01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-11 | 4 | 2025-05-29 | 1 |
| Cycle 2 | 2025-05-29 | 10 | 2024-07-25 | 3 |
| Cycle 3 | 2024-07-25 | 6 | 2023-09-14 | 1 |
CMS CCN 3961462026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Concordia At Spiritrust Luther Ridge
2781 Luther Drive · Chambersburg, PA 17202 · Adams County
Certified beds40CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-11 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has no plan of correction2026-06-11 · HEALTHF0690Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has no plan of correction2026-06-11 · HEALTHF0698Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has no plan of correction2026-06-11 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has no plan of correction2025-06-11 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-17 · complaint2025-05-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-17 · complaint2025-05-29 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-07-172025-05-29 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-07-172025-05-29 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-092025-05-29 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-07-172025-05-29 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-07-162025-05-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-172025-05-29 · HEALTHF0868Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2025-07-092025-05-29 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-07-172025-05-29 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-06-202024-07-25 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-25 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-07-25 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-08-092024-07-25 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-08-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COMBS, STANLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- DUNLOP, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- STOUT, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- YOUNG, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- BOWEN, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
- FROWNFELTER, MELISSAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2022
- NEINSTEDT, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- SMELTZER, SAMANTHAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- STRALEY, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- THOMAS, ANGELAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- FROWNFELTER, MELISSAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2022
- BOWEN, ROBERTIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2021
- COMBS, STANLEYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2024
- DUNLOP, JAMESIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2014
- FROWNFELTER, MELISSAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2022
- NEINSTEDT, WILLIAMIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2022
- SMELTZER, SAMANTHAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2023
- STOUT, KEVINIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.56per resident day
RN hours1.60per resident day
Weekend nurse hours4.06per resident day
Staff turnover62.1%CMS reported field
06 / LOCAL RECORDS
Open the Chambersburg ledger →Other published facilities nearby
Brookview Health Care Center56 beds · CMS overall 4/517 citation rowsChambers Pointe Health Care Center50 beds · CMS overall 3/522 citation rowsChambersburg Skilled Nursing And Rehabilitation Ce210 beds · CMS overall 2/540 citation rowsLaurel Lakes Rehabilitation And Wellness Center186 beds · CMS overall 2/539 citation rowsMenno Haven Rehabilitation Center44 beds · CMS overall 5/513 citation rowsTransitions Healthcare Shook Home65 beds · CMS overall 3/538 citation rows