Nazareth, PA

Northampton County-Gracedale

1-star overall rating with 1-star inspections with abuse icon flag with $154,330 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Gracedale Avenue, Nazareth, PA

(610) 746-1900

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

688

Certified beds

Average residents

492

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-11-01

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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1,083

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

Performance score

60.09

Composite VBP score used to determine payment impact.

Payment multiplier

1.0153

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.39

Baseline 22.13% · Performance 19.12% · Measure score 5.39 · Achievement 4.98 · Improvement 5.39

Healthcare-associated infections

6.77

Baseline 5.49% · Performance 5.81% · Measure score 6.77 · Achievement 6.77 · Improvement 0

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

5.86

Baseline 3.21 hours · Performance 4.75 hours · Measure score 5.86 · Achievement 5.86 · Improvement 5.47

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.35%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 274 · Observed rate 9.12% · Lower 95% interval 7.32%
Discharge to community	29.83%	50.57% 20.7 pts worse	Worse than the National Rate · Eligible stays 111 · Observed rate 19.82% · Lower 95% interval 20.01%
Medicare spending per beneficiary	0.72	1.02 0.3 pts better
Drug regimen review with follow-up	93.43%	95.27% 1.8 pts worse	Numerator 185 · Denominator 198
Falls with major injury	3.03%	0.77% 2.3 pts worse	Numerator 6 · Denominator 198
Discharge self-care score	38.85%	53.69% 14.8 pts worse	Numerator 61 · Denominator 157
Discharge mobility score	34.39%	50.94% 16.5 pts worse	Numerator 54 · Denominator 157
Pressure ulcers or injuries, new or worsened	3.54%	2.29% 1.2 pts worse	Numerator 7 · Denominator 198 · Adjusted rate 2.65%
Healthcare-associated infections requiring hospitalization	5.81%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 156 · Observed rate 5.13% · Lower 95% interval 3.68%
Staff COVID-19 vaccination coverage	0.39%	8.2% 7.8 pts worse	Numerator 2 · Denominator 519
Staff flu vaccination coverage	27.41%	42% 14.6 pts worse	Numerator 176 · Denominator 642
Discharge function score	47.13%	56.45% 9.3 pts worse	Numerator 74 · Denominator 157
Transfer of health information to provider	75%	95.95% 21 pts worse	Numerator 27 · Denominator 36
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date	25.89%	25.2% 0.7 pts better	Numerator 29 · Denominator 112

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.2 0.1 pts worse	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.8%	86.9% 7.9 pts better	93.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.5% · Q3 94.1% · Q4 90.7% · 4Q avg 94.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	93.5% 3.7 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	3.2% 1.5 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.4% · Q3 3.9% · Q4 4.7% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.0%	6.5% 2.5 pts better	11.4% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.3% · Q3 4.5% · Q4 3.9% · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight	6.6%	6.5% 0.1 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.3% · Q3 7.3% · Q4 7.2% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.4%	19.9% 2.5 pts worse	19.6% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 21.2% · Q3 21.9% · Q4 22.1% · 4Q avg 22.4%
Percentage of long-stay residents who received an antipsychotic medication	36.1%	18.7% 17.4 pts worse	16.7% 19.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 36.3% · Q3 34.3% · Q4 34.8% · 4Q avg 36.1% · 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	19.6%	19.6% About the same	16.3% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 21.5% · Q3 20.5% · Q4 18.5% · 4Q avg 19.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.4%	18.3% 1.1 pts worse	14.9% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 20.6% · Q3 16.8% · Q4 18.7% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.2% · Q3 0.3% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.7% 0.4 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.9% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.3%	26.4% 3.1 pts better	19.8% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 24.8% · Q3 21.9% · Q4 27.2% · 4Q avg 23.3%
Percentage of long-stay residents with pressure ulcers	6.2%	5.3% 0.9 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.4% · Q3 7.0% · Q4 4.3% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.8%	68.9% 9.1 pts worse	81.7% 21.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 63.0% · Q2 56.8% · Q3 56.5% · Q4 64.0% · 4Q avg 59.8%
Percentage of short-stay residents who had an outpatient emergency department visit	14.2%	9.8% 4.4 pts worse	12.0% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 16.3% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.3%	1.5% 2.8 pts worse	1.6% 2.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.9% · Q3 4.1% · Q4 3.5% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.3%	68.7% 29.4 pts worse	79.7% 40.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.3%	23.1% 2.2 pts worse	23.9% 1.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 29.2% · Expected 27.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-16 · Fire 2025-04-16

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-04-16

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 2025-05-27

E · Potential for more than minimal harm 2025-04-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-04-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-04-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-04-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-27

E · Potential for more than minimal harm 2024-05-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-13

E · Potential for more than minimal harm 2024-05-02

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-13

D · Potential for more than minimal harm 2024-05-02

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-13

D · Potential for more than minimal harm 2024-05-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-07-13

C · Minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-13

E · Potential for more than minimal harm 2023-06-08

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 2023-07-26

D · Potential for more than minimal harm 2023-06-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-26

D · Potential for more than minimal harm 2023-06-08

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-07-26

C · Minimal harm 2023-06-08

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-07-26

Inspection history

Recent health citations

G · Actual harm 2025-10-17

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 2025-12-03

J · Immediate jeopardy 2025-10-02

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-06

K · Immediate jeopardy 2025-09-23

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 2025-09-25

E · Potential for more than minimal harm 2025-09-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-09-23

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-25

J · Immediate jeopardy 2025-09-19

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 2025-09-22

G · Actual harm 2025-06-25

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 2025-08-01