Concordia Lutheran Health and Human CareCMS ratings, inspections and fines
- Address
- 134 Marwood Road, Cabot, PA 16023
- CCN
- 395684
- Ownership type
- Non-profit, corporation
- Certified beds
- 142
- Residents per day
- 136
- CMS flags
- None in the CMS record
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 Lutheran Health and Human Care an overall rating of 2 of 5 stars. The last standard survey was on 8 Aug 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $8,021 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.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Butler County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 11 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.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 8 Aug 2025 | 12 | 8 |
| Cycle 2 | 29 Aug 2024 | 11 | 8 |
| Cycle 3 | No date | 10 | 8 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0575 | 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. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Sep 2025 |
| 8 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0761 | 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. | E | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Sep 2025 |
| 8 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Sep 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | C | Complaint investigation | 14 Oct 2024 |
| 29 Aug 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0761 | 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. | D | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Oct 2024 |
| 29 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Oct 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Jul 2024 |
| 12 Jul 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 24 Jul 2024 |
| 20 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0728 | 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. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Nov 2023 |
| 20 Oct 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 24 Nov 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Jul 2024 | Fine | $8,021 |
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.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.45 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.81 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.81 | 0.91 | |
| Nurse aides | 1.83 | 2.19 | |
| All nurse staff, weekends | 3.06 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 36.6%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 16.7%
- 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.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.1% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.7% | 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
- Chain
- Concordia Lutheran Ministries (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Concordia Care Network | 5% or greater direct ownership interest | 1 Sep 2022 | |
| Concordia Lutheran Ministries | 5% or greater indirect ownership interest | 100% | 22 Mar 2013 |
The site shows organisations only. It does not show the names of persons.
Other homes in Butler County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Embassy of SaxonburgSpecial Focus candidate | Saxonburg | 1 of 5 | 55 | $339,073 | 23 Apr 2026 | |
| Quality Life Services - Sarver | Sarver | 3 of 5 | 12 | $0 | 14 Nov 2025 | |
| Sunnyview Nursing and Rehabilitation CenterSpecial Focus candidate | Butler | 1 of 5 | 43 | $30,011 | 25 Jul 2025 | |
| Quality Life Services - Chicora | Chicora | 1 of 5 | 34 | $91,936 | 5 Dec 2025 | |
| St John Specialty Care Center | Mars | 1 of 5 | 29 | $0 | 11 Oct 2024 | |
| Kadima Rehabilitation & Nursing at Harmony | Harmony | 1 of 5 | 24 | $174,201 | 9 May 2025 | |
| Cranberry Place | Cranberry Township | 1 of 5 | 36 | $42,774 | 31 Jan 2026 | |
| Sherwood Oaks | Cranberry Township | 3 of 5 | 3 | $8,281 | 19 Feb 2026 | |
| Passavant Retirement and Healt | Zelienople | 2 of 5 | 20 | $0 | 27 Feb 2026 | |
| Transitions Healthcare Autumn Grove Care Center | Harrisville | 2 of 5 | 2 | $179,218 | 9 Jul 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Concordia Lutheran Health and Human Care (CCN 395684). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/concordia-lutheran-health-and-human-care-cabot-pa-395684/
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 Lutheran Health and Human Care last inspected?
- The latest inspection with a citation in the CMS record was on 8 Aug 2025. It was a standard survey and a complaint investigation. It gave 12 citations. The standard survey before the last one was on 29 Aug 2024.
- Who operates Concordia Lutheran Health and Human Care?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Concordia Lutheran Ministries. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Concordia Lutheran Health and Human Care 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.