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Nazareth, Pa., United States

Tuesday, November 10, 2026

Gracedale is a Canary in Nursing Home Coalmine

Over the past few years, I've highlighted some of the serious issues facing Gracedale. To be sure, it is objectively the worst long-term care facility in Northampton County and the worst county-owned nursing home. But in many ways, Gracedale has been the canary in the coalmine. What is being publicized at Gracedale is a reflection of a statewide problem. 

According to the 2026 State of Pa Nursing Home Report, 37 nursing homes have closed since 2020 and a whopping 4,318 beds have been decertified. Nearly a third of nursing homes have licensed beds that go unfilled.  

There are three main reasons: 

(1) Inadequate funding - Aside for delay in Medicaid approvals that sometimes can take 36 months, the simple reality is that the reimbursement only amounts to about 70% of the cost of care. The hoime eats the rest. As one nursing home administrator puts it, “The continued lack of government support for aging services is beyond wrong. It is a true demonstration of ageism at its finest." 

(2) Staffing Shortages. - Most nursing homes have at least five open positions. About 10% of Pa. nursing homes have 20 or more open spots. 

(3) People Would Rather Age in Place. - And why not? But it's getting harder to do. As NorCo Exec Tara Zrinski noted in her latest report to NorCo Council, there were over 40 people on a waiting list for meals on wheels. It is just as difficult to find a home health care aide as it is to recruit a CNA. 

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