Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE
CABOT, PA · 142 certified beds · Last Life Safety survey August 8, 2025
CMS Certification Number 395684 · first certified December 1984
Ownership
Operated by CONCORDIA LUTHERAN MINISTRIES · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within PA
10 citations — more than 48% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 5 citations; the earlier surveys on file averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was August 2025. Facilities in PA are typically surveyed 11–12 months after the last one (median 11), measured over 1,101 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in PA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 20, 2023 | 2 |
| August 29, 2024 | 3 |
| August 8, 2025 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0912 | Have power receptacles that are properly grounded. | 1 | 2025-08-08 |
| K-0100 | Meet other general requirements. | 1 | 2024-08-29 |
| K-0754 | Provide properly sized and located linen or trash receptacles. | 1 | 2023-10-20 |
| K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | 1 | 2024-08-29 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2024-08-29 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 1 | 2025-08-08 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2023-10-20 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-08-08 |
What the citations cover
- Smoke Deficiencies 4
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Construction Deficiencies 2
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Construction Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 8, 2025 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (August 25, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 25, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 25, 2025) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (August 25, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (August 25, 2025) |
August 29, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (September 11, 2024) |
| K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Deficient, Provider has date of correction (September 11, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 11, 2024) |
October 20, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0754 | Provide properly sized and located linen or trash receptacles. | Deficient, Provider has date of correction (November 13, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (November 13, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.