Home / Pennsylvania / Gettysburg
Concordia at Spiritrust Gettysburg
1075 Old Harrisburg Road, Gettysburg, PA 17325 · Adams County · (717) 334-6204
60 certified beds, about 42 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395647 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 6 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 17 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.11 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
35.4% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
305/24
806/25
604/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
5E
1F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 6 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on facility policy review, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure the resident right to formulate an advanced directive for one of 12 residents reviewed (Resident 39).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, observation, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure that services provided meet professional standards of practice for one of 12 residents reviewed (Resident 39).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility policy review, and clinical record review, it was determined that the facility failed to ensure that a resident receiving wound care was consistent with infection control standards of practice when placing medication in the base of a wound for one of 12 residents reviewed (Resident 7).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, clinical record review, observations, and staff interviews, it was determined that the facility failed to provide respiratory care and services consistent with professional standards of practice for two of 12 residents reviewed for respiratory care (Resident 5 and 37).
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on facility policy review, review of facility menu extension sheets, review of select facility recipe, observations, and staff interviews, it was determined that the facility failed to follow the diet extension sheets to provide a menu to meet the needs and preferences of residents for five of 47 residents reviewed with similar diet needs (Residents 6, 21, 28, 29, and 35).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, product label, policy review, and staff interviews, it was determined that the facility failed to maintain a safe environment that supports infection prevention and control for glucometer cleaning for two of three nursing units reviewed.
June 12, 2025Standard inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observations, and staff interviews, it was determined that the facility failed to store food and equipment in accordance with professional standards for food service safety in the main kitchen, walk in freezer, and two of two pantries.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on review of facility policy, review of facility provided call bell monitoring system reports, and resident and staff interviews, it was determined that the facility failed to ensure a prompt response time to resident call bells for four of four residents reviewed (Residents 2, 3, 4, and 30) between March 10, 2025, through June 10, 2025.
- E Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on review of policy, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure that residents were provided with proper urostomy care for one of one resident reviewed (Resident 4).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to inform the dietician or physician of the non-availability of an ordered nutritional supplement for two of two residents reviewed for nutrition(Residents 31 and 39).
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, facility policy review, and staff interviews, it was determined that the facility failed to ensure controlled substances were contained in a double locked compartment for one of one medication rooms observed (Arlington Hall), and failed to ensure appropriate labeling of medications when opened for two of two medication carts observed (2-AE and 2-A hall).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on policy review, observation, clinical record review, and staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards for two of 15 residents reviewed (Residents 14 and 94).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review and resident and staff interviews, it was determined that the facility failed to ensure that residents receive necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection of a pressure ulcer for one of two residents reviewed for pressure ulcers (Resident 13).
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and resident and staff interviews, it was determined that the facility failed to provide food that was palatable in accordance with resident preference for one of 15 residents observed in the dining room (Resident 9); and failed to provide food in accordance with selected menu items for one of 15 residents observed in the dining room (Resident 11).
May 2, 2024Standard inspection · 3 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on policy review, observations, clinical record review, and staff interviews, it was determined that the facility failed to ensure the care plan was reviewed and revised for three of sixteen residents reviewed (residents 17, 19, and 29).
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on policy review, observation, record review, and staff interviews, it was determined the facility failed to provide appropriate care and services for residents receiving a tube feeding for one of 16 residents reviewed (Resident 19).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure that the physician reviewed and responded to pharmacy review recommendations for one of five residents reviewed for unnecessary medications (Resident 24).
Fire safety inspections
13 fire safety citations on file: 4 on June 12, 2025, 5 on May 2, 2024, 4 on July 20, 2023.
Every fire safety citation13 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install a fire alarm system that can be heard throughout the facility.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have power receptacles that are properly grounded.
- C Have generator or other power source capable of supplying service within 10 seconds.
- F Install emergency lighting that can last at least 1 1/2 hours.
- E Use approved construction type or materials.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 3.89 | 3.86 |
| Registered nurses | 0.86 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.74 | 3.53 | 3.42 |
| Nurse aides | 2.20 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 35.4% | 44.5% | 45.8% |
| Registered nurse turnover | 75.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.25 on weekdays and 3.74 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.11 | 0.86 | 4.25 | 3.74 | 9.5% | 0 of 90 | 42 |
| Oct to Dec 2025 | 4.02 | 0.86 | 4.12 | 3.77 | 2.9% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.14 | 0.82 | 4.27 | 3.79 | 4.8% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.14 | 0.77 | 4.30 | 3.74 | 7.0% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.1 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
Owners and operators
Legal business name: SPIRITRUST LUTHERAN.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bowen, Robert | Corporate director | Individual | 03/16/2014 | |
| Combs, Stanley | Corporate director | Individual | 01/01/2024 | |
| Dunlop, James | Corporate director | Individual | 03/03/2014 | |
| Kessler, Stephanie | Corporate director | Individual | 01/01/2022 | |
| Neinstedt, William | Corporate director | Individual | 01/01/2022 | |
| Smeltzer, Samantha | Corporate director | Individual | 01/01/2023 | |
| Stout, Kevin | Corporate director | Individual | 01/01/2024 | |
| Straley, Edward | Corporate director | Individual | 01/01/2023 | |
| Thomas, Angela | Corporate director | Individual | 01/01/2023 | |
| Frownfelter, Melissa | Corporate officer | Individual | 02/01/2022 | |
| Young, Lawrence | Corporate officer | Individual | 01/01/2024 | |
| Lyons, Jodi | Operational/managerial control | Individual | 06/18/2024 | |
| Bowen, Robert | Trustee of the SNF | Individual | 03/16/2014 | |
| Combs, Stanley | Trustee of the SNF | Individual | 01/01/2024 | |
| Dunlop, James | Trustee of the SNF | Individual | 03/03/2014 | |
| Kessler, Stephanie | Trustee of the SNF | Individual | 01/01/2022 | |
| Neinstedt, William | Trustee of the SNF | Individual | 01/01/2022 | |
| Smeltzer, Samantha | Trustee of the SNF | Individual | 01/01/2023 | |
| Stout, Kevin | Trustee of the SNF | Individual | 01/01/2024 | |
| Straley, Edward | Trustee of the SNF | Individual | 01/01/2023 | |
| Thomas, Angela | Trustee of the SNF | Individual | 01/01/2023 | |
| Young, Lawrence | Trustee of the SNF | Individual | 01/01/2024 | |
| Frownfelter, Melissa | Adp of the SNF | Individual | 02/01/2022 | |
| Keller, Thomas | Adp of the SNF | Individual | 01/01/2024 | |
| Lyons, Jodi | Adp of the SNF | Individual | 06/06/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 30, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 30, 2026: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
Other nursing homes nearby
- Gettysburg Center Gettysburg, 0.9 mi · 1 of 5 stars · 36 citations
- Transitions Healthcare Gettysburg Gettysburg, 0.9 mi · 3 of 5 stars · 26 citations
- Gardens at Gettysburg, the Gettysburg, 2.2 mi · 4 of 5 stars · 17 citations
- Cross Keys Village-Brethren Home Community, the New Oxford, 7.9 mi · 4 of 5 stars · 5 citations
- Paramount Nursing and Rehab at Fayetteville, LLC Fayetteville, 12.3 mi · 1 of 5 stars · 18 citations
- Hanover Hall for Nursing and Rehabilitation Hanover, 12.8 mi · 2 of 5 stars · 49 citations
- Homewood Living Plum Creek, Inc Hanover, 12.9 mi · 5 of 5 stars · 9 citations
- South Mountain Restoration Cen South Mountain, 13.6 mi · 5 of 5 stars · 6 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Concordia at Spiritrust Gettysburg's Medicare star rating?
- CMS rates Concordia at Spiritrust Gettysburg 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Concordia at Spiritrust Gettysburg get at its last inspection?
- 6 health deficiencies at the standard inspection on April 30, 2026. The Pennsylvania average is 10.
- Has Concordia at Spiritrust Gettysburg been fined?
- CMS lists no fines in the last three years.
- Does Concordia at Spiritrust Gettysburg accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Concordia at Spiritrust Gettysburg?
- CMS lists 25 owners and managers. Legal business name: SPIRITRUST LUTHERAN.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.