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Health Inspection

Concordia At Arbutus Park

August 21, 2025 · Johnstown, PA · 207 Ottawa Street
Citations 5
CMS Rating 4/5
Beds 141
Provider ID 396069
Healthcare Facility
Concordia At Arbutus Park
Johnstown, PA  ·  View full profile →
Inspection Summary

Concordia at Arbutus Park in JOHNSTOWN, PA — inspection on August 21, 2025.

Found 5 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0607
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited ARBUTUS PARK MANOR in JOHNSTOWN, PA for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2025-08-21.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of ARBUTUS PARK MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-26.

Federal health inspectors cited ARBUTUS PARK MANOR in JOHNSTOWN, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of ARBUTUS PARK MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-26.

Federal health inspectors cited ARBUTUS PARK MANOR in JOHNSTOWN, PA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of ARBUTUS PARK MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-26.

Federal health inspectors cited ARBUTUS PARK MANOR in JOHNSTOWN, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-21.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of ARBUTUS PARK MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-26.

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Federal health inspectors cited ARBUTUS PARK MANOR in JOHNSTOWN, PA for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-08-21.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of ARBUTUS PARK MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-26.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JOHNSTOWN, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Concordia at Arbutus Park or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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