01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-18 | 1 | 2024-11-06 | 3 |
| Cycle 2 | 2024-11-06 | 14 | 2024-01-04 | 5 |
| Cycle 3 | 2024-01-04 | 4 | 2023-01-19 | 7 |
CMS CCN 3956122026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Concordia At Spiritrust Sprenkle Drive
1801 Folkemer Circle · York, PA 17404 · Adams County
Certified beds104CMS provider file
Recent citation rows34current CMS citation release
Penalty rows2current 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
34 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-18 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-12-122024-11-06 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0656Severity E · pattern; 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 date of correction · 2024-12-282024-11-06 · 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 · 2024-12-282024-11-06 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0835Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-06 · 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 · 2024-12-282024-11-06 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-11-06 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-11-06 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-10-23 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2024-10-23 · 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 · 2024-11-30 · complaint2024-01-04 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-04 · 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 date of correction · 2024-03-012024-01-04 · 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 · 2024-03-012024-01-04 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-04 · FIREK0100Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-03-132024-01-04 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2024-03-1303 / 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 |
|---|---|---|---|
| 2024-10-23 | Fine | $12,335 | 0 |
| 2024-10-23 | Fine | $12,335 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COMBS, STANLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- STOUT, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- YOUNG, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- BOWEN, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/31/2007
- DUNLOP, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2013
- FROWNFELTER, MELISSAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2022
- KESSLER, STEPHANIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2019
- NEINSTEDT, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- SMELTZER, SAMANTHAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- STRALEY, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- THOMAS, ANGELAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- PECK, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/12/2025
- SARVIS, KARLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2022
- THORNTON, BRENDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/15/2024
- BOWEN, ROBERTIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/31/2007
- COMBS, STANLEYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2024
- DUNLOP, JAMESIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 09/01/2013
- KESSLER, STEPHANIEIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2019
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 hours3.56per resident day
RN hours0.62per resident day
Weekend nurse hours3.30per resident day
Staff turnover47.9%CMS reported field
06 / LOCAL RECORDS
Open the York ledger →Other published facilities nearby
Kingston Court Skilled Nursing And Rehabilitation151 beds · CMS overall 1/570 citation rowsMargaret E. Moul Home82 beds · CMS overall 5/513 citation rowsMisericordia Nursing & Rehabilitation Center50 beds · CMS overall 5/56 citation rowsNormandie Ridge64 beds · CMS overall 5/525 citation rowsPleasant Acres Rehabilitation And Nursing Center375 beds · CMS overall 2/548 citation rowsRest Haven-York159 beds · CMS overall 2/530 citation rowsYork North Skilled Nursing And Rehabilitation Ctr161 beds · CMS overall 2/561 citation rowsYork South Skilled Nursing And Rehabilitation Ctr142 beds · CMS overall 2/566 citation rows