The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
Concordia at Bethlen
Registered name: BETHLEN HM OF THE HUNGARIAN RF OF AMERICA
LIGONIER, PA · Medicare-certified · 76 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall
Concordia at Bethlen in Ligonier, PA has a 1-star overall rating, with 1-star staffing and 2-star health inspection results, though quality measures are 4 stars. It has the lowest overall rating flag, no fines in the last 24 months, and recent inspection citations included treatment/care orders, psychotropic medication use, and required documentation/notifications.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: May 19, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 43%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
28.6%30.4%Worsening
Residents with a fall causing major injury
6.1%3.1%Improving
Residents with pressure ulcers (bedsores)
2.2%3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%3.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%24%Worsening
Residents whose ability to walk got worse
—10.6%—
Long-stay residents on antianxiety or sleep medication
30.8%46.2%Worsening
Short-stay residents newly given an antipsychotic
1.7%0.5%Improving
Residents with a long-term catheter
0%4.4%Worsening
Residents with new or worsening incontinence
24%48.2%Worsening
Residents with depressive symptoms
20%39.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—87.8%—
Long-stay residents given the pneumonia vaccine
81.8%87.5%Improving
Short-stay residents given the seasonal flu vaccine
—24.6%—
Short-stay residents given the pneumonia vaccine
68.6%94.8%Improving
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- INSPECTION
Health inspection found 1 health deficiency.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 14 health deficiencies.
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Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CONCORDIA LUTHERAN MINISTRIES · 9 homes · 3.6 stars avg
- Occupancy
- 67.2 residents on an average day (88% of 76 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.