I've spent a lot of time covering the problems at Gracedale over the past several years. This home gets a lot of coverage from me because something always is going on there and it is publicly owned. It also recently attracted the attention of a NorCo Investigating Grand Jury. Is it packed with lies and perjury, as Zrinski asserted just last week? And what about other nursing homes in Northampton and Lehigh County? Are they even worse, as NorCo Exec Tara Zrinski has suggested during a county council meeting? I've reviewed the Department of Health and ProPublica inspection records for nursing homes in Northampton and Lehigh counties from 2024 to present. They reveal numerous deficiencies since 2024, ranging from relatively minor regulatory violations to findings classified as posing immediate jeopardy to residents’ health or safety. Gracedale is among the worst.
What is a deficiency? It means inspectors determined that a facility failed to meet a federal or state requirement. The seriousness of those deficiencies, however, varies considerably.
The most significant findings involve deficiencies classified as J, K or L, the highest levels on the federal scope-and-severity scale. Recent federal data identify J-level findings at both Gracedale and Bethlehem South, while Phoebe Allentown had a K-level infection-control finding in 2025.
Gracedale
It appears that the coverage I've given is warranted. It has had more than 20 deficiencies since 2024.
Among the most serious was a J-level finding in May 2026 , which occurred six months after Exec. Zrinski assumed office. It involved a failure to ensure that the nursing-home environment was free of accident hazards and that residents received adequate supervision to prevent accidents. Federal records classified it as immediate jeopardy to resident health or safety, affecting a few residents.
Gracedale also had a serious finding in September 2025 involving resident assessment and care planning. Pennsylvania Department of Health's inspection records document the September 23, 2025 abbreviated survey and resulting deficiencies.
Inspection records also show a K-level staffing finding in May 2026 (5 months after Exec. Zrinski was in office), determining that Gracedale did not provide enough nursing staff every day to meet residents' needs and did not have a licensed nurse in charge on each shift. That finding was classified as immediate jeopardy and resulted in a $21,756 fine. The Pennsylvania Department of Health's inspection database shows that a subsequent abbreviated survey completed August 10, 2026 found no deficient practice related to the particular complaint allegations investigated during that survey.
Bethlehem South
Bethlehem South Skilled Nursing and Rehabilitation Center has accumulated 28 deficiencies in the current federal reporting record.
Its most significant recent finding came from a June 9, 2026 complaint inspection. Inspectors cited the facility at the J level, finding that it failed to protect residents from abuse and neglect. J means immediate jeopardy to resident health or safety. The facility also had two D-level deficiencies in an April 29, 2026 complaint inspection involving pressure-ulcer care and bowel and bladder care. The inspection resulted in a $27,378 fine. Pennsylvania's inspection records subsequently reported that the deficiencies cited in the June 30, 2026 survey had been corrected by the July 17 revisit.
Bethlehem North
Bethlehem North Skilled Nursing and Rehabilitation Center also has a substantial number of deficiencies. A February 2026 standard inspection identified deficiencies involving such areas as nutrition, treatment and care, resident notification, activities of daily living, range of motion and infection control.
A May 2026 complaint investigation also produced an E-level deficiency involving the failure to timely report suspected abuse, neglect or theft.
The pattern illustrates why simply counting deficiencies can be misleading. A facility can accumulate a large number of D- or E-level findings without those findings reaching the immediate-jeopardy level.
Phoebe Allentown
Phoebe Allentown Health Care Center had 13 deficiencies, one of which was particularly serious. An August 19, 2025 complaint inspection produced a K-level infection-control deficiency. Inspectors found that the facility failed to provide and implement an effective infection-prevention and control program. The finding was classified as immediate jeopardy and involved some residents.
A July 2025 standard inspection produced three additional D-level deficiencies involving resident rights, range of motion/mobility and accident hazards or supervision. That inspection also resulted in an $11,087 fine.
Interestingly, Gracedale Administrator Michelle Morton came to NorCo from Phoebe. At last week's County Council meeting, Zrinski stated that she visited that home to pick up a few pointers. Why she'd visit a home with a K-level deficiency is beyond me.
Cedarbrook
Cedarbrook Senior Care and Rehabilitation has accumulated 16 deficiencies in the current federal record. This is Lehigh County's public home. The deficiencies are all minor involving resident rights, assessments, activities of daily living, resident care, accident hazards, dietary equipment, infection control and reporting of suspected abuse or neglect. They've all been corrected.
Complete Care at Lehigh
Complete Care at Lehigh LLC has 12 deficiencies. They include deficiencies involving food handling and storage, pressure-ulcer care and pharmacy services. Most of its recent deficiencies were classified at the D level — meaning no actual harm was identified but there was potential for more than minimal harm.
Northampton Post Acute
Northampton Post Acute has 15 deficiencies. A May 2026 standard inspection identified four D-level deficiencies, including problems involving resident rights, care planning and accident hazards or supervision. Those deficiencies were documented as corrected during a June 2026 revisit.
Easton Skilled Nursing
Easton Skilled Nursing and Rehabilitation has 20 deficiencies. They include repeated issues involving resident care and activities of daily living.
A December 2025 inspection produced nine health deficiencies, most at the D level.
An April 2026 complaint inspection also cited the facility for an infection-control deficiency.
The Gardens at Easton
The Gardens at Easton, including its memory-care operation, has had several deficiencies during the period examined, generally at the lower levels of the severity scale.
What the severity ratings mean
The federal nursing-home inspection system uses a scope-and-severity system that ranges from relatively minor deficiencies to immediate jeopardy.
D, E and F indicate no actual harm was found, although there was potential for more than minimal harm. G, H and I indicate actual harm that did not rise to immediate jeopardy. J, K and L represent immediate jeopardy to resident health or safety.
Consequently, a nursing home with 20 D-level deficiencies should not automatically be considered more problematic than a facility with fewer deficiencies that includes a J- or K-level finding. The nature and seriousness of the deficiencies matter at least as much as the raw number.
What the records do show is that several nursing homes in Northampton and Lehigh counties have experienced recurring regulatory problems since 2024. Gracedale, Bethlehem South and Phoebe Allentown have each had recent deficiencies classified at the immediate-jeopardy level.
The good news is that Gracedale is making strides to improve. Just last week, Northampton County Council voted to raise the wages for nurse supervisors to a level that is competitive and should attract professionals. Executive Tara Zrinski has stated this is only the beginning of changes to compensation. In six visits from the state Department of Health since May, no deficiencies have been found. Gracedale Oversight Committee has been established, although it has yet to meet.
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