Bethlehem, PA

Good Shepherd Home-Bethlehem

5-star overall rating with 5-star inspections with 1 recent health deficiencies

2855 Schoenersville Road, Bethlehem, PA

(610) 807-5600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

58

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2007-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.66

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.85

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.13

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.29

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.40

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

1.30

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.19

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.39

CMS adjusted RN staffing hours

Adjusted total hours

4.29

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,475

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.55

Composite VBP score used to determine payment impact.

Payment multiplier

1.0035

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.93

Baseline 18.97% · Performance 31.25% · Measure score 7.93 · Achievement 7.93 · Improvement 0

Adjusted total nurse staffing

1.98

Baseline 3.50 hours · Performance 3.64 hours · Measure score 1.98 · Achievement 1.98 · Improvement 0.13

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	10.84%	8.2% 2.6 pts better	Numerator 9 · Denominator 83
Staff flu vaccination coverage	92.79%	42% 50.8 pts better	Numerator 103 · Denominator 111
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.7 0.3 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.2 0.4 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	86.9% 9.3 pts better	93.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.8% · Q2 95.0% · Q3 100.0% · Q4 100.0% · 4Q avg 96.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.2% 3.2 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	6.5% 5.4 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.1% · Q4 0.0% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	3.1%	6.5% 3.4 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 5.4% · Q4 3.4% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.4%	19.9% 10.5 pts worse	19.6% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 35.0% · Q3 28.8% · Q4 25.4% · 4Q avg 30.4%
Percentage of long-stay residents who received an antipsychotic medication	17.0%	18.7% 1.7 pts better	16.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 14.8% · Q3 16.4% · Q4 19.6% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	10.0%	18.3% 8.3 pts better	14.9% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.8% · Q3 12.5% · Q4 9.4% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.7% 0.1 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 3.6% · Q4 1.7% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.5%	26.4% 4.1 pts worse	19.8% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.7% · Q2 36.3% · Q3 13.1% · Q4 33.8% · 4Q avg 30.5%
Percentage of long-stay residents with pressure ulcers	4.7%	5.3% 0.6 pts better	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 7.9% · Q3 4.0% · Q4 3.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents who had an outpatient emergency department visit	8.8%	9.8% 1 pts better	12.0% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 14.8% · Expected 18.8% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.5%	23.1% 8.6 pts better	23.9% 9.4 pts better	Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 22.2% · Expected 36.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-08 · Fire 2026-01-08

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-12-19 · Fire 2024-12-19

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-12-07 · Fire 2023-12-07

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-19

K321 · Smoke Deficiencies

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 2025-02-05

E · Potential for more than minimal harm 2024-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-12-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-12-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-05

E · Potential for more than minimal harm 2023-12-07

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-02-19

E · Potential for more than minimal harm 2023-12-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-19

E · Potential for more than minimal harm 2023-12-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-19

Inspection history

Recent health citations

C · Minimal harm 2026-01-08

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Not marked corrected

D · Potential for more than minimal harm 2024-12-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-17

D · Potential for more than minimal harm 2024-12-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-17

Penalties and ownership