01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-08 | 12 | 2025-08-08 | 5 |
| Cycle 2 | 2024-08-29 | 11 | 2024-08-29 | 3 |
| Cycle 3 | 2023-10-20 | 10 | 2023-10-20 | 2 |
CMS CCN 3956842026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Concordia Lutheran Health And Human Care
134 Marwood Road · Cabot, PA 16023 · Butler County
Certified beds142CMS provider file
Recent citation rows43current CMS citation release
Penalty rows1current 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
43 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-08 · HEALTHF0550Severity D · isolated; 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 · 2025-09-152025-08-08 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-08-08 · HEALTHF0575Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-08-08 · 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 · 2025-09-152025-08-08 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-08-08 · 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 · 2025-09-152025-08-08 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2025-08-08 · 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 · 2025-09-152025-08-08 · HEALTHF0761Severity E · pattern; 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 · 2025-09-152025-08-08 · HEALTHF0812Severity F · widespread; 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 · 2025-09-152025-08-08 · 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 · 2025-09-152025-08-08 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-08-08 · FIREK0311Severity B · pattern; potential for minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-08-252025-08-08 · FIREK0324Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-252025-08-08 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-252025-08-08 · FIREK0912Severity B · pattern; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-08-252025-08-08 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-08-252024-09-12 · HEALTHF0658Severity C · widespread; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-14 · complaint2024-08-29 · HEALTHF0554Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-10-142024-08-29 · 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 · 2024-10-142024-08-29 · 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 · 2024-10-142024-08-29 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-142024-08-29 · 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 date of correction · 2024-10-142024-08-29 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-10-1403 / 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 |
|---|---|---|---|
| 2024-07-12 | Fine | $8,021 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CONCORDIA CARE NETWORKOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/01/2022
- CONCORDIA LUTHERAN MINISTRIESOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 03/22/2013
- BEILSTEIN, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2021
- FALBO, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- FRNDAK, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2013
- FRNDAK-SUDER, KAYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2013
- HEINTZ, FREDERICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2016
- HOFFMAN, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- HORTERT, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2017
- INGRAM, MISTYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- YOUNG, TAMMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/06/2015
- FALBO, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2019
- FRNDAK, KEITHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2006
- HORTERT, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2016
- BEILSTEIN, KARENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/15/2021
- BEILSTEIN, KARENIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/15/2021
- FALBO, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2019
- FRNDAK, KEITHIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2006
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 hours3.45per resident day
RN hours0.81per resident day
Weekend nurse hours3.06per resident day
Staff turnover36.6%CMS reported field
06 / LOCAL RECORDS
Open the Pennsylvania ledger →Other published facilities nearby
No second facility in the same city met the directory rule.