Concordia at Spiritrust Utz Terrace: Stove Left On - PA
The inspection took place on May 26, 2026, at 10:15 in the morning. The Activity Director, identified in the report as Employee 11, was in her office in the corner of the same room. The door was closed. The window blinds were shut.
The stove was supposed to be controlled by a key lock box inside that office. The key was in the box. It was turned to the on position.
When the inspector notified Employee 11 of what she had found, the Activity Director came out, looked at the stove, and acknowledged that yes, the burners could be turned on. The oven too. She turned the key to off, and a recheck confirmed the stove no longer responded. Then the inspector asked a straightforward question: when had the stove last been used?
Employee 11 said she would have to look into it and follow up.
The facility's own May activity calendar answered the question. There had been a cooking activity on May 13, 2026, at 2:00 in the afternoon. Thirteen days before the inspection, someone had used the stove and left the power running.
The Nursing Home Administrator confirmed all of this the following morning. He told the inspector that May 13 was indeed the last cooking activity, consistent with the calendar. He said he had since removed the key from the lock box himself and was in the process of writing a policy to address how the stove should be safely used going forward.
He came back for a second interview that same afternoon, at 1:06 PM. His position was that he would have expected the power to be shut off whenever staff were not present, but that he did not believe a resident would have been in that area without supervision.
That belief is not the same as a safeguard.
The activity room is a shared space in a nursing home. Residents move through it. The stove sat accessible, powered, and operable for nearly two weeks after the last time anyone had reason to use it. The Activity Director, whose office contained the only control over whether it could be switched on, was sitting feet away with the door closed and the blinds drawn when an inspector, not a resident, discovered the problem.
CMS rated the violation at the lowest level of harm, noting minimal harm or potential for actual harm, with few residents affected. No resident was in the activity room at the time of the observation. The report does not document any injury.
What it does document is a gap that existed for thirteen days without anyone catching it, and an administrator who learned about it from a federal inspector rather than from his own staff.
The facility was cited under Pennsylvania nursing home regulations covering management and resident care policies.
The administrator said he was writing a new policy. The key, at least, was out of the lock box.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Concordia At Spiritrust Utz Terrace from 2026-05-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 13, 2026 · Our methodology
CONCORDIA AT SPIRITRUST UTZ TERRACE in HANOVER, PA was cited for violations during a health inspection on May 28, 2026.
The inspection took place on May 26, 2026, at 10:15 in the morning.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.