Inspection Reports for
Concordia of Cranberry
10 Adams Ridge Blvd, Mars, PA 16046, United States, PA, 16046
Back to Facility Profile18 Reports
Inspection Report — Dec 16, 2025
Renewal
Date: Dec 16, 2025
Visit Reason
The inspection was a renewal visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, to review compliance and verify the submitted plan of correction for the facility.
Findings
The inspection identified multiple deficiencies including delayed access to requested records, inadequate assistance with activities of daily living, privacy violations, hot water temperature exceeding limits, snow removal issues, improper food storage, use of prohibited portable space heaters, fire drill timing issues, medication storage and administration errors, and incomplete resident support plans. All deficiencies had plans of correction accepted and were implemented by May 8, 2026.
Citations (11)
DHS Access: The administrator delayed providing requested resident and staff records, with some records received hours after the initial request.
Activities of Daily Living Assistance: A resident was observed with an exposed wound containing several maggots, indicating inadequate dressing treatment and changing.
Privacy: There was no locking mechanism on the door of a shared bathroom for a resident's room, violating privacy rights.
Hot Water Temperature: Hot water temperature in a resident bathroom sink was measured at 123.4°F, exceeding the 120°F limit.
Removal Snow/Obstructions: Approximately ¼ inch of snow was found on a walkway outside a living room exit door during inspection.
Storing Food: Open and unsealed food items, including a 3-pound bag of pasta and a box of 64 beef patties, were found in the pantry and walk-in freezer.
Portable Space Heaters: Two black portable space heaters were observed in a laundry closet, which are prohibited.
Fire Drill Sleeping Hours: A sleeping hours fire drill was conducted too soon after the previous one, not meeting the required six-month interval.
Storing Medication: Resident medications were accessible on an unlocked nightstand, and the resident was assessed as self-medicating without assistance.
Date/Time of Medication Administration: Medication Administration Records (MAR) were not initialed by the person administering medications on multiple occasions.
Support Plan Medical/Dental: A resident's support plan did not address current use of a Broda chair and incorrectly indicated the resident could evacuate independently despite needing physical assistance.
Report Facts
Residents Served: 64
Staffing Hours: 72
Waking Staff: 54
Current Residents Hospice: 17
Residents Age 60 or Older: 64
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 8
Inspection Report — Dec 10, 2024
Renewal
Date: Dec 10, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the Concordia of Cranberry facility to assess compliance with licensing requirements.
Findings
The inspection identified multiple deficiencies related to incomplete annual training for direct care and ancillary staff, lack of operable bedside lighting for a resident, and improper food storage. Plans of correction were accepted and implemented with follow-up monitoring scheduled.
Citations (6)
Direct care staff person A completed only 6 of the required 12 annual training hours.
Direct care staff person A did not receive required annual training in medication self-administration, care for residents with dementia, infection control, personal care needs, and safe management techniques.
Direct care staff person A did not receive required annual training in fire safety, resident rights, Older Adult Protective Services Act, and falls and accident prevention.
Ancillary staff person B did not receive required annual training in fire safety and falls and accident prevention.
Resident #1's bed did not have a source of lighting that could be turned on/off from bedside.
Two bowls containing ice cream were uncovered in Hallway D’s kitchenette freezer.
Report Facts
Residents Served: 64
Current Hospice Residents: 10
Residents 60 Years or Older: 64
Residents with Mental Illness: 1
Residents with Mobility Need: 17
Total Daily Staff: 81
Waking Staff: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Direct care staff person A | Named in multiple findings related to incomplete annual training | |
| Ancillary staff person B | Named in findings related to incomplete annual training | |
| Director of Maintenance | Director of Maintenance | Named in deficiency related to bedside lighting correction |
| Food Service Director | Food Service Director | Named in deficiency related to food contamination correction |
| Resident Care Coordinator | Conducted training for direct care staff person A | |
| Dining Service Manager/Cook | Dining Service Manager/Cook | Conducted training for ancillary staff person B |
Inspection Report — Jan 3, 2024
Renewal
Date: Jan 3, 2024
Visit Reason
The inspection was conducted as a renewal review of the facility's license to ensure continued compliance with applicable regulations.
Findings
The inspection identified multiple deficiencies including lack of carbon monoxide detectors in required areas, improperly secured resident equipment, missing emergency telephone numbers, damaged ceiling tiles, broken window blinds, and medication labeling and administration errors. Plans of correction were accepted and implemented.
Citations (7)
No carbon monoxide alarm installed for the kitchen’s natural gas stove or basement natural gas furnace, and no detector outside furnace room doorway.
Bed cane on resident #1's bed was loose and could move approximately 8 inches in total.
No emergency telephone numbers posted by the telephone in resident room #FP9.
Multiple ceiling tiles in stairwell landings were cracked, bowed, partially broken, and not seated properly.
Hole approximately 6 by 1 inches in size on the blind in resident room #A3P; blind's slat was broken.
Medication labels for resident #2 and #3 did not match prescribed directions; incorrect dosing instructions noted.
Resident #2 was administered discontinued medication; resident #4 did not have prescribed medication available for self-administration.
Report Facts
Residents Served: 67
Current Hospice Residents: 5
Residents Diagnosed with Mental Illness: 4
Residents with Mobility Need: 9
Residents Age 60 or Older: 67
Total Daily Staff: 76
Waking Staff: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emil Steinmetz | Maintenance Director | Addressed bed cane attachment and replaced blinds; involved in installation of carbon monoxide detectors. |
| Resident Care Coordinator | Placed change of direction stickers on medication bottles and removed discontinued medication; involved in medication administration corrections. |
Notice — Mar 8, 2022
Date: Mar 8, 2022
Visit Reason
The document serves to notify Concordia of Cranberry that their request to waive certain Pennsylvania Code regulations regarding preadmission screening and medical evaluation forms is granted under specified conditions.
Findings
The waiver allows the facility to use preadmission screening and medical evaluation forms from Point, Click, Care instead of the Department's forms. The Department will review compliance with these conditions during the annual inspection and may terminate the waiver or take licensing action if conditions are not met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Parisi | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Dec 9, 2021
Routine
Date: Dec 9, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Notice — Oct 22, 2021
Date: Oct 22, 2021
Visit Reason
The document serves as a renewal notification and license issuance for Concordia of Cranberry Personal Care Home, confirming receipt of the renewal application and advising of a required annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it is an administrative notice confirming license renewal and outlining future inspection requirements.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report — Aug 25, 2021
Renewal
Date: Aug 25, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 08/25/2021 and 08/26/2021 to review compliance with licensing requirements.
Findings
The inspection identified several deficiencies including unlocked poisonous materials accessible to residents, furniture hazards, incomplete medication order documentation, unclear medication administration records, incomplete resident assessments, and mobility assessment discrepancies. Plans of correction were accepted and implemented for all deficiencies.
Citations (6)
The A-Hall 'bathtique' door was not latched, leaving the laundry room unlocked with poisonous materials accessible to residents not assessed as capable of safe use.
An end table in the F-Hall common room was missing a drawer pull and had a protruding screw posing a laceration hazard.
A verbal medication order to discontinue a resident's medication was not properly documented according to state requirements.
The medication administration record for a resident did not clearly differentiate between medication strength and dose.
A resident's assessment was not updated despite significant changes in condition requiring additional personal care services.
A resident's mobility assessment did not align with the support plan indicating need for staff assistance.
Report Facts
Residents Served: 66
Total Daily Staff: 83
Waking Staff: 62
Hospice Residents: 7
Residents with Mobility Need: 17
Residents 60 Years or Older: 66
Residents Receiving Supplemental Security Income: 1
Notice — Dec 18, 2020
Date: Dec 18, 2020
Visit Reason
The document serves as a license renewal approval and notification that the Department will conduct an annual inspection within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Notice — Oct 11, 2019
Date: Oct 11, 2019
Visit Reason
This document serves as a renewal notification and license issuance for Concordia of Cranberry Personal Care Home, confirming the facility's authorized capacity and informing about the requirement for annual inspections.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and outlines the Department's obligation to conduct annual inspections.
Report Facts
Inspection Report — Aug 14, 2019
Renewal
Date: Aug 14, 2019
Visit Reason
The inspection was a renewal visit conducted on August 14 and 15, 2019, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.
Findings
Violations were found related to inoperable exhaust fans, damaged resident room equipment, and elevator deficiencies. Plans of correction were submitted and partially implemented as of October 7, 2019.
Citations (3)
The exhaust fans on the 1st and 2nd floor common restrooms and private bathrooms A-3, D-5, F-3, F-10 were not operable on August 14, 2019.
Resident #1's bedside lamp shade was damaged with multiple cracks and two approximately one-inch holes.
The home's elevator was not inspected within the past year and had unresolved deficiencies including water in the elevator pit and inoperable lighting fixtures.
Report Facts
Residents Served: 74
Current Hospice Residents: 5
Resident Support Staff: 0
Total Daily Staff: 94
Waking Staff: 71
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric T Peat | Administrator | Signed plans of correction and named in report correspondence |
Notice — Oct 16, 2018
Date: Oct 16, 2018
Visit Reason
This document serves as a renewal notification and license issuance for Concordia of Cranberry Personal Care Home following receipt of the renewal application dated October 16, 2018.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states the Department's requirement to conduct an onsite inspection within the next twelve months.
Report Facts
Inspection Report — Aug 22, 2018
Renewal
Date: Aug 22, 2018
Visit Reason
The inspection was conducted as a renewal inspection of the Concordia of Cranberry Personal Care Home to assess compliance with 55 Pa. Code Chapter 2600.
Findings
Violations related to medication administration and documentation were found during the inspection. The facility was required to correct these violations and maintain compliance with applicable regulations.
Citations (1)
55 Pa.Code §2600.185(a) requires the home to develop and implement procedures for safe storage, access, security, distribution, and use of medications by trained staff. Resident blood glucose readings were inconsistently documented in the August 2018 MAR, with discrepancies noted between glucometer readings and MAR entries.
Report Facts
Number of Residents Served: 73
Number of Current Hospice Residents: 5
Number of Hospice Residents in Past Year: 16
Residents Age 60 or Older: 73
Residents with Mobility Need: 19
Notice — Oct 12, 2017
Date: Oct 12, 2017
Visit Reason
The document serves as a renewal approval for the Personal Care Home license and notifies the facility of the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application.
Report Facts
Inspection Report — Sep 7, 2017
Annual Inspection
Date: Sep 7, 2017
Visit Reason
The inspection was an annual licensing inspection conducted on September 7 and 8, 2017, including renewal and incident reasons.
Findings
The inspection found multiple violations of 55 Pa.Code Chapter 2600 related to personal care home regulations, including sanitary conditions, fire drill evacuation, medication equipment calibration, resident mobility assessment, and support plan deficiencies. Plans of correction were submitted and partially implemented as of January 18, 2018.
Citations (5)
55 Pa.Code §2600.85(a) - Sanitary conditions were not maintained as resident #5's glucometer was used to test resident #2's blood glucose level on 9/1/17 at approximately 3:40 PM.
55 Pa.Code §2600.132(b) - Residents did not evacuate to the designated fire-safe area during the fire drill on 8/21/17 at 4:30 PM; some evacuated to an incorrect area near bedroom E8.
55 Pa.Code §2600.185(a) - Resident #1's and resident #2's glucometers were not calibrated to correct date and time on 9/7/17.
55 Pa.Code §2600.226(a) - Resident #4's assessment indicated limited assistance needed for evacuation, but the resident requires staff assistance for all transfers.
55 Pa.Code §2600.227(d) - Resident #3's support plan was incomplete as it did not include a plan to meet the service need for total physical assistance with transferring.
Report Facts
Number of Residents Served: 76
Number of Residents Age 60 or Older: 75
Number of Residents with Mobility Need: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Peat | Administrator | Named in multiple findings and plans of correction related to glucometer use, fire drill review, and assessment corrections. |
| George Colosimo | Safety Director | Mentioned in plan of correction for fire drill education. |
Notice — Oct 20, 2016
Date: Oct 20, 2016
Visit Reason
The document is a renewal notification and license issuance for Concordia of Cranberry Personal Care Home following receipt of the renewal application dated October 20, 2016.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states that an onsite inspection will be conducted within the next twelve months as required by regulation.
Report Facts
Inspection Report — Aug 29, 2016
Renewal
Date: Aug 29, 2016
Visit Reason
The inspection was conducted as part of the annual licensing renewal for Concordia of Cranberry on August 29 and 30, 2016.
Findings
Violations related to food storage and refrigeration temperatures were found during the inspection. Plans of correction were submitted and partially implemented as of December 16, 2016.
Citations (2)
56 Pa.Code §2600.103(c): Food was not protected from contamination while being stored, prepared, transported, and served; 29 pieces of pre-cooked breaded steak were uncovered in the commercial freezer.
56 Pa.Code §2600.103(f): Food requiring refrigeration was not stored at or below 40°F; the kitchen freezer temperature measured 20°F, above the required 0°F for frozen food.
Report Facts
Number of Residents Served: 70
Number of pieces of uncovered food: 29
Freezer temperature: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Peat | Administrator | Named as legal entity representative and signed plan of correction. |
| Jan Cutler | Department representative conducting the inspection. | |
| Beth Park | Department representative conducting the inspection. |
Notice — Aug 18, 2016
Date: Aug 18, 2016
Visit Reason
The document is a response to a waiver request for 55 Pa.Code Ch. 2600 related to resident medical evaluation and health care for licensed personal care homes, requesting additional supporting documentation.
Findings
The letter specifies required details for the medical evaluation form and special diet-check section that must be included in the next submission of supporting documentation for the waiver request.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the letter regarding waiver request documentation. |
Notice — Aug 2, 2016
Date: Aug 2, 2016
Visit Reason
Response to a request for a waiver of Pennsylvania Code Chapter 2600 regulations related to resident records and medical evaluations for multiple licensed personal care homes.
Findings
The Department determined that a waiver is not needed for use of the home's Resident-Assessment Support Plan form but is needed for the medical evaluation form. The waiver request is returned for additional information before further review.
Report Facts
Waiver request: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Pride | Director of Regulatory Implementation | Signed the letter regarding waiver request |
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