D

CONCORDIA LUTHERAN HEALTH AND HUMAN CARE

134 MARWOOD ROAD, CABOT, PA 16023
Score: 42 / 100

CMS data shows Concordia Lutheran Health And Human Care earning a D grade with a score of 42/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Concordia Lutheran Health And Human Care is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 34 deficiencies at Concordia Lutheran Health And Human Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.44 3.8 Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 1.83 2.4 Below Average
Weekend Total Nursing 3.10 3.8 Below Average
Weekend RN Hours 0.62 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Aug 7, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 32 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 7, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0628 Severity E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Aug 7, 2025 · Resident Rights Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Aug 7, 2025 · Pharmacy Service Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Aug 7, 2025 · Resident Rights Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Aug 7, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.8% 4.5% Worse
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 17.7% 14.5% Worse
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 17.3% 14.0% Worse
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 32.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,021

How This Grade Was Calculated

This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
142
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
12