Although I ramble, my favorite topic has always been Northampton County government. That includes the county-owned nursing home, Gracedale. When there's been good news about the home, like a zero-deficiency survey from the state Department of Health (DOH), I've reported it. When it achieved a four-star (above average) rating, as it did at this time just one year ago, I let you know. But when it dropped to just a one-star (much below average) rating, was red-flagged for abuse and was issued a provisional license, I've told you that as well. Moreover, based on an analysis of the DOH surveys for all 14 county-owned nursing homes throughout the state in 10 different counties*, Gracedale has the lowest nursing care rating, It is the only county-owned home with a one-star rating. It had the highest number of deficiencies in 2025. Objectively, it was the worst county-owned home in the state in 2025 and kicked off the new year with yet another deficiency for inadequate staffing.
Unfortunately, there's been more bad than good news, but that's the way it is. If we have a moral obligation to care for those who are unable to care for themselves, and are spending public money for that purpose, then the public should know when we are falling short so we can rectify the situation. That's why the DOH surveys and Medicare star-ratings are public. That's why people can complain anonymously to the state DOH if they feel something is wrong even if it turns out that they are themselves incorrect.
Public scrutiny of a public nursing home is something that NorCo Council member Kelly Keegan dislikes. At last night's human services committee meeting, she actually wanted to know whether the county has a policy against whistleblowers who dare to report perceived violations at the home. Fortunately, Administrator Michelle Morton answered that whistleblowers are actually protected and could very well be sincere when they call in with a complaint.
Keegan was still unsatisfied. "That's cutting your nose off to spite your face," she suggested. "And it's like, their livelihood, so why would they want to do that?"
Maybe because they care about the residents and want the home to improve.
It's true that Gracedale does get complaints of deficiencies that turn out to be unfounded. But based on my analysis of the 14 county-owned nursing homes in 10 different counties, this happens at all nursing homes, not just Gracedale. Employees, families or residents themselves can complain. The state DOH would rather investigate an unfounded complaint than ignore a concern that is real.
Later in the meeting, Keegan objected to bringing in a consultant with recommendations on improving the home, arguing that we should refrain from spending money on a third party only to learn that our "fantastic administration" is telling the truth. "Don't we believe them?"
She added that any poor public perception of Gracedale is due solely to "one person that continues to trash Gracedale on a continuous basis, and I would put a lot of blame on that person. I think we all know who he is. Every single day, constantly writing about Gracedale, and if that one person would stop doing those things, and we could believe the administration, and what they're telling us, why would I pay somebody - a third party - to tell me that they're telling the truth?"
How about because Gracedale is a one-star home, is red-flagged for abuse, has a provisional license and had the lowest nursing care of all county-owned nursing homes in 2025. I believe the administration is trying, but I also believe the DOH.
During last night's meeting, NorCo Council member Dave Holland had two suggestions.
First, he suggested downsizing the home by eliminating a 30-bed unit. Exec Tara Zrinski suggested that she's not ready to downsize at this point but agrees that reliance on agency nurses needs to be reduced. She worried that downsizing might result in the discharge of some residents, although that's not what Holland intimated.
I believe this topic will be revisited in the near future.
Holland's second suggestion was to bring in a third-party consultant to validate what's right and make suggestions to correct what is wrong. This is apparently also opposed by the administration. Although Council members like Theresa Fadem and Lori Vargo Heffner support this idea, Keegan is opposed, as I noted above. Council member Jeff Warren said we should first give Zrinski a chance. He suggested things might be different by the end of April.
Holland has no problem with waiting but cautioned that Council needs to monitor what is happening because a provisional license can eventually result in a denial of payments.
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*) NorCo Council member Kelly Keegan and Gracedale Administrator Michelle Morton stated last night that there are only seven county-owned homes in the state. According to the state DOH's nursing home facility locator, there are 14 county-owned nursing homes in 10 different counties.
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