Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Moravian Hall Square Health And Wellness Center during CMS and state inspections, most recent first.
Failure to provide ordered adaptive eating equipment was identified for a resident with a hand fracture, chronic pain syndrome, and OA. The care plan and MD order directed staff to provide built-up left angled utensils, a divided plate, and a cup with lid and straw at all meals, but the resident was observed eating without those items in both the room and dining area. The DPT confirmed the resident should have received the adaptive equipment at all meals.
A resident with dementia and severe cognitive impairment, known to be at risk for falls and exhibiting escalating aggressive behaviors, sustained a head laceration and skin tear after a nurse placed a Dinamap device in front of the resident during an incident. The resident grabbed and shook the device, lost balance, and fell, resulting in injuries that required hospital treatment. Facility documentation and staff interviews confirmed that this action introduced a safety risk and led to an avoidable accident.
The facility failed to ensure accurate MDS assessments for two residents. One resident was incorrectly documented as receiving insulin, while another was inaccurately recorded as being discharged to a long-term care hospital instead of a personal care setting. These inaccuracies were confirmed by the Nursing Home Administrator.
The facility failed to develop comprehensive care plans for two residents. A resident with legal blindness, hearing loss, and continence issues did not have interventions for these needs in their care plan. Another resident with difficulty walking and heart failure also lacked interventions for incontinence in their care plan. The Assistant DON confirmed the absence of documented evidence addressing these care areas.
A resident with a history of lower limb fracture, anemia, and osteopenia was transferred from bed to wheelchair by only one staff member, despite orders requiring two-person assistance. This deviation from the care plan resulted in the resident experiencing discomfort after the transfer, as confirmed by facility leadership.
A resident at Moravian Hall Square Health and Wellness Center received a Covid-19 vaccine without being informed or consenting to the treatment, as required by facility policy. The resident, who had dementia and required extensive assistance, was administered the vaccine without documented evidence of informed consent. The DON confirmed the oversight.
The facility failed to develop a comprehensive care plan for a resident with polyosteoarthritis and muscle weakness. The MDS CAA summary indicated that the resident's urinary incontinence should be addressed, but no interventions were documented in the care plan. This was confirmed by the Corporate Compliance Officer.
Failure to Provide Ordered Adaptive Eating Equipment
Penalty
Summary
Provide special eating equipment and utensils for residents who need them and appropriate assistance was not ensured for one of two sampled residents who required adaptive equipment with meals. Resident 42 had diagnoses including fracture of the third and fourth metacarpal bones, chronic pain syndrome, and osteoarthritis. The care plan identified the resident as at risk for nutrition problems and directed staff to provide built-up left angled utensils, a divided plate, and a cup with a lid and straw for all meals. A physician’s order dated February 3, 2026, also directed staff to provide those items at all meals. However, on March 11, 2026, the resident was observed in her room with a meal and without the built-up left angled utensils or divided plate, and later that day was observed in the dining room with a meal and without the built-up left angled utensils, divided plate, or cup with a lid and straw. On March 12, 2026, the Director of Physical Therapy confirmed that the resident should have received the adaptive utensils, divided plate, and cup with lid and straw at all meals.
Failure to Prevent Avoidable Fall Results in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to ensure the safety of a resident with dementia and anxiety, who was identified as being at risk for falls due to confusion and behavioral symptoms. The resident, who was severely cognitively impaired and exhibited both physical and verbal aggression, began escalating in behavior, including tapping on the medication cart and attempting to throw the narcotic book. In response, a nurse placed a Dinamap device in front of the resident, which the resident then grabbed and shook. The nurse let go of the device, causing it to move, and the resident lost balance, fell backward, and struck his head on closed doors. As a result of the fall, the resident lost consciousness briefly and sustained a laceration to the head and a skin tear to the right hand, requiring transfer to the hospital for treatment, including staples and Steri-Strips. Facility documentation and staff interviews confirmed that the action of placing the Dinamap in front of the resident introduced a safety risk and directly contributed to the avoidable accident and resulting injuries.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate completion of the Minimum Data Set (MDS) assessments for two residents. Resident 47, who had a diagnosis of diabetes, was inaccurately documented as receiving insulin injections during a seven-day review period, despite having no physician's order for insulin and no administration of the medication. Additionally, Resident 57, admitted for short-term rehabilitation, was incorrectly recorded on the MDS assessment as being discharged to a long-term care hospital, while nursing notes indicated the resident was discharged to a personal care setting with memory support. These inaccuracies were confirmed by the Nursing Home Administrator during an interview.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, as identified in their comprehensive assessments. Resident 20, who has diagnoses including legal blindness, hearing loss, difficulty walking, and an enlarged prostate, was noted in the Minimum Data Set (MDS) assessment to have vision difficulties, communication issues due to impaired hearing, and continence issues. However, there was no evidence that interventions for these issues were included in the care plan. Similarly, Resident 56, with diagnoses of difficulty walking and heart failure, was identified in the MDS Care Area Assessment (CAA) summary to have incontinence issues that needed to be addressed in the care plan. Despite this, there was no evidence that interventions for urinary incontinence were included in the current care plan. The Assistant Director of Nursing confirmed the absence of documented evidence addressing these care areas in the care plans.
Failure to Follow Transfer Safety Interventions
Penalty
Summary
A deficiency occurred when staff failed to implement the assessed safety intervention for a resident who had a closed fracture of the left tibia/fibula, anemia, and osteopenia. The resident was admitted with orders from the physical therapist and physician requiring transfers from bed to wheelchair to be performed with the assistance of two staff members. However, a nurse's note documented that the resident was transferred by only one staff member, contrary to the care plan, and the resident experienced discomfort following this transfer. The Nursing Home Administrator confirmed that the nursing assistant did not follow the resident's plan of care.
Failure to Obtain Informed Consent for Covid-19 Vaccine
Penalty
Summary
Moravian Hall Square Health and Wellness Center was found to be non-compliant with federal and state regulations regarding the right of residents to be informed and make treatment decisions. The facility failed to inform a resident or their responsible party in advance about a treatment option, specifically the administration of a Covid-19 vaccine. The facility's policy required that residents or their legal representatives receive information and education about the benefits and potential side effects of the vaccine and that consent be obtained prior to administration. However, this procedure was not followed for one of the sampled residents. The resident in question was admitted to the facility with diagnoses including dementia and muscle weakness, and required extensive assistance with activities of daily living. A physician had ordered the administration of a Covid-19 vaccine as needed in the event of an outbreak. On a specified date, the vaccine was administered without documented evidence that the resident or their representative was informed or consented to the treatment. The Director of Nursing confirmed that informed consent was not obtained prior to the vaccine administration.
Plan Of Correction
1. The Infection Prevention Nurse will provide education to residents and/or their designated representatives regarding vaccination options and their benefits and risks prior to obtaining informed consent. 2. If the resident representative and the resident are unable to recall IF they had received a recent vaccination, their community Primary Care Physician will be contacted. 3. The Infection Prevention Nurse will obtain informed consent for all vaccinations from residents and/or their designated representatives, utilizing the Document Manager in PCC or, where applicable, paper documentation. 4. A physician's order will be obtained. 5. The nurse will verify that informed consent has been obtained prior to administering any vaccinations. 6. Residents will be monitored for signs and symptoms for 24 to 48 hours following administration of the vaccine. 7. Vaccination administration will be documented by the nurse in EMAR on PCC and updated in the immunizations tab of the resident's EMR. 8. The COVID-19 Vaccine Policy has been reviewed, and staff have been educated on the associated policies and procedures. This includes training on how to effectively communicate with residents and their representatives regarding vaccination, ensuring they understand the informed consent process and their right to make an informed decision. 9. The Infection Preventionist will be responsible to ensure all vaccinations have physician orders and consent prior to administration. This will be completed by the Infection Preventionist, with the DON as her backup. This will be added to our QAPI reporting no less than quarterly for the next year.
Failure to Address Urinary Incontinence in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan to meet the needs of Resident 32, who was admitted with diagnoses including polyosteoarthritis and muscle weakness. The Minimum Data Set (MDS) Care Area Assessment (CAA) summary indicated that the resident's urinary incontinence should be addressed in the care plan. However, there was no documented evidence that interventions for urinary incontinence were included in the current care plan. This deficiency was confirmed by the Corporate Compliance Officer during an interview.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Nazareth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northampton County-gracedale | 1.1 mi | ★★★★★ | 14 | 4 |
| Country Meadows Nursing Center Of Bethlehem | 4.9 mi | ★★★★★ | 0 | 0 |
| Easton Skilled Nursing And Rehabilitation Center | 5.1 mi | ★★★★★ | 9 | 0 |
| New Eastwood Healthcare And Rehabilitation Center | 5.5 mi | ★★★★★ | 0 | 0 |
| Northampton Post Acute | 6.3 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.