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Concordia Home Health of Bethlen

(724) 238-2613135 Kalassay Drive, Ligonier, PA 15658
CMS Certification Number 398058 · Non-Profit · Medicare-certified since 02/06/2007
5deficiencies since 2018
0serious
4inspections
3CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-07-19

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

Staff (EMP) interview the agency failed to ensure that acceptable standards of practice for infection control/prevention were maintained for three (3) of five (5) OBS (OBS1, OBS4 and OBS5).

Source: CMS Form 2567, inspection 2024-07-19, tag G0682 · view on CMS
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Minor All Orders Recorded In Plan Of Care

Staff (EMP) interview the agency failed to ensure the plan of care contained all patient care orders and referred services for one (1) of thirteen MR reviewed MR5. Findings Included: Review of the agency admission packet on 7/16/2024 at approximately 12:02 PM revealed, “Patient Information for Home…

Source: CMS Form 2567, inspection 2024-07-19, tag G0576 · view on CMS
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Inspection 2021-10-29

· Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2021-07-16

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Conformance With Physician Orders

Staff (EMP) interview the agency failed to ensure the Physician ordered Plan of Treatment was followed for three (3) of ten (10) clinical records (CR5, 7, & 9) reviewed.

Source: CMS Form 2567, inspection 2021-07-16, tag G0578 · view on CMS
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Minor Plan Of Care Must Include The Following

Staff (EMP) interview the agency failed to ensure the Plan of Treatment included supplies and equipment for one (1) of ten (10) CR's reviewed (CR8), and medications and treatments for three (3) of ten (10) CR's reviewed (CR4, 8, & 9.) Findings included: Review of Agency Policy and Procedure manual…

Source: CMS Form 2567, inspection 2021-07-16, tag G0574 · view on CMS
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Inspection 2018-08-08

· Recertification · 1 deficiencies · CMS source report (PDF)
Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure a home health aide supervision was completed no less frequently than every fourteen days for one (1) of one (1) CRs reviewed with home health aide services (CR4) Findings Included: A review of agency policy and procedure, conducted on 8/8/18 at approximately 11:45 a.m.…

Source: CMS Form 2567, inspection 2018-08-08, tag G0808 · view on CMS
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