A Gracedale Resident Wanders - Is it an Elopement or a "Near Miss"?

When I hear the word "elope", I usually think that star-crossed lovers have run off against their parents' wishes. Butin nursing home jargon, elopement is a situation in which a resident leaves a care facility without staff knowledge or supervision, potentially placing himself in danger. It's been a problem at Gracedale. Since Michelle Morton became administrator in March 2025, the home has been cited by the state Department of Health four times for elopement. (9/19/25, 9/23/25, 10/2/25 and 5/14/26). Despite NorCo Executive Tara Zrinski's assurances to county council that all kinds of preventive measures have been put in place to prevent cognitively impaired residents from wondering off, it may have happened again over the weekend. 

I was first alerted to this based on an anonymous comment posted to this blog.* claiming there had been an elopement over the weekend. I nosed around, and this I am told that a confused resident attended a life enrichment activity with an activity aide. She apparently left and the activity aide assumed she got on an elevator with another activity aide. She instead went outside but returned with the family of another resident after telling them she was lost. She wasn't gone long, but she was gone. She apparently was still on the Gracedale campus. 

Zrinski denied that any elopements occurred over the weekend, adding no one was off campus. "There was a resident who left an activity with life enrichment and went outside to the smoking area and then around to the front of the building for a few minutes. It counts as a near miss and is not reportable."  She denied that the resident was brought back by the family of another resident, calling it a rumor. "She went out the side door and walked back to the front door, back inside.

According to state regulations, a nursing home must report the unexplained absence of any resident from a secured dementia care unit. Given that Gracedale is trying to upgrade its license, I could see why there'd be some reluctance to report this matter. But better safe than sorry. If it is a "near miss," as Zrinski said, let the state DOH make that determination. On the other hand, if there's a complaint and the DOH determines that it should have been notified, Gracedale is going to have a bigger problem.

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* Many of you complain about the anonymous comments, which can be pretty mean. But I've actually seen much more hateful comments on other social media platforms in which the poster is identified. I allow anonymous comments because it sometimes clues me in to a story about which I would otherwise know nothing. 

Gracedale Improves Daily Nursing Care

Though Gracedale still has a Provisional II license, it is improving. According to the state's nursing home facility locator, the number of nursing hours per resident per day (PPD) has climbed to 3.76. That is higher than Lehigh County's Cedarbrook (3.61) or Berks County's Berkheim (3.68). It now ranks 5th among 14 county-owned nursing homes throughout the state. 

County-wide, this level is second only to Moravian Square (4.51). 

The Walk-Run

So after getting up and drinking at least one cup of coffee, I head out for my walk-run every other day as a complement to cycling. I have a great 3-mile course laid out across the street doing loops around a Moravian cemetery, where the tombstones lay flat instead of upright for some reason. Some are decorated with American flags while others have the occasional flower. Squirrels dance between the graves, and if I'm early enough, I'll see a fox or two. If I'm lucky, sometimes I see a pretty lady that I can pretend I'm not looking at, even though I am.

I usually don't even begin to run until I have the first mile under my belt.  Yesterday, as I completed my first lap, I could see one of my neighbors, an old drunk who sells his SNAP benefits to a barkeep every month. He glared at me as he waited for a ride and was shouting, "Come across the street, mother fucker, and I'll break your nose!" 

Where the Hell did that come from? I decided to ignore the guy and began my second lap, going uphill and trying to steady myself on uneven surfaces, littered with branches from the previous night's rain. There are usually two dogs at the crest who bark wildly every time they see me. "Come across the yard, mother fucker, and I'll break your nose!", they are saying. I usually say Hi to them, but they were sleeping in so there was no greeting. Just dancing squirrels.

As I finished my second lap, the old drunk was still waiting for his ride, still glaring, but smoking a cigarette. But I pretended not to notice him again and started my third lap and hill. This is when the sweat starts, and this is when I start running in small spurts. 

I have pretty bad hip arthritis, which is why I mostly cycle. But I still love running and miss the days when I felt I could go on forever. This was not one of those days. Almost immediately, my left hip was in pain, but I pushed ahead because sometimes tit goes away after the joint is lubed up. This was not one of those days. I was still making good time and continued, as the sweat began to pour out of me. 

As I finished the third lap, the old drunk's ride had just arrived. It was an old beat-up truck taking him somewhere to a job where he worked off the books. As he got in, I could see him waving his arms and pointing at someone, but it wasn't me. 

Lap 4 begins again. After I reach the top of this mini-mountain, I begin to run again, thinking about different stories I could write, wondering why the tombstones at this cemetery are all flat and listening to crows yell at me for invading their turf. I'm running a bit faster now. 

On my fifth lap, I am running a bit faster and am now drenched in sweat and am starting to feel pretty good except for the arthritis. 

After the sixth lap, I keep running and head to a nearby Catholic church, where I can hear the kids scream and well as they play. My left leg nearly gives out twice. I am slowing down, but feel good. 

Eventually, after 3 miles, I stop. Finished. Drenched with sweat. Endorphins have kicked in, but so has the arthritis.

I see a neighbor and ask, "Was the old drunk yelling at me?"

"No, he was yelling at me for calling him a SNAP scammer, and I have it on video."

"Good for you. Good for you." I say and walk inside. 

I apply ice and check my VO2Max. 

I feel good, but the graveyard still awaits. In the meantime, today is a good day to ride. 

Who's On the Gracedale Oversight Committee?

At their July 2 meeting, Northampton County Council voted to establish a Gracedale Oversight Committee proposed by Council member Dave Holland. As of today, Council President Ken Kraft has yet to appoint any members. Kraft, who opposed this committee, appears to be dragging his feet. 

Under the Home Rule Charter, a council president has the authority to preside at meetings. As a matter of tradition, not law, he makes the committee assignments.  Should he persist in refusal to appoint committee members to provide oversight at a nursing home with a Provisional II license, County Council has the authority to do it themselves. 

Gracedale certainly needs oversight. According to McKinght's Long-Term Care News, occupancy at freestanding nursing homes is 86.7%, a 10-year high. (The Northeast, which includes Pa. and Gracedale, is at 89.5%). But the occupancy rate at Gracedale is an anemic 75%, as reported to County Council's July 2 Human Services meeting. 

NorCo Council Discusses Executive's Limitations on Political Hires

Last week's meeting of NorCo Council's "Governnace" Committee was basically an autopsy of its decision to hire a well-qualified fiscal director, but with a lower starting salary than the Executive wanted. Under county law, the Executive lacks this authority when making a political hire. She's required to go to County Council first. Because the salary was too low for the nominated director, she turned the job down. 

Council member Jason Boulette had proposed giving Executive Tara Zrinski the authority to negotiate a higher wage, but she rejected this olive branch, insisting incorrectly that she has this authority. 

Under county law (Home Rule Charter, Administrative Code and Career Service Regs), the Executive has the power to hire a career service employee at a higher starting rate but lacks this authority for "exempt" (political) positions.  Several years ago, former Executive John Brown was chastised when he exceeded his authority to grant raises to political appointments. 

Council member Jeff Warren, who previously said he has a "significant" problem with the word "oversight", objected to "constraining" the Executive, even thought that should be an important part of his role. He instead said that "we have seen, unfortunately, members of this body over the years use this dais as a way to constrain the executive."

That's exactly why County Council exists. It's why there are three branches of government. But I guess Warren subscribes to the Donald Trump unitary executive theory.

Council member Kelly Keegan was even more absurd. She started off by suggesting they all should just "take a step back and say, 'You know what, the County Executive is trying to do a good job.'" She called County Council's insistence on following county law "an intentional, vindictive asserting of authority because we can." 

Neither Warren nor Keegan have been on Council very long. If they were, they would have seen how then County Exec John Brown flouted the law to give a big raise to a political hire, which would have gone unnoticed but for then Controller Steve Barron. 

And that's the point. These constraints exist to prevent the Executive from playing favorites or rewarding political appointees. 

Council member Jason Boulette has suggested an ordinance that will give the Exec the authority to make a political hire at a higher rate, but Administrator Mark Aurand said the county wants some time to review it. 

Carson Confirmed as "Continuum of Care" Director in NorCo

By an 8-1 vote, Northampton County Council confirmed Thomas Carson as the Director of the newly created "Continuum of Care" department in NorCo. He will start in mid-August with a total compensation package of nearly $150,000, including benefits. 

He is currently the Executive Director of Victory House, a 35-bed facility in Bethlehem that primarily assists veterans. 

The sole Council member to vote No was Tom Giovanni, whose skepticism is understandable. Carson is arguably unqualified based on the job description approved by County Council, which I mentioned yesterday. He has zero experience managing a large program or facility. But he impressed Council member Dave Holland, who knows Gracedale, has a nursing background and is himself a former nursing home administrator. Holland appears to know Carson professionally and spoke highly of his passion for the underserved.

Carson himself was able to endure some tough and well-prepared questions from Council member Nadeem Qayyum. Though unable to answer them all, Carson was polite, well-spoken and never got defensive. He also expressed, not just a willingness, but a desire to reach out to members of County Council. 

Two weeks ago, Council President Ken Kraft predicted that County Council would shoot down this nomination, even though we had no name at the time. He was insinuating that the current County Council would be obstructionist. He was wrong, but don't be fooled by the 8-1 vote. This was really a very close call, but County Council deferred to the Executive.

Hopefully, she'll remember that. 

NorCo Gets a "Clean" Audit for 2025

Under NorCo's Home Rule Charter, an independent certified public accountant appointed by County Council must audit the county's financial records every year and report back. County Council received that report on Wednesday from Jennifer Cruverkibi of MaherDuessel. She issued an unmodified (clean) audit opinion for 2025, which is the highest level of assurance available.

She reports that the county's overall financial equity declined by approximately $9.9 million, ending 2025 at $164 million. Long-term debt increased by $15.4 million, ending the year at $93.7 million. This increase is the result of a new bond issue that was used to refinance existing debt and fund capital improvements that include a new parking deck at the courthouse complex. The county has only used 5.67% iof its legally auythorized borrowing capacity.

Government revenues increased approximately 6%. Only 26.1% of county revenue comes from taxes. Most revenue is in the form of federal and sate grants.

Where does the money go? About 85% goes to Human Services, the courts and corrections.

The county ended 2025 with a fund balance of $20.8 million. This includes an $8.5 million rainy-day fund. This does exceed two months of operating expenses, which is recommended by the Government Officers Finance Association.

This report is available online