10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bethlehem, PA
3-star overall rating with 3-star inspections with $3,387 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3370 High Pointe Boulevard, Bethlehem, PA
(484) 245-7100
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
46
Certified beds
Average residents
44
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2023-09-15
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.05
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.49
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.97
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.48
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.92
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.86
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
3,412
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9975
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 23.32% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.66
Performance 6.44% · Measure score 4.66 · Achievement 4.66 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
8.67
Performance 5.54 hours · Measure score 8.67 · Achievement 8.67 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.1% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 16.67% · Lower 95% interval 10.09% |
| Discharge to community | 63% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 215 · Observed rate 53.02% · Lower 95% interval 53.98% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.02% |
95.27%
2.8 pts better
|
Numerator 346 · Denominator 353 |
| Falls with major injury | 0.28% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 353 |
| Discharge self-care score | 54.94% |
53.69%
1.2 pts better
|
Numerator 128 · Denominator 233 |
| Discharge mobility score | 56.65% |
50.94%
5.7 pts better
|
Numerator 132 · Denominator 233 |
| Pressure ulcers or injuries, new or worsened | 0.57% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 353 · Adjusted rate 0.57% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 284 · Observed rate 6.69% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 18.07% |
8.2%
9.9 pts better
|
Numerator 15 · Denominator 83 |
| Staff flu vaccination coverage | 6.33% |
42%
35.7 pts worse
|
Numerator 10 · Denominator 158 |
| Discharge function score | 52.36% |
56.45%
4.1 pts worse
|
Numerator 122 · Denominator 233 |
| Transfer of health information to provider | 96.79% |
95.95%
0.8 pts better
|
Numerator 271 · Denominator 280 |
| Transfer of health information to patient | 84.06% |
96.28%
12.2 pts worse
|
Numerator 58 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 27.72% |
25.2%
2.5 pts better
|
Numerator 56 · Denominator 202 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
68.9%
23 pts better
|
81.7%
10.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.2% · Q2 90.8% · Q3 98.9% · Q4 98.9% · 4Q avg 91.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
9.8%
4.5 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 15.3% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.5% · Q3 0.0% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.3% |
68.7%
17.6 pts better
|
79.7%
6.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
23.1%
0.2 pts worse
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 25.8% · Expected 26.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-17
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-31
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-31
Fire Safety
Meet other general requirements.
Corrected 2024-08-31
Inspection history
Health
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 2025-07-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-17
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-17
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-07-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-17
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-17
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-07-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-02
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-03-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-23
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-07-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-23
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-23
Penalties and ownership
Fine · fine $3,387
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Bethlehem, PA
5-star overall rating with 5-star inspections with 11 fire-safety deficiencies in the latest cycle
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Bethlehem, PA
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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