Pa. DOH - Gracedale Had Yet Another Elopement, a Dishonest LPN and a Resident Who Probably Does Not Belong There

Although NorCo Exec Tara Zrinski should be commended for an ambitious if expensive plan to save Gracedale, the fact remains that the beleaguered home in serios trouble. It was downgraded from a regular to a Provisional I license late last year, and that has recently been downgraded to a Provisional II. Gracedale is the only nursing home in the state with a Provisional II license, and as Council member Dave Holland has warned, this could result in serious repercussions. The state could bar the home from accepting new residents, could stop Medicaid and Medicare reimbursement or take over the facility with more competent management than it has had. 

This downgrade is undoubtedly due to a DOH inspection on May 16, which you can read for yourself here. It is a damning indictment of the home's management. For the fourth time, a resident just walked out of the facility and was gone for five hours before a police officer called at 1 am. An agency LPN falsified her reports. And another resident who for some reason is allowed to come and go as he pleases as per his doctor, appears to be bringing in booze and drugs and is getting loaded, high or both. 

In a recent report to NorCo Council, Exec Tara Zrinski claimed that the root cause of all these issues occurred because the county was too lax about who it admitted. She said all that changed when Michelle Morton came aboard as Administrator. 

Zrinski is wrong. The resident who took a powder (he's called Resident 1) was first admitted to Gracedale in December 2025. At that time, Michelle Morton had already been administrator for nine months. 

On May 13, Resident 1 decided to wander off  at around 5 pm. Though two CNAs noticed that Resident 1 was missing and reported this to an agency LPN responsible for this resident. She did nothing to alert anyone that he was missing. She instead documented that she had given him prescribed medications, even though he was not there. She also reported bogus blood glucose levels and then scratched them out, falsely claiming that he had declined the test. 

In the meantime, Resident 1 had somehow made it from Gracedale to outside of Nazareth's police station, about 1.5 miles away. A police officer noticed him milling about around 10 pm and called facility to see if anyone was missing. 

Once again, Gracedale allowed a resident to just walk off. What's worse, an agency LPN falsely documented that he had received prescribed medications and falsely reported blood glucose levels. 

Resident 2 was admitted to Gracedale before Michelle Morton's time, and I have to wonder why on earth he was admitted. He had a history of drug and alcohol abuse."I am a biker," he told one nurse. That's what we do; we drink, smoke, play pool, and party." He also had a habit of pocketing narcotics provided to him for "pain." For reasons that mystify me, his doctor allowed him to go on "independent leaves of absence," during which he could have been selling those pocketed meds, which include oxycodone. He would return to the facility smelling of booze and would be belligerent and exhibit violent behavior. 

After one of these episodes, a nurse cleaning his room found the following items in a wrapped up blanket: " 12 to 15 marijuana vape cartridges, one bottle of Smirnoff vodka, two 12 ounce (oz) empty bottles of Fireball, one 12 oz empty bottle of Southern Comfort whiskey, a large hunting knife, a wallet with $43.00 and cards, and a container of Resident 2's untaken prescribed medications, which were identified by the pharmacist as six allopurinol 100 mg tablets (prevents and lowers uric acid levels), one atorvastatin 20 mg tablet (used to lower cholesterol), two duloxetine 60 mg capsules (antidepressant), eight gabapentin 400 mg capsules (pain medication), two loratadine 10 mg tablets (allergy medication), 36 melatonin 5 mg tablets (natural sleep aid), one multivitamin tablet, 27 oxycodone 10 mg tablets (opioid), 11 of which were partially dissolved, two ropinirole 1 mg tablets (used to treat restless leg syndrome) , tablet of trazadone 150 mg (antidepressant), two vitamin D3 capsules, one Tylenol 325 mg tablet, and two Tessalon Perles (cough medication). The police confiscated the vape, cartridges, and knife."

This guy is a walking pharmacy! 

He was also caught on one occasion snorting what he said was antifungal powder. 

The DOH concluded that Gracedale failed to prevent Resident 2 from pocketing medications that were administered, returning to the facility intoxicated more than once, and having narcotic medications, illegal marijuana vape cartridges, alcohol, and a weapon in a room shared with other residents. This is an  Immediate Jeopardy situation, meaning that residents are at risk of serious injury, harm, impairment, or death, requiring immediate corrective action.

DOH was responding to one complaint and two reported incidents, which tell me that Gracedale, to its credit, turned itself in. 

Zrinski Posts Her State of County Address

 

Last week, NorCo Exec Tara Zrinski delivered her first "State of the County" address at Bethlehem's Nation Museum of Industrial History. Though unable to attend, I did watch her address on Facebook and wrote about it. Zrinski has also just posted her speech on her Substack, including all the photos she used. 

What I like best among these images is her plan for the Gracedale campus. She plans to convert the existing facility, which crams four residents into a room, into aging-in-place apartments. There would also be a 700-bed skilled nursing facility, medical offices, a dialysis center (Gracedale currently does dialysis in house), a retail center and workforce housing. There appears to be no interference with any of the existing farmland. 

Without question, this is an ambitious project and merits very close scrutiny. But if the county wishes to continue to provide a nursing home, it is necessary. The existing Gracedale facility was built for a different time. While four residents in one room is still permissible, the trend is to reduce occupancy to two. 

The existing facility could easily be converted into apartments for seniors and the disabled who wish to age in place. I could see getting HUD involved and using the Housing Authority to manage this building. 

There are lots of questions to be considered. But this plan is an excellent starting point. 

America at 250

Blogger's Note: Oliver Kornetzke, who wrote the essay I publish below, is a political commentator whose substack is located here. He has a rather damning indictment of this country on the eve of our 250th. 

250 years. Two hundred and fifty fucking years of the most powerful, most resourced, most theoretically capable nation in the history of human civilization and here is what we have to show for it.

Forty million people on food stamps, thirty million without health insurance, the highest maternal mortality rate in the developed world, the highest incarceration rate on earth, an opioid crisis that has killed over half a million people and counting, a housing market so broken that working people cannot afford to live in the cities they work in, an education system that buries young people in debt before they earn their first dollar, infrastructure that is literally collapsing, a life expectancy that is going backwards, a political system so thoroughly purchased by concentrated wealth that the laws it produces bear almost no relationship to what the public actually wants or needs, a working class that has not seen meaningful real wage growth in thirty years, a mental health crisis so severe we normalized it, a gun violence epidemic so routine we don’t even act when preschoolers are slaughtered, and a climate hurtling toward catastrophe while the people paid to address it collect checks from the industry causing it.

Two hundred and fifty years of that. And to celebrate, we built a wrestling arena on the White House lawn.

Not a hospital, or a school, or a housing development. Not a single fucking thing that addresses a single goddamn item on the list above. A wrestling arena. With cranes and pyrotechnics and a steel arch that probably cost more than the annual budget of three rural counties combined, erected in front of the building where Lincoln and Roosevelt and every president who ever tried to make any of this mean something once lived and worked and in some cases died trying.

Truthfully, this is not a departure from American values. This is the fullest possible expression of them. Because this is what we chose. Every single time the choice was presented.

We built a culture where a football coach makes forty times what a physics professor makes and then express genuine bewilderment at the outcomes. Where a reality television star becomes president and a school district cuts its art program in the same fiscal year. Where children know every statistic of every player on their favorite sport team and cannot locate their own country on a map. Where scientific consensus on vaccines, climate, evolution, and basic nutrition gets weighed against a Facebook post and the Facebook post wins at the dinner table. Where the school that wins the state championship gets a parade and the school that produces a Nobel laureate gets a budget cut.

We chose the bomber over the teacher. The tank over the clinic. The aircraft carrier over the water treatment plant. We spend more on military than the next ten countries combined, including our allies, while veterans sleep on the streets of the cities they came back to. We built the most expensive killing apparatus in human history and then told the nurse she made too much money. We sent young men to die in wars that made defense contractors rich and called it freedom and put a yellow ribbon magnet on the back of the car and called that support. We made the soldier and the police officer into sacred untouchable symbols of national identity and then cut their benefits, denied their PTSD claims, let them die waiting for VA appointments, and sent them back for third and fourth tours because it was cheaper than taking care of them when they came home. We worshipped the uniform and neglected the human inside it because the uniform is a symbol and symbols are cheaper than healthcare and housing and the therapy that would actually help. We built bases in a hundred and fifty countries and could not build enough affordable housing in fifty states. We funded a military budget that could have ended homelessness and medical debt and student debt several times over and we did it with bipartisan enthusiasm and called the people who questioned it unserious.

We chose entertainment over education so many times and for so long and at every available level of society that we forgot there was a distinction worth making. Spectacle over substance, performance over policy, the aesthetics of greatness in place of the actual thing, and the feeling of winning instead of asking what was being won and who was paying for it and what it would cost the people who came next.

Rome had bread and circuses. We Americans have food stamps and a wrestling ring outside the Oval Office.

250 years. This is what we built. This is what we chose. This is what we are celebrating. And the most perfectly, catastrophically, irreducibly American thing about all of it is that anyone pointing at this image and asking what it means will be called unpatriotic by people watching it on a television they bought on credit they cannot afford to pay back, rooting for a sport they cannot explain, in a country they cannot describe, celebrating a birthday they cannot contextualize, for a nation that has spent two and a half centuries confusing the noise it makes with the work it never did, all while claiming to be the greatest country on Earth.

Happy Birthday America! You have never looked more like yourself!"

NorCo Council Considers Separate Committee for Gracedale

Ordinarily, Gracedale is just one of several departments covered whenever NorCo Council reviews human services. Several Council members are now suggesting the need for a separate committee just to cover the nursing home. In view of Executive Tara Zrinski's plan to expand operations there with medical offices, housing and even a retail strip, this is really necessary.  In addition to considering the merits of this plan, millions in taxpayer dollars will almost certainly be needed to make up a deficit this year, Moreover, the county really needs to prioritize getting its Provisional II license back on track.

According to the PA DOH nursing home facility locator, there was a visit to Gracedale on May 14. But as of the time I write this story, inspection results are still unavailable. This visit likely was the result of both an elopement and contraband brought in by a resident. This is something Exec Tara Zrinski mentioned in her last executive report. 

Fed Ed Returning to Allentown This Week

Former Allentown Mayor Edwin "Fed Ed" Pawlowski, who has been released from federal prison to a halfway house in Philly, is expected to be in Allentown this week. He'll have lunch with a few supporters. He apparently has already lined up a job.  

Gracedale's Evolution Over the Years

Blogger's Note: In her State of the County address yesterday, Executive Tara Zrinski spent several minutes reviewing its history from the time it was owned by the Moravians. Several years ago, I spent a day or two compiling a brief history, relying heavily on records at Easton Library's famous Marx Room. What I've learned is that, since its existence, somebody has always been trying to kill Gracedale, including me. It was almost named Valley of the Nuts. Just as important, Gracedale has consistently redefined itself over the years. 

1. The early days. - Gracedale is part of what was originally a 600-acre farm, settled by the Moravians in 1745. Single dudes had to live on a similar-sized farm called Christian Springs, where they had access to plenty of cold showers. Gracedale was for the married folks.

How did it get its name? There were actually two factions. One group of prissies wanted to call it Gnadenthal. Being German, that sounds pretty tough, almost like a name for one of the Transformers. But it actually means Dale of Grace, or Kindness, a point made by Zrinski..

Another group of Moravians, led by Ronald Von Angle, wanted to call it Neissthal. That's another German name and it sounds pretty tough, too. But it translates to Nutty Valley, or Valley of the Nuts, supposedly because of all the hickory and walnut trees.

For some reason, Valley of the Nuts sounds perfect to me, but Moravians had a love feast and went with Kindness.

2. Indian Attempt to Kill Kindness. - Everything went dandy for the married Moravians at Gnadenthal, a farm of "unsurpassed fertility." But in 1763, a group of Indians on their way home from Bethlehem were provoked and robbed. The response was an uprising that coincided with other uprisings elsewhere, and quickly spun out of control. One of the places ravaged, in East Allen Township, is now the home of late County Executive John Stoffa. I kid you not! Andrew Hazlet was the unfortunate owner.

In an account published by none other than Ben Franklin, we learn that Hazlet attempted unsuccessfully to defend his home from attack. "Hazlet attempted to fire on the Indians, but missed, and he was shot himself, which his wife, some distance off, saw. She ran off with two children, but was pursued and overtaken by the Indians, who caught and tomahawked her and the children in a dreadful manner; yet she and one of the children lived until four days after, and the other child recovered. Hazlet's house was plundered."

When word of this and other atrocities reached the Moravians at Gnadenthal, they stockaded the entire farm, which was then considered the "bread basket of Pennsylvania." Fortunately for the Moravians, they had built up such a good reputation with local Indians that most actually assisted in defense. In fact, several Native Americans have been buried with Moravians

3. The first poorhouse. - In 1837, Pennsylvania imposed one of those "unfunded mandates" on Northampton County, requiring it to construct a home "for the Employment and Support of the Poor." According to Express Times historian James Wright, "The philosophy then current in America was that the poor could provide some relief for themselves by doing agricultural labor to defray the cost of their care through the sale of farm produce." Moravians were somehow induced to part with 235 acres for $90 per acre, along with a large dwelling house, stone barn, outbuildings and an excellent spring.

An almshouse was added in 1838, a three-story stone structure that still stands today and is known as the Greystone Building. Total cost? $6,284.99.

4. Life in the poorhouse. - In its first year of operation, Northampton County had 117 "paupers" in residence, administered by exactly one steward (for the dudes) and one matron (for the dudettes). If someone got out of hand or refused to work, the steward could lock him in a dark cell and feed him nothing but bread and water for 48 hours.

Social reformer Dorothea Dix visited Gnadenthal twice. Dix was an advocate for the poor and mentally ill. She believed mental asylums were a humane answer to the cages, stalls and pens in which the mentally afflicted were housed in yesteryear's version of group homes. Kinda' the exact opposite of today's approach. She gave the home high marks.

5. Cholera's Attempt to Kill Kindness. - Did you know there was a cholera outbreak in 1849? It's a vicious disease that attacks the intestines, causing diarrhea and nausea, leading to dehydration, shock and death. There was no vaccine at the time. It hit poorhouses and factories hardest. In Bucks County's poorhouse, 120 of 150 residents died. The Durham Iron Company was hit hard, too. People refused to leave their homes for fear of contracting the disease.

Some of Gnadentahl's residents did unfortunately contract cholera and die, but comparatively few. Once again, Kindness dodges a bullet.

6. Transition for Almshouse to Retirement Community. - Sometime around WWI, other agencies began to provide services to the poor, making poorhouses increasingly irrelevant. The population that did exist got older and more infirm. Farmers have to be hired to till many of the fields. The population diminished as staffing needs doubled.

7. 1951: The Birth of Gracedale. - As the poorhouse died a slow death, County officials embark on a new project, a nursing home. By the end of 1951, a new and modern institution costing approximately two million dollars was completed and placed in service. The retirement home's new name, Gracedale, is the English translation of Gnadenthal. Three physicians and four pastors were always on call.

In 1951, Gracedale still had 100 pigs and 500 laying hens. 

8. 1975: Unions Threaten to Kill Gracedale. - In the wake of Indians and cholera comes the union, with a third attempt to kill Gracedale in 1975. Following an AFSCME vote to strike on July 21, 1975, leaflets were passed out that demonstrate pretty clearly just what these union workers really then thought of the residents. "It is obvious that Gracedale must be closed for an indefinite period of time. Some residents can go home with relatives or friends, hospitals should be notified to be ready to admit the ill, while our County Home may be able to care for the balance. ... Call the Commissioners. Demand your rights. Together we shall overcome the Commissioners' brand of politics in Northampton County."

This threat to kill Gracedale, of course, failed. But no matter how much unions claim to care about the residents, their 1975 leaflets indicate they were willing to subject residents to removal, all for the sake of a few bucks.

9. 2011: Attempt to Sell or Lease Gracedale Fails. - In the wake of rising costs, then Executive John Stoffa proposed the sale or lease of Gracedale. Despite arguments that the best way to save Gracedale was to sell it, voters decided overwhelmingly to keep it.   

10. 2011: Third Part Administrator Hired. - After the attempted sale of Gracedale failed, a third-parter Administrator - Premier Health Care Services was hired to manage the home. County Council adopted an ordinance providing that all funds that went to Gracedale would stay there, which would prevent the county from using any profit to run other operations. By 2015, census had risen to 681, and the county went two years in a row with deficiency-free surveys. 

11. 2019: Third-Party Administrator Replaced With In-House Administrator. - Despite the success shown by Premier, the county decided to return to an in-house administrator in 2019. 

12. 2020: COVID and the Great Resignation. - A COVID pandemic was particularly deadly to senior citizens, and many staffers decided to resign. Things got so bad at one point that then Exec Lamont McClure called in the National Guard. Many staffers never returned, and Gracedale began to rely heavily on agency nurses. 

2025: Gracedale Placed in Provisional License Status. - As a result of a number of elopements., Gracedale was placed in Provisional I license status. That has since been downgraded to Provisional II. 

Conclusion. - Over its lengthy history, Gracedale has evolved from working farm to stockade to poorhouse. In its last seventy-five years, it has been a nursing home. What Zrinski has proposed amounts to another step in its evolution. 

Sources:

NORTHAMPTON COUNTY COMM'RS TO NAME NEW ALMSHOUSE "GRACEDALE", Easton Express, 12/24/51.
COMMONWEALTH MAGAZINE, GRACEDALE (July 1952)
TRENDS AT "GRACEDALE": MORE AND OLDER GUESTS, MORE WHO ARE INFIRM, Easton Express, 8/18/53
GRACEDALE: Moravian Setting for Modern Northampton County Courthouse, by Edward F. Reimer
MODERN MEDICAL CENTER SETS GRACEDALE APART FROM OLD COUNTY HOME, Easton Express, 8/18/53
10-STORY GRACEDALE TOWER IS DEDICATED, Free Press, 2/19/1975.
ALMSHOUSES, FACTORIES HIT BY 1849 CHOLERA EPIDEMIC, James Wright, Looking Back, The Easton Express, 12/31/89, page C-6.
GRACEDALE FOUNDED AS MORAVIAN SETTLEMENT, JAMES WRIGHT, Easton Express (date unknown)
GRACEDALE: Moravian Setting for Modern Northampton County Courthouse, by Edward F. Reimer

Zrinski Unveils Long-Term Gracedale Plan in State of the County

Yesterday, at the close of the work-day, members of our local ruling party convened at the National Museum of Industrial History on Bethlehem's south side to hear Tara Zrinski's first "State of the County" address as County Executive. I watched it on Facebook, not in person, because I had a conflicting matter at the same time.  I'm glad I watched. At the end of her presentation, Zrinski finally unveiled what I've been waiting for - a long-term plan for Gracedale.  

The beginning intros were a bit cringeworthy. It's a bit unclear to me, but there may have been an open bar. It wasm, after all, happy hour. But this is a far cry from the 7 am addresses delivered in previous years by the likes of John Stoffa and Glenn Reibman. Instead of black coffee and orange juice, there was Rocky music and some goofy guy who sounded like a WWE announcer introducing speakers who themselves were making introductions and announcing a lengthy list of corporate sponsors. I was waiting for "Let's get ready to ruuuuumble," from this guy but he must have left for a Trump rally somewhere. Nearly eight minutes went by before Zrinski ever made it to the podium. 

When she did, she was fairly relaxed and amiable. She started off with the obligatory joke (about her numerous hair colors), told guests she didn't mind of they wanted to sneak off to the bar, and went to work. 

About 90% of what she had to say could have been said by the Lehigh Valley Planning Commission's Becky Bradley. It was all about county demographics and how they've changed over the years. 

Toward the end of a 47-minute speech, Zrinski unveiled her "strategic" plan for Gracedale. Administrator Michelle Morton had a "strategic plan" for the beleaguered nursing home nearly a year ago. This is a new one. 

Zrinski's goal is to keep Gracedale both county-owned and county-operated (meaning no third-party manager). She also wants it to be self-sustaining with no need for county contributions. 

To accomplish this feat, she's planning for a new Gracedale that makes use of its 365-acre campus. A rejuvenated Gracedale, with adjoining medical offices, a dialysis center, workforce housing for county employees and retail space. There already is a daycare at the facility, and she is hoping to partner with area colleges that offer nursing, and Gracedale would in turn provide affordable housing for these students after they graduate. "That is how we solve our agency-nurse dependency," she said. She acknowledged "it's not going to be easy." 

Zrinski said people might think she's cRaZy after seeing this plan, but I'll be honest. It is eerily similar to a proposal I made in December 2024. I called it "A Modest Plan to Retain NorCo County Workers and Provide Workforce Housing."

The county owns 375 acres at Gracedale and 500 acres elsewhere. Here's what I suggested back then:

Northampton County has about 1700-1800 employees, though its actual number should be closer to 2,000. It has problems attracting nursing care at Gracedale, despite offering retention bonuses and even building a daycare that may or may not yet be open. This is a nationwide problem, and the county has been forced to hire outside nurses to provide care at higher rates than it pays its own. 

In addition to a shortage of nursing care at Gracedale, there is also a shortage of corrections officers, youth care workers and 911 dispatchers. They are often forced to work overtime to fill gaps in coverage, which exhausts them and can make conditions unsafe. 

Couldn't we express our appreciation to these unsung heroes by providing them with an affordable place to live?

Here's what I would suggest as a pilot program. The Gracedale campus is huge. Some of that land is used neither for farming nor anything else. It's just grass to cut. How about a small development of about 30 homes for workers in critical departments like the jail, Gracedale, Juvenile Justice Center and 911. I'm not speaking of McMansions but am thinking of smaller homes like the Boxable Casita. 

The county could offer these homes and agree to hold the mortgage at a low interest rate. The qualifying employee would own, not rent the property to erase any illusion that this is a company store. If the employee either leaves county employment or decides to sell the property for a larger home, the county would have an option to repurchase at its appraised market value. That way the employee could build equity, and the county could attract and retain good workers. 

I discussed this idea with several members of County Council, who themselves had similar ideas. So I think she'd have support and believe this could actually solve Gracedale's biggest problem, a reliance on agency nurses who lack the empathy that county employees have. The only part of her Gracedale presentation I dislike is her insistence that the home be county-managed. I think the county has demonstrated over and over that it lacks the expertise to manage a nursing facility. 

Zrinski never got into some of the many other issues facing the county. She noted the county has had no tax hike for eight years (hint, hint), that there's been no reassessment since 1995 (hint, hint). 

Defeated NorCo Council Candidate Sam Elias Was Featured at Trump Rally

I thought Sam Elias, a Bethlehem police officer and a member of the Lebanese diaspora here in NorCo, had a very good shot at winning one of the five at-large seats up for grabs last year. But when the votes were tallied, he ran a distant 6th. He was nearly 10,000 votes behind Nadeem Qayyum, the fifth-place finisher. But yesterday afternoon, during a Trump rally at Mack Truck, he got rock star treatment from none other than the President himself. 

According to Trump, Elias has named his youngest child Melania. 

I hope it's a girl. 

For his part, Elias thanked Trump, Congressman Ryan Mackenzie and the entire white house for helping him as a father of six in a single-income household. "Hard work should pay off, not get punished with higher taxes," he said. He lauded Trump for severely curtailing tax on tips and overtime. 

He also praised Trump for his approach to Lebanon. "The Lebanese people finally have an American ally who advocates for a sovereign and independent Lebanon governed by the Lebanese people." 

Israel thought it had a great American ally in Trump, too. 

So did Italy ... and Britain ... and Canade ... and Mexico ... and Denmark.

Ukraine was a bit smarter and started making its own drones.