Public Record
Spiritrust Lutheran the Village at Utz Terrace
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 40
- Avg. residents per day
- 34.9
*CMS Five-Star
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*CMS
Inspection record
On record from CMS
- Health citations
- 10
- Fire safety findings
- 5
- Inspections on file
- 6
- Last inspection
- 2025-04-30
*CMS
*CMS
*CMS
*CMS
Citations
10 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0803Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0868Generalpotential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- 0882Generalpotential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection4 deficiencies
F 0657 Level of Harm - Minimal harm or potential for actual harm Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Based on observation, clinical record review, and staff interviews, it was determined…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection2 deficiencies
F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observation, clinical record review and staff interview it was determined that the facility failed to ensure a resident unable…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- View inspection reportInspectionFire Safety1 deficiency
- Inspection4 deficiencies
F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Spiritrust Lutheran the Village at Utz Terrace?
- Spiritrust Lutheran the Village at Utz Terrace is a Medicare- and Medicaid-certified nursing home in Hanover, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 396111.
- What is the CMS rating for Spiritrust Lutheran the Village at Utz Terrace?
- Spiritrust Lutheran the Village at Utz Terrace has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Spiritrust Lutheran the Village at Utz Terrace have?
- Spiritrust Lutheran the Village at Utz Terrace is certified for 40 beds. It serves an average of 34.9 residents per day.
- How many citations does Spiritrust Lutheran the Village at Utz Terrace have?
- Spiritrust Lutheran the Village at Utz Terrace has 10 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Spiritrust Lutheran the Village at Utz Terrace last inspected?
- Spiritrust Lutheran the Village at Utz Terrace was last inspected on April 30, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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