Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bethlehem North Skilled Nursing And Rehabilitation during CMS and state inspections, most recent first.
A hospice resident with liver cancer had a PRN order for oral morphine sulfate for pain, and the medication was administered during the night as a change in the resident’s medical status and treatment. Review of the MAR and clinical record showed no documentation that the resident’s responsible party was informed of this change in condition and medication use. In an interview, the Nursing Home Administrator confirmed that the responsible party had not been notified, resulting in a deficiency under nursing services requirements.
A resident with polyneuropathy and dementia, dependent on staff for daily activities, was found with the call bell out of reach on multiple occasions. The care plan required the call bell to be accessible to prevent falls, but it was observed on the floor next to the bed. The ADON confirmed the call bell should have been within reach.
The facility failed to notify the responsible parties of three residents who experienced significant weight loss, as required by their policies. A resident with sarcopenia and dementia lost 10.8% of their weight, another with anemia and anxiety lost 11.8%, and a third with a traumatic brain injury and dysphagia lost 5.0%. The facility's administrator confirmed the lack of evidence for notifying the residents' representatives.
The facility failed to maintain adequate grooming and hygiene for three residents dependent on staff for ADLs. A resident with muscle weakness had long, dirty nails despite preferring them short. Another resident with dementia and dermatitis had long, jagged nails with a dark substance underneath, and a third resident with dementia and anxiety also had long, dirty nails. The ADON confirmed that nail care should have been provided during bathing and as needed.
A resident with a history of stroke and depression did not receive the necessary orthotic device to prevent a decline in range of motion. Despite a physician's order and an occupational therapy discharge assessment recommending a hand grip, staff failed to update the clinical record and assist the resident with the device. Observations confirmed the absence of the device, and the resident reported a lack of staff assistance.
A facility failed to implement smoking safety measures for a resident with depression and anxiety. The facility's policy requires smoking supplies to be stored by staff at the nurses' station, but the resident kept them in a personal bag on his bed. Interviews with the DON and ADON confirmed the supplies should have been stored according to policy.
The facility failed to monitor and address significant weight loss for two residents at risk for nutritional problems. One resident, with traumatic brain injury and dysphagia, lost 12 pounds over a short period, and the RD was not notified until much later. Another resident lost 24.2 pounds, and the weight loss was not addressed promptly. The Administrator confirmed the lack of timely notification and intervention.
A resident with a history of stroke and depression did not receive the required adaptive eating equipment, specifically a curved spoon, as outlined in her care plan. Despite the care plan's directive and the resident's meal tray ticket indicating the need for a curved spoon, observations revealed that she was consistently given a regular spoon during meals.
A dietary employee failed to maintain sanitary conditions during food service by not changing gloves or performing hand hygiene after leaving the tray line, wiping gloves on clothing, and handling cooked chicken with the same gloves.
The facility failed to notify residents and their representatives of appeal rights and Ombudsman information upon hospital transfer. Five residents were transferred due to a change in condition, but there was no documented evidence that they or their representatives received the required notifications.
Failure to Notify Responsible Party of Hospice Resident’s Change in Condition and Pain Medication Use
Penalty
Summary
The facility failed to notify a resident’s responsible party of a change in medical condition and new medication administration for a hospice resident. The resident, who had liver cancer and was admitted to hospice services on March 2, 2026, had a physician’s order for oral morphine sulfate every two hours as needed for pain. Review of the April 2026 MAR showed that the narcotic pain medication was administered on April 10, 2026, at 2:40 a.m., representing a change in the resident’s medical status and treatment. However, there was no documentation that the resident’s responsible party was informed of this change in condition and medication use. In an interview on April 10, 2026, at 11:45 a.m., the Nursing Home Administrator confirmed that the responsible party had not been notified of the change in medical condition and the administration of the pain medication. This deficiency was cited under 28 Pa. Code 211.12(d)(1)(5) related to nursing services, based on clinical record review and staff interview findings that the required notification to the responsible party did not occur.
Call Bell Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that a call bell was accessible for a resident, identified as Resident 104, who was part of a sample of 39 residents. Resident 104 had medical diagnoses including polyneuropathy and dementia, and was dependent on staff for activities of daily living such as toileting, dressing, and personal hygiene. The care plan for Resident 104 indicated a risk for falls and included an intervention for staff to keep commonly used articles within easy reach and to reinforce the need for the resident to call for assistance. However, on March 5, 2025, the resident was observed in bed with the call bell on the floor and out of reach at three different times: 11:16 a.m., 12:19 p.m., and 2:40 p.m. The Assistant Director of Nursing confirmed that the call bell should have been placed within the resident's reach.
Failure to Notify Representatives of Significant Weight Loss
Penalty
Summary
The facility failed to notify the responsible parties of three residents who experienced significant weight loss, as required by their policies. The facility's policy on 'Weights and Heights' and 'Change in Condition: Notification of' mandates immediate notification to a resident's representative in the event of a significant change in condition, such as weight loss. However, clinical record reviews revealed that the facility did not adhere to these policies for three residents. Resident 44, diagnosed with sarcopenia and dementia, experienced a 10.8% weight loss over a month, with no evidence of notification to their representative. Resident 46, with anemia and anxiety, lost 11.8% of their weight in a month, again without notification. Resident 164, who had a traumatic brain injury and dysphagia, lost 5.0% of their weight in a short period, and there was no evidence of notification. The facility administrator confirmed the lack of evidence for notifying the residents' representatives about these significant weight losses.
Failure to Provide Adequate Grooming and Hygiene
Penalty
Summary
The facility failed to provide adequate grooming and hygiene services for three residents who were dependent on staff for activities of daily living (ADLs). Resident 1, diagnosed with muscle weakness, required assistance with ADLs and preferred her nails to be kept short. However, observations on consecutive days revealed her nails were long and dirty, and she confirmed that staff had not offered assistance with nail care. There was no evidence of her refusing such care. Resident 99, who had dementia and dermatitis, was also dependent on staff for ADLs. Observations showed her fingernails were long, jagged, and dirty, with a dark substance underneath. She indicated a preference for her nails to be cut, yet no assistance was provided. Similarly, Resident 183, with unspecified dementia and anxiety, was observed with long, jagged, and dirty nails. Despite her dependence on staff for ADLs and her expressed dislike for long nails, no assistance was offered. The Assistant Director of Nursing confirmed that nail care should have been provided during bathing and as needed.
Failure to Implement Orthotic Device for Resident
Penalty
Summary
The facility failed to implement necessary interventions to prevent a decline in range of motion for Resident 159, who had a history of stroke and depression. The resident's care plan indicated self-care deficits and required staff assistance for activities of daily living. A physician's order dated December 27, 2024, instructed staff to apply a soft hand splint to the resident's right hand during the day shift. However, the clinical record was not updated to reflect the correct orthotic device as per the occupational therapy discharge assessment, which recommended a right palm grip to be placed during morning care. Observations on March 4 and 5, 2025, revealed that Resident 159's right hand was contracted, and no orthotic device was in place. The resident reported that staff often did not assist with the placement of the orthotic device, and she had not refused assistance. The Assistant Director of Nursing confirmed that the order for the new hand grip was not implemented according to the therapy discharge summary. There were no documented refusals from the resident regarding the use of the orthotic device.
Failure to Implement Smoking Safety Measures
Penalty
Summary
The facility failed to implement safety measures related to smoking for a resident who smokes. The facility's smoking policy, last reviewed in November 2024, requires that smoking supplies, including cigarettes and lighters, be labeled with the resident's name, room number, and bed number, and be maintained by staff in a suitable cabinet at the nurses' station. However, a clinical record review revealed that the resident, who has diagnoses of depression and anxiety, was independent for smoking, and staff were to educate and monitor compliance with the smoking policy. On March 4, 2025, the resident was observed with his smoking supplies in his personal bag on his bed, contrary to the policy. Interviews with the Director of Nursing and the Assistant Director of Nursing confirmed that the supplies should have been kept behind the nurses' station, and the resident's possession of the supplies was acknowledged as a deviation from the policy.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to adequately monitor and assess weight loss for two residents at risk for nutritional problems. Resident 164, diagnosed with traumatic brain injury and dysphagia, experienced a significant weight loss of 12 pounds (5.2%) between December 19 and December 24, 2024. Despite the facility's policy requiring notification of the registered dietitian (RD) for significant weight changes, there was no evidence that the RD was informed of this weight loss. The RD did not address the issue until January 30, 2025, by which time the resident's weight had fluctuated significantly, indicating continued weight loss. The resident's nutritional supplements were discontinued without confirmation of weight gain, and the RD was not notified of the ongoing weight loss. Similarly, Resident 46, who had a history of significant weight loss and was at risk for nutritional problems, lost 24.2 pounds (11.8%) between December 3, 2024, and January 3, 2025. The facility's care plan required staff to monitor changes in nutritional status, but there was no evidence that the RD was notified of this significant weight loss. The weight loss was not addressed until February 10, 2025. In an interview, the Administrator confirmed the lack of evidence that the RD was notified or that the weight loss was addressed in a timely manner.
Failure to Provide Adaptive Eating Equipment
Penalty
Summary
The facility failed to provide adaptive equipment to a resident, identified as Resident 159, who required it due to medical conditions including stroke and depression. The resident's care plan specified the need for a curved right spoon to mitigate nutrition risks. However, during observations on March 4 and March 5, 2025, the resident was repeatedly provided with a regular spoon instead of the required curved spoon during meal times. The resident confirmed that she often did not receive the curved spoon as indicated on her meal tray ticket.
Failure to Maintain Sanitary Conditions During Food Service
Penalty
Summary
The facility failed to maintain sanitary conditions during food service in the kitchen. During an observation of the tray line service, a dietary employee was seen wearing gloves while assembling resident meals. The employee left the tray line to obtain plates, pushing a rolling cart, and did not change gloves or perform hand hygiene upon returning. The employee continued to assemble meals with the same gloves and was observed wiping the gloves on her clothing twice without changing them or performing hand hygiene. Additionally, the employee picked up cooked chicken from a steam table pan with the same gloves and placed it onto resident meal trays six times without changing gloves or performing hand hygiene throughout the observation period.
Failure to Notify Residents of Appeal Rights and Ombudsman Information
Penalty
Summary
The facility failed to provide timely notification to residents and their representatives regarding their appeal rights and Ombudsman information upon transfer to the hospital. This deficiency was identified for five residents who were transferred due to a change in condition. The clinical record reviews for Residents 14, 57, 101, 133, and 164 revealed that there was no documented evidence that these residents, their responsible parties, or legal representatives were informed in writing about their appeal rights and the Ombudsman when they were transferred to the hospital. Each of the five residents experienced a change in condition that necessitated their transfer to the hospital. However, the facility did not fulfill its obligation to provide the required notifications, which are crucial for ensuring that residents and their representatives are aware of their rights and the resources available to them during such transitions. The absence of documentation in the clinical records indicates a systemic issue in the facility's process for handling transfers and ensuring compliance with regulatory requirements.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 161 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bethlehem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethlehem South Skilled Nursing And Rehabilitation | 0 mi | — | 2 | 0 |
| Good Shepherd Home-bethlehem | 0.6 mi | — | 1 | 0 |
| Riverton Rehabilitation And Healthcare Center | 1.4 mi | — | 9 | 0 |
| Holy Family Manor | 1.6 mi | — | 0 | 0 |
| Moravian Village Of Bethlehem | 2.6 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Bethlehem North Skilled Nursing And Rehabilitation.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.