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Assisted Living

Concordia at the Orchard

104 Concordia Way, Butler, PA 1600160 bedsLicensed & Active

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State Inspection History

State Inspections

Source: PA State Licensing Agency

29total
38deficiencies

Key Findings

Between 2022 and 2025, Concordia at the Orchard underwent 33 inspections, resulting in 17 clean reports and 38 recorded violations. Findings from these inspections included issues related to staff training, facility maintenance, and documentation accuracy.

Dec 16, 2025Routine
minor2600.185.a

A resident's blood glucose reading of 222 on 12/3/25 was not recorded on the medication administration record, nor was the corresponding insulin injection documented.

Nov 12, 2024Routine
severe2600.15.a

An allegation of abuse involving a resident being bruised was not verbally reported or submitted via an Act 13 form to the local Area Agency on Aging within 48 hours.

severe2600.15.b

A staff person involved in an allegation of abuse worked without an approved plan of supervision and was not suspended.

severe2600.16.c

The facility failed to report an allegation of abuse to the Department's regional office or complaint hotline within 24 hours.

Nov 15, 2023Routine
minor2600.183.e

Resident inhalers and Flexpens were not labeled with the required opened date.

minor2600.184.a

A pharmacy label for Resident #3 contained incorrect administration instructions regarding frequency.

minor2600.185.a

Prescribed eye drops for Resident #1 were not available in the home.

minor2600.187.b

Medication administration records (MAR) for multiple residents were not initialed by staff at the time of administration.

minor2600.187.d

The home failed to follow prescriber orders regarding the frequency of blood glucose checks for Resident #1.

Sep 6, 2023Routine
minor2600.16c

The home failed to report allegations of suspected abuse involving two residents to the Department within the required 24-hour timeframe.

Aug 8, 2023Routine
severe2600.42.b

A staff member left a resident unattended in a Broda chair, resulting in a fall and a diagnosed hip fracture.

minor2600.185.a

Medication administration records (MAR) for multiple residents contained multiple blank entries for various dates and times.

Nov 15, 2022Routine
minor2600.51

A criminal background check was not completed until after a staff person was hired.

minor2600.91

Emergency telephone numbers, including the nearest hospital and fire department, were missing from the telephone in bedroom A.

minor2600.92

Window screens were missing in the windows located in bedroom I and bedroom J.

minor2600.187.d

Staff failed to respond to a resident's call bell for 45 minutes, resulting in an increase in the resident's pain level.

Nov 17, 2021Routine
CleanReport

No deficiencies found during this inspection.

Sep 30, 2021Routine
CleanReport

No deficiencies found during this inspection.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Concordia Lutheran Health & Human Care

Organization Type

nonprofit

Source: State licensing data

Contact

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References & Resources

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