Concordia at Spiritrust Sprenkle Drive
York, Pennsylvania · CCN 395612
21 surveys since 2011, 6 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 103
- Surveys
- 21
- Harm or worse
- 6
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 104
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Adams
- Medicare-certified since
- 1984
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 somewhat more weighted findings than its peer group.
Weighted by harm level, against 48 not-for-profit facilities of 100–127 beds in Pennsylvania.
Last survey on record
Nov 18, 2025
356 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 | 3.56 | 4.12 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 47.9% | 40.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $24,670 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G210.5% | H— | I— |
| No harm, potential for more than minimal | D1052.6% | E526.3% | F210.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
In the surveyor’s words
From the most serious findings on record at Concordia at Spiritrust Sprenkle Drive, in the surveyor’s own words.
- Actual harm, isolatedF600Oct 23, 2024
Based on facility policy review, clinical record review, review of facility investigation documentation, and resident and staff interviews, it was determined that the facility failed to ensure that residents were free from neglect, which resulted in actual harm, as evidenced by a 4.5 cm (centimeter) x 4 cm skin tear (a wound that occurs when the skin separates from itself, usually due to trauma or friction) for one of five residents reviewed (Resident 1). Findings include: Review of facility policy, titled Limited Lift Environment Standard, most recently dated August 7, 2015, revealed Resident Transfer- Responsibilities: When a mechanical lift is used, two (2) team members are required. […]
- Actual harm, isolatedF689Oct 23, 2024
Based on facility policy review, clinical record review, review of facility investigation documentation, and resident and staff interviews, it was determined that the facility failed to ensure that each resident received adequate supervision and assistance to prevent accidents, which resulted in actual harm, as evidenced by a 4.5 cm (centimeter) x 4 cm skin tear (a wound that occurs when the skin separates from itself, usually due to trauma or friction) for one of five residents reviewed (Resident 1). […]
- No harm, potential for more than minimal, widespreadF835Nov 6, 2024
Based on staff interview and available documentation review, it was determined that the facility administration failed to ensure care policies were reviewed and approved by the administration and Medical Director yearly. Findings include: During an entrance staff interview on November 3, 2024, at approximately 10:20 AM, a request was made of the Nursing Home Administrator (NHA) to provide evidence that the facility's care policies had been reviewed and approved within the past year. In an electronic communication on November 5, 2024, at 2:56 PM, NHA revealed the facility was unable to locate a signatory page indicating the last care policy review date. […]
- No harm, potential for more than minimal, widespreadF851Nov 6, 2024
Based on review of Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) staffing data report and staff interview, it was determined that the facility failed to electronically submit direct care staffing information for one of one quarters reviewed (FY Quarter 3 - April 1, 2024, to June 30, 2024). Findings include: According to Section 6106 of the Affordable Care Act (ACA), facilities are required to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data. […]
- No harm, potential for more than minimal, widespreadF880Jan 19, 2023
Based on interviews, it was determined the facility failed to develop a Water Management Program for the prevention, detection, and control of water-borne contaminants, such as Legionella, a bacteria that may cause Legionnaires' Disease (a serious type of pneumonia). Findings include: During interview with the Nursing Home Administrator (NHA) on January 19, 2023, at 9:30 AM, the facility was unable to provide a policy that addressed water management or a list of water management team members. […]
Read 24 findings in full →The most serious and the most recent: 24 of 103 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 18, 2025Standard1 finding
- Nov 6, 2024Standard12 findings
- Oct 23, 2024Complaint2 findings · 2 harm
- Jan 4, 2024Standard4 findings
- Jan 19, 2023Standard4 findings
- Aug 24, 2022Complaint1 finding
- Feb 10, 2022Complaint1 finding
- Jan 13, 2022Standard5 findings
Show the 13 earlier surveys
- Oct 22, 2020Standard8 findings
- Apr 16, 2019Complaint1 finding
- Mar 28, 2019Standard2 findings · 1 harm
- Apr 19, 2018Standard9 findings
- Feb 28, 2018Complaint2 findings
- Mar 2, 2017Standard9 findings
- Jan 10, 2017Complaint6 findings · 2 harm
- Feb 11, 2016Standard5 findings
- Mar 26, 2015Standard8 findings
- Mar 13, 2014Standard11 findings · 1 harm
- Apr 11, 2013—3 findings
- Mar 1, 2012—5 findings
- Apr 22, 2011—4 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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