CARE is a non profit - corporation facility in CABOT, PA with 142 certified beds and a 2-star overall CMS rating. The facility has 34 deficiency records on file. Total penalties: $8K.

134 MARWOOD ROAD, CABOT, PA 16023

Phone: 7243521571

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
395684
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
142
Residents
136
In Hospital
No
County
Butler
Last Inspection
Aug 8, 2025

Staffing Data

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
1.83
Total Nursing Hours
3.44 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
32.9%
RN Turnover
20.8%

What the CMS Record Reveals About CONCORDIA LUTHERAN HEALTH AND HUMAN CARE

CONCORDIA LUTHERAN HEALTH AND HUMAN CARE operates 142 certified beds in CABOT, PA with approximately 136 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.44 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CONCORDIA LUTHERAN HEALTH AND HUMAN CARE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 15, 2025

F — Widespread - Minimal harm Aug 8, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 15, 2025

E — Pattern - Minimal harm Aug 8, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 15, 2025

E — Pattern - Minimal harm Aug 8, 2025 Tag: 0628

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

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0605

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0575

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.

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Sep 15, 2025

C — Widespread - No harm Sep 12, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 14, 2024

F — Widespread - Minimal harm Aug 29, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2024

E — Pattern - Minimal harm Aug 29, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2024

E — Pattern - Minimal harm Aug 29, 2024 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2024

D — Isolated - Minimal harm Jul 12, 2024 Tag: 0835

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

Category: Administration Deficiencies

Corrected: Jul 24, 2024

J — Isolated - Jeopardy Jul 12, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2024

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0947

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

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 24, 2023

F — Widespread - Minimal harm Oct 20, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0728

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Oct 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 24, 2023

D — Isolated - Minimal harm Jul 13, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 88.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.7% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Jul 12, 2024 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for CONCORDIA LUTHERAN HEALTH AND HUMAN CARE?
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at CONCORDIA LUTHERAN HEALTH AND HUMAN CARE?
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE reports 3.44 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68). Nursing staff turnover is 32.9%.
How many beds does CONCORDIA LUTHERAN HEALTH AND HUMAN CARE have?
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE has 142 certified beds with approximately 136 residents. The facility is located at 134 MARWOOD ROAD, CABOT, PA 16023.
Does CONCORDIA LUTHERAN HEALTH AND HUMAN CARE have any deficiencies on record?
Yes, CONCORDIA LUTHERAN HEALTH AND HUMAN CARE has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has CONCORDIA LUTHERAN HEALTH AND HUMAN CARE received any fines or penalties?
Yes, CONCORDIA LUTHERAN HEALTH AND HUMAN CARE has received 1 penalties totaling $8K.
Who owns CONCORDIA LUTHERAN HEALTH AND HUMAN CARE?
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CONCORDIA LUTHERAN HEALTH AND HUMAN CARE last inspected?
The most recent health inspection for CONCORDIA LUTHERAN HEALTH AND HUMAN CARE was on Aug 8, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CONCORDIA LUTHERAN HEALTH AND HUMAN CARE?
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial