Concordia at Spiritrust Gettysburg

Name: Concordia at Spiritrust Gettysburg
Address: 1075 OLD HARRISBURG ROAD, Gettysburg, PA, 17325, US
Telephone: 7173346204

1075 Old Harrisburg Road, Gettysburg, PA 17325 · Adams County · 60 certified beds · avg 42 residents/day · certified since Jun 1, 1984

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 30, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 30, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 30, 2026	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 12, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 12, 2025	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 12, 2025	E · Potential for harm, repeated	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Jun 12, 2025	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 12, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 12, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 2, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 2, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 2, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2024	3	E
2025	8	F
2026	6	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.50	3.94	3.95	top 23% in Pennsylvania; top 23% in the U.S.
Registered Nurse hours	0.94	0.80	0.69	top 23% in Pennsylvania; top 18% in the U.S.
Weekend total nurse staffing	4.10	3.58	3.50	top 22% in Pennsylvania; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.65	0.56	0.48	top 27% in Pennsylvania; top 19% in the U.S.
Total nursing staff turnover (%)	35.4	44.5	45.8	top 25% in Pennsylvania; top 25% in the U.S.
RN turnover (%)	75.0	39.9	42.9	bottom 4% in Pennsylvania; bottom 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.11, RN 0.86, weekend 3.74. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bowen, Robert	Individual	Corporate Director	NOT APPLICABLE	03/16/2014
Bowen, Robert	Individual	Trustee of the SNF	NOT APPLICABLE	03/16/2014
Combs, Stanley	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Combs, Stanley	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2024
Dunlop, James	Individual	Corporate Director	NOT APPLICABLE	03/03/2014
Dunlop, James	Individual	Trustee of the SNF	NOT APPLICABLE	03/03/2014
Frownfelter, Melissa	Individual	Corporate Officer	NOT APPLICABLE	02/01/2022
Frownfelter, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Keller, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Kessler, Stephanie	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Kessler, Stephanie	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2022
Lyons, Jodi	Individual	Operational/Managerial Control	NOT APPLICABLE	06/18/2024
Lyons, Jodi	Individual	ADP of the SNF	NOT APPLICABLE	06/06/2024
Neinstedt, William	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Neinstedt, William	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2022
Smeltzer, Samantha	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Smeltzer, Samantha	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2023
Stout, Kevin	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Stout, Kevin	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2024
Straley, Edward	Individual	Corporate Director	NOT APPLICABLE	01/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Gettysburg Center	0.9 mi	Gettysburg, PA	★☆☆☆☆	2/5	abuse
Transitions Healthcare Gettysburg	0.9 mi	Gettysburg, PA	★★★☆☆	3/5
Gardens at Gettysburg, the	2.2 mi	Gettysburg, PA	★★★★☆	4/5
Cross Keys Village-Brethren Home Community, the	7.9 mi	New Oxford, PA	★★★★☆	4/5
Paramount Nursing and Rehab at Fayetteville, LLC	12.3 mi	Fayetteville, PA	★☆☆☆☆	1/5
Hanover Hall for Nursing and Rehabilitation	12.8 mi	Hanover, PA	★★☆☆☆	2/5
Homewood Living Plum Creek, INC	12.9 mi	Hanover, PA	★★★★★	4/5
South Mountain Restoration Cen	13.6 mi	South Mountain, PA	★★★★★	5/5
Lorien Taneytown, INC	14.5 mi	Taneytown, MD	★★★☆☆	3/5
Concordia at Spiritrust Utz Terrace	16.5 mi	Hanover, PA	★★★★★	4/5
Quincy Retirement Community	19.3 mi	Waynesboro, PA	★★★★☆	4/5
Concordia at Spiritrust Luther Ridge	19.8 mi	Chambersburg, PA	★★★☆☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 395647.

The Care File

Visit checklist — Concordia at Spiritrust Gettysburg

1075 Old Harrisburg Road, Gettysburg, PA 17325 · 7173346204

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395647 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)