Concordia Lutheran Health and Human Care
134 Marwood Road, Cabot, PA 16023 · Butler County · 142 certified beds · avg 136 residents/day · certified since Dec 1, 1984
Part of chain: CONCORDIA LUTHERAN MINISTRIES (8 facilities, chain avg rating 3.6★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$8,021
Fines, last 3 years
3.21
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 12, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 |
|---|---|---|
| Aug 8, 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. |
| Aug 8, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Aug 8, 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. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 8, 2025 | D · Potential for harm, one-off | 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. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 8, 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. · from a complaint |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 8, 2025 | 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. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 12, 2024 | C · Minimal risk, facility-wide | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 29, 2024 | D · Potential for harm, one-off | 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. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 29, 2024 | D · Potential for harm, one-off | 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. |
| Aug 29, 2024 | 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. |
| Jul 12, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 12, 2024 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Oct 20, 2023 | 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. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 13 | 1 | J ▲ |
| 2025 | 12 | 0 | F |
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)
1 fine totaling $8,021.
| Date | Type | Amount / length |
|---|---|---|
| Jul 12, 2024 | Fine | $8,021 |
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) | 3.21 | 3.94 | 3.95 | bottom 22% in Pennsylvania; bottom 22% in the U.S. |
| Registered Nurse hours | 0.76 | 0.80 | 0.69 | top 37% in Pennsylvania; top 31% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.58 | 3.50 | bottom 18% in Pennsylvania; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.56 | 0.48 | top 35% in Pennsylvania; top 28% in the U.S. |
| Total nursing staff turnover (%) | 36.6 | 44.5 | 45.8 | top 29% in Pennsylvania; top 28% in the U.S. |
| RN turnover (%) | 16.7 | 39.9 | 42.9 | top 10% in Pennsylvania; top 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 3.45, RN 0.81, weekend 3.06. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Concordia Care Network | Organization | 5% or Greater Direct Ownership Interest | — | 09/01/2022 |
| Concordia Lutheran Ministries | Organization | 5% or Greater Indirect Ownership Interest | 100% | 03/22/2013 |
| Beilstein, Karen | Individual | Corporate Director | NOT APPLICABLE | 12/15/2021 |
| Beilstein, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/15/2021 |
| Beilstein, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2021 |
| Falbo, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Falbo, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Falbo, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| Frndak, Keith | Individual | Corporate Director | NOT APPLICABLE | 03/01/2013 |
| Frndak, Keith | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2006 |
| Frndak, Keith | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2006 |
| Frndak-Suder, Kay | Individual | Corporate Director | NOT APPLICABLE | 03/01/2013 |
| Heintz, Frederick | Individual | Corporate Director | NOT APPLICABLE | 04/01/2016 |
| Hoffman, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Hortert, Brian | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Hortert, Brian | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2016 |
| Hortert, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2016 |
| Ingram, Misty | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Oster, Marc | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Young, Tammy | Individual | Corporate Director | NOT APPLICABLE | 01/06/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "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 |
|---|---|---|---|---|---|
| Embassy of Saxonburg | 2.4 mi | Saxonburg, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Quality Life Services - Sarver | 5.2 mi | Sarver, PA | ★★★☆☆ | 3/5 | |
| Sunnyview Nursing and Rehabilitation Center | 7.3 mi | Butler, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Quality Life Services - Sugar Creek | 10.3 mi | Worthington, PA | ★★☆☆☆ | 1/5 | |
| Eden Nursing & Rehabilitation Center | 11.3 mi | Brackenridge, PA | ★☆☆☆☆ | 1/5 | |
| Quality Life Services - Chicora | 11.6 mi | Chicora, PA | ★☆☆☆☆ | 1/5 | |
| St Barnabas Nursing Home | 12.4 mi | Gibsonia, PA | ★★★★☆ | 3/5 | |
| St John Specialty Care Center | 13.2 mi | Mars, PA | ★☆☆☆☆ | 1/5 | abuse |
| Kadima Rehabilitation & Nursing at Cheswick | 13.2 mi | Cheswick, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Concordia at Rebecca Residence | 13.3 mi | Allison Park, PA | ★★★★☆ | 3/5 | |
| Hillcrest Rehabilitation & Healthcare Center | 13.4 mi | Lower Burrell, PA | ★☆☆☆☆ | 1/5 | |
| Snu Armstrong Co Memorial Hosp | 14.0 mi | Kittanning, PA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395684.