Home / Pennsylvania / Hanover
Concordia at Spiritrust Utz Terrace
2100 Utz Terrace, Hanover, PA 17331 · Adams County · (717) 637-0633
40 certified beds, about 34 residents a day · Non profit - Corporation · Medicare and Medicaid since 2007
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
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 396111 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 28, 2026, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 10 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 4.19 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
48.9% 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.
205/24
404/25
405/26
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
0B
0C
May 28, 2026Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and staff interviews, it was determined that the facility failed to store food in accordance with professional standards for food safety in the kitchen; failed to store clean dishes in a sanitary manner in one of one service kitchen; failed to provide a sanitary condition in the main kitchen, one of one nourishment room refrigerator, and one of one dining room refrigerators; and failed to serve food in a sanitary manner during one of one tray service line observations.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure staff implement transmission-based precautions to prevent the spread of infection for one of three residents (Residents 43) on transmission-based precautions; failed to perform control measures that include daily/weekly temperature checks, water system pressure, disinfectant testing of chlorine levels in the boiler room; and failed to perform weekly water temperature checks for the entire facility from July 1, 2025, through January 19, 2026. Findings Include: [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, it was determined that the facility failed to ensure each resident the right to a dignified existence and be treated in a manner and environment that enhances his or her quality of life for one of five residents observed for the use of a foley catheter (Resident 4). Findings Include: Review of the facility's policy, titled Catheter Care, Urinary, dated July 2015, read, in part, Be sure the catheter tubing and drainage bag are kept off the floor and in a dignity bag. Review of Resident 4's physician's orders revealed diagnoses that included chronic kidney disease (gradual loss of kidney function impairing their ability to filter waste) and bladder neck obstruction (a blockage in the neck at the very bottom of the bladder). [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, review of facility provided documentation, and staff interviews, it was determined that the facility failed to ensure the resident environment is free from accident hazards in the activity room.
April 30, 2025Standard inspection · 4 citations
- D 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 observation, clinical record review, and staff interviews, it was determined that the facility failed to ensure the care plan was reviewed and revised for two of 12 residents reviewed (Residents 14 and 26). Findings Include: Review of Resident 14's clinical record revealed diagnoses that included atrial fibrillation (a common heart rhythm disorder where the upper chambers of the heart [atria] beat irregularly and often too rapidly) and cardiomyopathy (a disease of the heart muscle that makes it harder for the heart to pump blood effectively). Review of Resident 14's physician orders revealed an order for Xarelto (anticoagulant medication) 15 mg in the morning for atrial fibrillation, with a start date of February 9, 2023. Review of Resident 14's care plan failed to reveal a care plan with a focus area related to anticoagulant medication. [...]
- 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 review of select food service committee meeting minutes, resident and staff interviews, and observations, it was determined that the facility failed to produce sufficient food to support resident requests based on the posted menu for one meal observed.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident interviews, observation, completion of one meal test tray, it was determined that the facility failed to provide foods that are palatable, attractive, and at appetizing temperatures at one of one meal observed (April 29, 2025, lunch meal).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, review of facility policy, and staff interviews, it was determined that the facility failed to store and serve food/beverages in accordance with professional standards for food safety in the main kitchen walk-in freezer and in the kitchenette food temperature log.
May 16, 2024Standard inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review and staff interview it was determined that the facility failed to ensure a resident unable to carry out activities of daily living receives the necessary services to maintain good grooming and personal hygiene for one of fifteen residents reviewed (Resident 12). Findings Include: Activities of Daily Living (ADL's- a term used to collectively describe fundamental skills required to independently care for oneself, such as eating, bathing, other personal hygiene and mobility). [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review observations, and staff interviews, it was determined that the facility failed to provide respiratory services for two of fifteen residents reviewed (Resident 10 and 28).
Fire safety inspections
5 fire safety citations on file: 3 on April 30, 2025, 1 on May 16, 2024, 1 on May 25, 2023.
Every fire safety citation5 citations
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Provide properly sized and located linen or trash receptacles.
- E Inspect, test, and maintain automatic sprinkler systems.
- B Properly select, install, inspect, or maintain portable fire extinguishes.
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) | 4.19 | 3.89 | 3.86 |
| Registered nurses | 1.05 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.53 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 48.9% | 44.5% | 45.8% |
| Registered nurse turnover | 41.7% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.34 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 4.33 on weekdays and 3.84 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.19 in April to June 2025 to 4.19 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 | 4.19 | 1.05 | 4.33 | 3.84 | 1.6% | 0 of 90 | 34 |
| Oct to Dec 2025 | 4.01 | 1.01 | 4.18 | 3.59 | 1.1% | 0 of 92 | 35 |
| Jul to Sep 2025 | 4.00 | 1.05 | 4.16 | 3.60 | 1.9% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.19 | 1.12 | 4.39 | 3.71 | 5.0% | 0 of 91 | 34 |
| 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 | 23.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.0 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.2 | 1.8 |
Owners and operators
Legal business name: SPIRITRUST LUTHERAN.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bowen, Robert | Corporate director | Individual | 02/13/2007 | |
| Combs, Stanley | Corporate director | Individual | 01/01/2024 | |
| Dunlop, James | Corporate director | Individual | 03/03/2014 | |
| 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 | |
| Young, Lawrence | Corporate director | Individual | 01/01/2024 | |
| Frownfelter, Melissa | Corporate officer | Individual | 02/01/2022 | |
| Keller, Thomas | Operational/managerial control | Individual | 11/01/2025 | |
| Pyle, Daniel | Operational/managerial control | Individual | 02/01/2022 | |
| Bowen, Robert | Trustee of the SNF | Individual | 02/13/2007 | |
| Combs, Stanley | Trustee of the SNF | Individual | 01/01/2024 | |
| Dunlop, James | Trustee of the SNF | Individual | 03/03/2014 | |
| 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 | 11/01/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on May 28, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 28, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 28, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 28, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- Homewood Living Plum Creek, Inc Hanover, 3.9 mi · 5 of 5 stars · 9 citations
- Hanover Hall for Nursing and Rehabilitation Hanover, 4.3 mi · 2 of 5 stars · 49 citations
- Autumn Lake Healthcare at Long View Manchester, 6.3 mi · 4 of 5 stars · 30 citations
- Cross Keys Village-Brethren Home Community, the New Oxford, 12.2 mi · 4 of 5 stars · 5 citations
- Atlee Hill Health and Rehab Center Westminster, 13.3 mi · 2 of 5 stars · 67 citations
- Carroll Lutheran Village Westminster, 13.6 mi · 5 of 5 stars · 34 citations
- Lorien Taneytown, Inc Taneytown, 13.7 mi · 3 of 5 stars · 37 citations
- Westminster Rehabilitation and Wellness Center Westminster, 14.6 mi · 2 of 5 stars · 74 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 Utz Terrace's Medicare star rating?
- CMS rates Concordia at Spiritrust Utz Terrace 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Concordia at Spiritrust Utz Terrace get at its last inspection?
- 4 health deficiencies at the standard inspection on May 28, 2026. The Pennsylvania average is 10.
- Has Concordia at Spiritrust Utz Terrace been fined?
- CMS lists no fines in the last three years.
- Does Concordia at Spiritrust Utz Terrace 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 Utz Terrace?
- CMS lists 23 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.