Concordia at Rebecca Residence
Allison Park, Pennsylvania · CCN 396067
22 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 77
- Surveys
- 22
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- Non profit - Corporation
- Chain
- CONCORDIA LUTHERAN MINISTRIES
- County
- Allegheny
- Medicare-certified since
- 1999
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 80 not-for-profit facilities with fewer than 66 beds in Pennsylvania.
Last survey on record
Jun 25, 2026
137 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.74 | 4.80 |
| Registered-nurse hours per resident day | 0.66 | — |
| Annual nurse turnover | 43.5% | 31.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2567.6% | E718.9% | F38.1% |
| No harm, potential for minimal | A— | B12.7% | C12.7% |
Most frequently cited here
In CMS’s current monthly file.
- F5852×
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6922×
Provide enough food/fluids to maintain a resident's health.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
In the surveyor’s words
From the most serious findings on record at Concordia at Rebecca Residence, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jun 25, 2026
Based on a review of facility policies, facility forms, observations and staff interviews it was determined that the facility failed to properly date, and store food products, and verify the sanitizing temperature of the dish machine in the Main Kitchen (Main Kitchen), which created the potential for food borne illness. Findings Include: Review of the facility policy Monitoring of Cooler/Freezer Temperature last reviewed 11/1/25, indicated that all food items will be stored at least 6 inches off the ground and 18 inches from the ceiling. Refrigerated food shall be labeled dated, and monitored so that it is used by the use by date, frozen, or discarded, whichever is applicable. […]
- No harm, potential for more than minimal, widespreadF725Dec 31, 2025
Based on a review of facility documentation, and staff interviews it was determined that the facility failed to ensure a licensed nurse is designated to serve as a charge nurse on each tour of duty, except when waived for 21 of 21 days (11/30/25, 12/1/25, 12/2/25, 12/3/25, 12/4/25, 12/5/25, 12/6/25, 12/7/25, 12/8/25, 12/9/25, 12/10/25, 12/11/25, 12/12/25, 12/13/25, 12/14/25, 12/15/25, 12/16/25, 12/17/25, 12/18/25, 12/19/25, 12/20/25).Findings include: Review of facility staffing documentation from November 30, 2025, through December 20th, 2025, revealed the facility failed to ensure a licensed nurse was designated to serve as charge nurse, each shift on the following days: -11/30/25-12/1/25-12/2/25-12/3/25-12/4/25 -12/5/25 -12/6/25-12/7/25 -12/8/25-12/9/25 -12/10/25-12/11/25 -12/12/25… […]
- No harm, potential for more than minimal, widespreadF812Aug 15, 2024
Based on observations and staff interview, it was determined that the facility failed to properly maintain sanitary conditions in the dish in the main kitchen which created the potential for cross contamination. Findings include: During an observation of the main designated kitchen on 8/13/24, at 9:05 a.m. the following was observed: - brown debris in ice machine During an interview on 8/13/24, at 9:10 a.m. Assistant Dietary General Manager Employee E1 confirmed the debris in ice machine. Employee E1 could not confirm the last time it was cleaned. During an interview on 8/13/24, at 9:15 a.m., Assistant General Manager Employee E1 confirmed that the facility failed to maintain sanitary conditions in the main kitchen which created the potential for food borne illness. 28 Pa. […]
- No harm, potential for more than minimal, patternF628Jun 25, 2026
Based on review of facility policy, clinical record review and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for four of four residents sampled with facility-initiated transfers (Residents R1, R2, R65, and R82), and failed to notify the Office of the State Long-Term Care Ombudsman upon discharge for two of two resident (Residents R4, and R84). Findings include: Review of facility policy Transfer and discharge date d 11/1/25, indicated that for a transfer to another provider, for any reason the resident's comprehensive care plan goals must be provided to the receiving provider. […]
- No harm, potential for more than minimal, patternF695Mar 13, 2025
Based on review of facility policy, observations, staff interviews, and clinical record review, it was determined that the facility failed to provide appropriate respiratory care related to oxygen equipment and CPAP/BIPAP (a continuous positive airway pressure machine used to keep airways open while you sleep/a bi-level positive airway pressure machine when breathing in and breathing out) management for four of six residents (Residents R10, R154, R155, and R156). Findings include: Review of the facility policy Oxygen Concentrator reviewed 4/1/24, indicated an oxygen concentrator is a medical device that extracts oxygen from room air by filtering out or separating the nitrogen from the oxygen. […]
Read 20 findings in full →The most serious and the most recent: 20 of 77 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2026Standard9 findings
- Dec 31, 2025Complaint1 finding
- Mar 13, 2025Standard5 findings
- Aug 15, 2024Standard11 findings
- Jan 10, 2024Complaint2 findings
- Jun 30, 2023Standard and complaint10 findings
- Jan 3, 2023Complaint1 finding
- Jul 25, 2022Complaint1 finding
Show the 14 earlier surveys
- Apr 4, 2022Infection control1 finding
- Aug 6, 2021Complaint2 findings
- Apr 1, 2021Standard1 finding
- Mar 11, 2020Standard6 findings
- Feb 26, 2019Standard6 findings
- Dec 14, 2018Complaint3 findings
- Mar 22, 2018Complaint1 finding
- Mar 2, 2018Standard6 findings
- Jul 28, 2016Complaint1 finding
- Apr 24, 2015Complaint1 finding
- Feb 5, 2015Standard3 findings
- May 18, 2012—2 findings
- Mar 29, 2012—2 findings
- Apr 8, 2011—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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