Northampton County-Gracedale
Gracedale Avenue · Nazareth, PA · 18064 · 6107461900
688 certified beds Government - County
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $122,572 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$122,572 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $122,572 |
Inspection citations (19 in the current record)
-
Actual harm · G October 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J October 2, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 6, 2025 · Resident Rights
-
Immediate jeopardy · K September 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 25, 2025 · Quality of Life and Care
-
Potential for harm · D September 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 25, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E September 23, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 25, 2025 · Nursing and Physician Services
-
Potential for harm · E September 23, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 25, 2025 · Administration
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Immediate jeopardy · J September 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2025 · Quality of Life and Care
-
Actual harm · G June 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 16, 2025
Ensure each resident receives an accurate assessment.
Corrected June 2, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 16, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 2, 2025 · Quality of Life and Care
-
Potential for harm · D April 16, 2025
Provide appropriate foot care.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 2, 2025 · Quality of Life and Care
-
Potential for harm · D April 16, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 2, 2025 · Nutrition and Dietary
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Potential for harm · D May 2, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 15, 2024 · Quality of Life and Care
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Potential for harm · D May 2, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 15, 2024 · Quality of Life and Care
-
Potential for harm · D June 16, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 17, 2023 · Resident Rights
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Potential for harm · D June 8, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · D June 8, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 28, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 19, 2025 | Fine | $9,113 |
| September 19, 2025 | Fine | $91,202 |
| June 25, 2025 | Fine | $22,257 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395476 · certified since November 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.