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Concordia at Arbutus ParkCMS ratings, inspections and fines

Address
207 Ottawa Street, Johnstown, PA 15904
CCN
396069
Ownership type
Non-profit, corporation
Certified beds
141
Chain
None in the CMS record
Residents per day
98
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating3 of 5
Staffing rating4 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Concordia at Arbutus Park an overall rating of 3 of 5 stars. The last standard survey was on 21 Aug 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 3 fines with a total of $16,800 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Concordia at Arbutus Park, with medians
Rating (1 to 5 stars)This homeCambria County medianPennsylvania medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating32.03.02.8
Staffing rating43.03.02.9
Quality measure rating43.04.03.6

A median is the middle value of the homes in the group: 9 homes in the county, 656 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Concordia at Arbutus Park in the last three survey cycles
Survey cycleStandard surveyCitationsPennsylvania median
Cycle 1 (latest)21 Aug 202568
Cycle 219 Sep 2024158
Cycle 3No date68

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 27 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 6 citations

Standard survey of this cycle: .

Health citations of Concordia at Arbutus Park in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 May 2026
21 Aug 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey26 Sep 2025
21 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey26 Sep 2025
21 Aug 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Sep 2025
21 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey26 Sep 2025
21 Aug 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey26 Sep 2025

Survey cycle 2: 15 citations

Standard survey of this cycle: .

Health citations of Concordia at Arbutus Park in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Sep 2025
9 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation2 Apr 2025
19 Sep 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey8 Nov 2024
19 Sep 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey8 Nov 2024
19 Sep 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey8 Nov 2024
19 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey8 Nov 2024
19 Sep 2024F0625Notify 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.DStandard survey8 Nov 2024
19 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Nov 2024
19 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 Nov 2024
19 Sep 2024F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey8 Nov 2024
19 Sep 2024F0761Ensure 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.DStandard survey8 Nov 2024
19 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Nov 2024
19 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey8 Nov 2024
19 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey8 Nov 2024
19 Sep 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey8 Nov 2024

Survey cycle 3: 6 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Concordia at Arbutus Park in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation8 Mar 2024
14 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint investigation8 Mar 2024
14 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation8 Mar 2024
19 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Dec 2023
19 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Dec 2023
19 Oct 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey6 Dec 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Concordia at Arbutus Park in the CMS penalties file
DateTypeFineDays without payment
14 Mar 2024Fine$5,600
14 Mar 2024Fine$5,600
14 Mar 2024Fine$5,600

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Concordia at Arbutus Park
StaffThis homePennsylvania medianPennsylvania average (CMS)
All nurse staff3.563.603.89
Registered nurses (RN)0.710.700.79
Licensed practical nurses (LPN)0.810.91
Nurse aides2.032.19
All nurse staff, weekends3.293.303.53
Nurse staff turnover in a year
46.4%
Nurse staff turnover, Pennsylvania median
44.3%
RN turnover in a year
33.3%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Concordia at Arbutus Park, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homePennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.5%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.9%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.0%17.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, corporation
Setting
Continuing care retirement community
Legal business name
Arbutus Park Manor

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Cambria County

The 8 nearest other nursing homes in Cambria County, Pennsylvania
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Richland Nursing and RehabJohnstown3 of 510$030 Jan 2026
Conemaugh Memorial Medical Center TcuJohnstown5 of 52$010 Mar 2026
Quality Life Services - WestmontJohnstown3 of 54$012 Mar 2026
Heritage Ridge Senior Living at JohnstownJohnstown1 of 520$22,28914 Jan 2026
Hilltop Heights Health & Rehab CenterJohnstown1 of 520$08 Jan 2026
Maple Winds Healthcare and Rehabilitation, LLCPortage3 of 522$018 May 2026
Maple Heights Health & Rehab Center, LLCSpecial Focus candidateEbensburg1 of 527$76,41620 Nov 2025
Haida Nursing and RehabHastings2 of 512$04 Dec 2025

All 9 nursing homes in Cambria County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Concordia at Arbutus Park (CCN 396069). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/concordia-at-arbutus-park-johnstown-pa-396069/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Concordia at Arbutus Park last inspected?
The latest inspection with a citation in the CMS record was on 8 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 19 Sep 2024.
Who operates Concordia at Arbutus Park?
The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Concordia at Arbutus Park a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.