Federal inspection record · CMS data as of October 1, 2026
Bethlehem South Skilled Nursing And Rehabilitation
2021 Westgate Drive, Bethlehem, PA · (610) 865-6077
- Cited for abuse (CMS abuse icon)
- Certified beds
- 227
- Residents per day
- 193
- Ownership
- For-Profit
- Chain
- Genesis Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 26, 1978
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Pennsylvania homes
Bethlehem South Skilled Nursing And Rehabilitation carries 65 inspection points. That is fewer than 43% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care14E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Assist a resident in gaining access to vision and hearing services.
- E
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.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights9E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1C
- C
Dispose of garbage and refuse properly.
Inspection history
2025-09-05
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-11-27
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-02
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 15 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$27,378 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-29 | Fine | $27,378 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.3 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.6 pts worse | 69.2% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts worse | 89.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts worse | 18.4% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts better | 2.3% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 16.6% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 13.5% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 13.5% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts worse | 23.7% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts worse | 29.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 5.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.5 pts worse | 41.3% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 6.5% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine35 pts worse | 35.9% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 23.8% | 22.0% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Genesis Pm Pa Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Aversa, Thaddeus | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Aversa, Thaddeus | Adp Of The SNF · Individual | 0% | 4 facilities |
| Berg, Michael | Corporate Officer · Individual | 0% | 165 facilities |
| Bridgeford, Laura | Corporate Officer · Individual | 0% | 148 facilities |
| Callazo, Nancy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Callazo, Nancy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Fc-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 155 facilities |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Gen Operations Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 161 facilities |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 152 facilities |
| Ghc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 118 facilities |
| Mendelson, Avi | Corporate Officer · Individual | 0% | 147 facilities |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 156 facilities |
| Whitman, Arnold | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 153 facilities |
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