Cycle 1
Health 2025-06-18 · Fire 2025-06-18
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bethlehem, PA
Moravian Village Of Bethlehem
5-star overall rating with 5-star inspections with 1 recent health deficiencies
634 East Broad Street, Bethlehem, PA
(610) 625-4885
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
93
Certified beds
Average residents
47
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2005-06-24
CMS approved date
Coverage
Medicare
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
1.15
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.38
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.13
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.10
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.02
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
1.25
CMS adjusted RN staffing hours
Adjusted total hours
4.73
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
426
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.21
Composite VBP score used to determine payment impact.
Payment multiplier
1.0225
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.87
Baseline 20.27% · Performance 18.71% · Measure score 5.87 · Achievement 5.87 · Improvement 4.31
Healthcare-associated infections
10
Baseline 4.87% · Performance 4.60% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.87
Baseline 38.18% · Performance 35.59% · Measure score 6.87 · Achievement 6.87 · Improvement 1.44
Adjusted total nurse staffing
5.34
Baseline 5 hours · Performance 4.60 hours · Measure score 5.34 · Achievement 5.34 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.97% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 237 · Observed rate 8.44% · Lower 95% interval 7.28% |
| Discharge to community | 64.87% |
50.57%
14.3 pts better
|
Better than the National Rate · Eligible stays 231 · Observed rate 61.04% · Lower 95% interval 59.65% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 95.63% |
95.27%
0.4 pts better
|
Numerator 175 · Denominator 183 |
| Falls with major injury | 1.1% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 182 |
| Discharge self-care score | 60.39% |
53.69%
6.7 pts better
|
Numerator 93 · Denominator 154 |
| Discharge mobility score | 45.45% |
50.94%
5.5 pts worse
|
Numerator 70 · Denominator 154 |
| Pressure ulcers or injuries, new or worsened | 2.73% |
2.29%
0.4 pts worse
|
Numerator 5 · Denominator 183 · Adjusted rate 3.46% |
| Healthcare-associated infections requiring hospitalization | 4.6% |
7.12%
2.5 pts better
|
Better than the National Rate · Eligible stays 171 · Observed rate 1.17% · Lower 95% interval 2.63% |
| Staff COVID-19 vaccination coverage | 0.71% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 141 |
| Staff flu vaccination coverage | 13.04% |
42%
29 pts worse
|
Numerator 15 · Denominator 115 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 84 · Denominator 154 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 99.25% |
96.28%
3 pts better
|
Numerator 133 · Denominator 134 |
| Resident COVID-19 vaccinations up to date | 55.56% |
25.2%
30.4 pts better
|
Numerator 45 · Denominator 81 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.2 |
1.7
1.5 pts better
|
1.9
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.2
0.8 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
86.9%
12.2 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.8% · 4Q avg 99.1% |
| 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 | 0.9% |
3.2%
2.3 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
6.5%
4.6 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 4.5% · Q4 0.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
6.5%
5.4 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% |
19.9%
0.3 pts worse
|
19.6%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 21.7% · Q3 25.0% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
18.7%
12.4 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 6.3% · 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 ability to walk independently worsened | 23.5% |
19.6%
3.9 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
18.3%
3.9 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · 4Q avg 22.2% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
26.4%
1.6 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 28.1% · Q3 29.0% · Q4 27.5% · 4Q avg 28.0% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.3%
0.7 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.6% · Q3 3.8% · Q4 3.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
68.9%
27.7 pts better
|
81.7%
14.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 94.9% · Q3 96.3% · Q4 98.7% · 4Q avg 96.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
9.8%
2 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
1.5%
1.9 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.9% · Q3 1.0% · Q4 1.8% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.8% |
68.7%
27.1 pts better
|
79.7%
16.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
23.1%
4.2 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 16.6% · Expected 20.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2024-05-23
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-14 · Fire 2023-06-14
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-18
D · Potential for more than minimal harm
2023-06-14
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-07
B · Minimal harm
2023-06-14
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-07-07
D · Potential for more than minimal harm
2023-05-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
Penalties and ownership
What sits behind the stars
Ownership
Bethlehem Area Moravians, Inc
5% Or Greater Direct Ownership Interest · Organization
Bethlehem Area Moravians, Inc
Operational/Managerial Control · Organization
Boyd, Terri
Corporate Director · Individual
Boyer, Beth
Corporate Director · Individual
Charrier, David
Corporate Director · Individual
Davison, Brian
Corporate Director · Individual
Kleintop, Douglas
Corporate Director · Individual
Matz, William
Corporate Director · Individual
Michaels, Justin
Operational/Managerial Control · Individual
Miller, Dan
Corporate Director · Individual
Patton, Tracy
Corporate Director · Individual
Pheiffer, Thomas
Corporate Director · Individual
Rohmann, Carl
Corporate Director · Individual
Sergent, Art
Corporate Director · Individual
Soos, Daniel
Operational/Managerial Control · Individual
Soos, Daniel
Corporate Director · Individual
Soos, Daniel
Corporate Officer · Individual
Taylor, Dwight
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Holy Family Manor
Bethlehem, PA
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
#2
Advanced Health Care Of Hanover
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
#3
Kirkland Village
Bethlehem, PA
5-star overall rating with 5-star inspections with 11 fire-safety deficiencies in the latest cycle
Jump out