Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Moravian Village Of Bethlehem during CMS and state inspections, most recent first.
Failure to Provide Required Transfer Notices and Bed-Hold Information: The facility did not provide written transfer notices, appeal rights, Ombudsman info, or bed-hold policy details to the resident and representative(s) for three residents who were sent to the hospital after significant changes in condition. The record also lacked evidence that copies of the transfer notices were sent to the State LTC Ombudsman, and the Administrator confirmed the notices were not sent.
Failure to assess two residents for self-administration of medications. Two alert and oriented residents had prescribed topical medications on their tray tables and stated they were allowed to give the meds themselves, but there was no documentation that the IDT completed the required self-administration assessment or that either resident had a physician order to self-administer. The DON confirmed both residents had not been assessed.
A resident with depression and anxiety received two antidepressants and one antianxiety medication, but the current care plan did not include documented interventions to address psychotropic drug use. The MDS CAA summary noted this need, and the DON confirmed there was no documented evidence that it was addressed in the care plan.
Failure to provide grooming and hygiene assistance for a resident who needed partial to moderate help with ADLs. The resident had polyosteoarthritis and polyneuropathy, and the care plan directed staff to assist with ADLs and clean/manicure fingernails as needed. Staff documentation showed bathing occurred, but the resident was observed with long, yellow, uneven, dirty nails on multiple occasions, and there was no evidence nail care was offered or provided. The DON confirmed nail care is to be done on bathing days and as needed.
A resident with diabetes and osteomyelitis was ordered to have blood glucose checks before meals and at bedtime, but staff often checked her blood sugar after meals instead. During observation, she had already eaten breakfast before her BG was checked, and the DON confirmed the checks should have been done before eating per the MD order.
A resident with Parkinson's disease, polyneuropathy, and malnutrition had physician orders and a care plan for an adaptive cup with a straw, but staff did not provide the ordered equipment in her room. During observations, she was using a Styrofoam cup instead, and she stated she struggled with it and had spilled water on herself. The DON confirmed the resident should have had the adaptive cup available.
A resident with multiple thoracic vertebral fractures, rib fractures, and severe kyphosis had a buprenorphine transdermal patch that, per manufacturer instructions and a hospital summary, was to be discontinued after completion of the current patch. Facility staff did not identify the patch order, did not monitor its use, and did not remove it as directed, resulting in the patch remaining on the resident’s upper arm for 13 days instead of the recommended seven. The DON later confirmed that the order was not recognized until a nurse discovered the patch during the resident’s transfer to the hospital and that it should have been removed earlier.
A resident with atrial fibrillation had a physician order for propafenone 225 mg TID, but three scheduled doses were not administered on a specific day because the medication was not provided timely by the pharmacy. Review of the MAR confirmed the missed doses, and the DON acknowledged during interview that the ordered anti-arrhythmia medication had not been given as prescribed, resulting in a deficiency in pharmacy and nursing services.
A resident with atrial fibrillation had a care plan directing staff to provide showers twice weekly, but review of the ADL Verification Worksheet showed missing documentation for four scheduled shower occasions over a multi-week period. During an interview, the DON was unable to produce records confirming that the showers were offered or provided as care planned, resulting in incomplete and inaccurate clinical documentation of nursing services.
A resident with a broken ankle and diabetes did not receive an ordered anti-embolic stocking to the left leg, as required for swelling. Observations showed the stocking was not applied, though nurses documented it as completed. The resident confirmed the intervention was never performed, and the DON acknowledged the order was not followed.
Failure to Provide Required Transfer Notices and Bed-Hold Information
Penalty
Summary
The facility failed to provide written transfer notices to the resident and the resident's representative(s) when Residents 3, 10, and 50 were transferred to the hospital after significant changes in condition. The notices were not documented as including the reasons for the transfers, the effective date of the transfer, a statement of appeal rights, or Ombudsman information. The record also did not show that the residents and/or their responsible parties or legal representatives were given written information about the bed-hold policy. Clinical record review showed that Resident 3 was transferred to the hospital on February 15, 2026, Resident 10 was transferred on June 4 and June 10, 2026, and Resident 50 was transferred on May 11 and June 19, 2026. For each of these residents, there was no documented evidence that the facility provided the required written transfer notice or bed-hold information, and there was no documented evidence that copies of the transfer notices were sent to a representative of the Office of the State Long-Term Care Ombudsman. During an interview on July 1, 2026, at 12:05 p.m., the Administrator confirmed that the transfer notifications and bed-hold policy were not sent for these residents and resident representatives, and that the written copies of the transfer notices were not sent to the Ombudsman.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to assess whether two residents could self-administer medications when clinically appropriate. The facility policy stated that the interdisciplinary team was responsible for determining resident safety to self-administer medications and for completing a Self-Administration of Medications UDA when a resident indicated a desire to self-administer. However, there was no documentation that this assessment had been completed for either resident. Resident 4 was admitted with diagnoses including chronic heart failure, persistent lower extremity edema, and bullous pemphigoid. The MDS dated May 29, 2026, identified the resident as alert and oriented. During multiple observations on June 30 and July 1, 2026, a prescribed tube of clobetasol 0.05% topical corticosteroid was seen on the resident's tray table, and the resident stated he was permitted to administer the medication himself. Resident 5 was admitted with diagnoses including diabetes, polyneuropathy, and osteomyelitis. The MDS dated April 20, 2026, identified the resident as alert and oriented. During multiple observations on July 1, 2026, a prescribed diclofenac 1% topical pain medication was seen on the resident's tray table, and the resident stated she was permitted to administer the medication herself. The DON confirmed that neither resident had a physician's order to self-administer medications and neither had been assessed to self-administer the medication.
Care Plan Did Not Address Psychotropic Drug Use
Penalty
Summary
Facility failed to develop a comprehensive care plan that addressed all of Resident 8’s needs identified in the comprehensive assessment. Resident 8 was admitted with diagnoses including depression and anxiety. The MDS Care Area Assessment summary dated June 11, 2026, noted that the resident’s psychotropic drug use was to be addressed in the care plan. Review of the June 2026 MAR showed the resident received two antidepressants, venlafaxine and trazodone, and one antianxiety medication, buspirone, during the review period. There was no documented evidence that interventions to address the resident’s psychotropic drug use were included in the current care plan. During an interview on July 1, 2026, the DON confirmed there was no documented evidence that psychotropic drug use was addressed in the resident’s current care plan.
Failure to Provide Nail Care and Hygiene Assistance
Penalty
Summary
The facility failed to provide services to maintain adequate grooming and hygiene for one resident who required partial to moderate assistance with hygiene and self-care and had no cognitive impairment. The resident had diagnoses including polyosteoarthritis and polyneuropathy. The care plan directed staff to assist with activities of daily living and to clean and manicure fingernails as needed. Bathing documentation showed the resident was last bathed by staff on June 29, 2026. On June 30, 2026, the resident was observed in her room with long, yellow, uneven, dirty nails and stated that she would like her nails cleaned and would not refuse nail care on her bath day because her nails were dirty. On July 1, 2026, the resident was again observed in bed with the same nail condition, with dirt under the nails. There was no evidence that staff offered or provided nail care and no documented refusals. The DON confirmed that nail care is to be done on bathing days and as needed.
Failure to Follow Blood Glucose Monitoring Order
Penalty
Summary
The facility failed to implement a physician’s order for Resident 5, who was admitted with diagnoses including diabetes and osteomyelitis and was receiving insulin injections for diabetes. A physician’s order dated April 29, 2026 directed staff to monitor blood glucose levels before meals and at bedtime. Resident 5 stated that staff often checked her blood sugar after she had finished eating and that she received insulin coverage based on post-meal blood glucose readings. During observation on July 1, 2026, Resident 5 was in her room with her breakfast tray and had eaten 100 percent of her meal, yet staff had not checked her blood glucose level before she ate. The blood glucose check was not completed until after breakfast, and the DON confirmed that the blood sugar checks should have been done prior to eating per the physician’s order.
Failure to Provide Ordered Adaptive Drinking Equipment
Penalty
Summary
The facility failed to ensure that adaptive eating equipment was provided to a resident who had Parkinson's disease, polyneuropathy, and malnutrition. The resident's clinical record included physician orders for an adaptive cup, including a one- or two-handled adaptive cup with a straw, and a nutrition assessment and care plan both identified the need for an adaptive cup and assistance with self-feeding as needed. However, during observations on multiple occasions, the resident was seen in her wheelchair with a tray table and a Styrofoam cup of water with a straw instead of the ordered adaptive cup. The resident stated that she preferred to use a two-handled adaptive cup in her room for drinking water and reported that she struggled using the Styrofoam cup and had spilled water on herself. The DON confirmed that the resident should have been provided with the adaptive cup in her room.
Failure to Timely Identify and Remove Buprenorphine Patch
Penalty
Summary
Facility staff failed to ensure a resident’s drug regimen was free from unnecessary medication when a buprenorphine transdermal patch was not identified, monitored, or removed in accordance with manufacturer instructions and hospital discharge directions. Manufacturer guidance specified that the buprenorphine patch should be changed at the same time of day exactly seven days after application, with the date and time of removal documented. The resident, admitted with multiple acute thoracic vertebral fractures, multiple right rib fractures, and severe kyphosis, had a hospital after-visit summary dated March 10, 2026, indicating that the buprenorphine patch was to be discontinued after completion of the current patch. Clinical record review and staff interview showed that the facility did not identify the buprenorphine patch order until March 23, 2026, when the resident was transferred to the hospital for a change in condition and a nurse observed the patch still on the resident’s upper arm. As a result, the patch remained in place for 13 days, exceeding the recommended seven-day duration, without appropriate monitoring or timely removal by facility staff. The DON confirmed that the buprenorphine patch order had not been identified prior to March 23, 2026, and acknowledged that staff should have removed the patch earlier, demonstrating a failure to follow the manufacturer’s instructions and the hospital’s discontinuation order for this opioid medication.
Failure to Provide Ordered Anti-Arrhythmia Medication Due to Pharmacy Delay
Penalty
Summary
Surveyors identified a deficiency in pharmaceutical and nursing services when a physician-ordered anti-arrhythmia medication was not administered as prescribed to a resident. The resident, identified as CR 1, had been admitted with diagnoses including atrial fibrillation and had a physician’s order dated December 30, 2025, for propafenone 225 mg to be given three times daily. Review of the January 2026 MAR showed that three scheduled doses of propafenone were not administered on January 15, 2026. In an interview on March 12, 2026, at 1:21 p.m., the Director of Nursing confirmed that these doses were not given and that the medication had not been provided timely by the pharmacy. These findings were cited under 28 Pa. Code 211.9(d) related to pharmacy services and 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services.
Incomplete ADL Documentation for Scheduled Showers
Penalty
Summary
The facility failed to ensure complete and accurate clinical record documentation for one resident, identified as CR 1. This resident was admitted with diagnoses including atrial fibrillation, and the care plan specified that staff were to provide showers twice weekly. Review of the facility’s ADL (Activities of Daily Living) Verification Worksheet showed that between January 21, 2026, and February 5, 2026, there was no documentation to support that showers were offered or provided twice weekly on four occasions as care planned. In an interview on March 12, 2026, at 1:14 p.m., the Director of Nursing was unable to provide documentation that the showers had been provided as identified in the resident’s plan of care, indicating incomplete and inaccurate clinical record documentation. This deficiency was cited under 28 Pa. Code 211.12(d)(1)(5) related to nursing services.
Failure to Implement Physician's Order for Anti-Embolic Stocking
Penalty
Summary
Staff failed to implement a physician's order for a resident with a broken right ankle and diabetes, which required the daily application and nightly removal of an anti-embolic stocking to the left leg due to swelling. Clinical record review and direct observation on multiple occasions revealed that the anti-embolic stocking was not applied as ordered, despite nurses documenting on the Treatment Administration Record that the intervention was completed. The resident also reported never having the stocking applied to her left leg. The Director of Nursing confirmed that the order was not followed and that the documentation indicating otherwise was incorrect.
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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 Bethlehem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holy Family Manor | 1.9 mi | ★★★★★ | 7 | 0 |
| Kirkland Village | 2.6 mi | ★★★★★ | 1 | 1 |
| Advanced Health Care Of Hanover | 2.6 mi | ★★★★★ | 6 | 0 |
| Bethlehem South Skilled Nursing And Rehabilitation | 2.6 mi | ★★★★★ | 7 | 1 |
| Bethlehem North Skilled Nursing And Rehabilitation | 2.6 mi | ★★★★★ | 20 | 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 October 2026) and official state health department websites.