Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 18
Capacity: 250
Deficiencies: 6
Oct 10, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the Moravian Village II of Bethlehem facility on 10/10/2024.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to staff qualifications, food storage and labeling, outdated food, medication storage procedures, and resident support plans, all of which were addressed with corrective actions and ongoing monitoring.
Deficiencies (6)
| Description |
|---|
| Direct Care Staff Person hired has a non-US Education Diploma requiring waiver process. |
| The Hershey’s Ice Cream Freezer did not have a thermometer. |
| Strawberry ice cream in the Hershey’s Ice Cream Freezer was unlabeled. |
| Outdated or unlabeled food items including a bag of shrimp and chicken in the walk-in freezer. |
| Resident #1's blood sugar level testing and documentation procedures were not properly followed. |
| Resident #2's support plan did not document use or need for an enabler bar correctly. |
Report Facts
Residents Served: 18
License Capacity: 250
Current Hospice Residents: 2
Residents Age 60 or Older: 18
Residents with Mobility Need: 3
Inspection Report
Census: 10
Capacity: 250
Deficiencies: 0
Jul 31, 2024
Visit Reason
The inspection was conducted as a partial, unannounced licensing inspection due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection.
Report Facts
Residents Served: 10
License Capacity: 250
Residents Age 60 or Older: 10
Residents with Mobility Need: 1
Inspection Report
Census: 10
Capacity: 250
Deficiencies: 0
Apr 3, 2024
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Total Daily Staff: 11
Waking Staff: 8
Resident Support Staff: 0
Residents Served: 10
License Capacity: 250
Residents 60 Years or Older: 10
Residents with Mobility Need: 1
Residents Receiving Supplemental Security Income: 0
Residents Diagnosed with Mental Illness: 0
Residents Diagnosed with Intellectual Disability: 0
Residents with Physical Disability: 0
Inspection Report
Renewal
Census: 12
Capacity: 250
Deficiencies: 4
Aug 9, 2022
Visit Reason
The inspection was conducted as a renewal inspection of the facility license.
Findings
The inspection identified several deficiencies related to medication labeling, storage procedures, first aid kit contents, and following prescriber's orders. Plans of correction were accepted and implemented, with ongoing monitoring and audits planned.
Deficiencies (4)
| Description |
|---|
| The vehicle first aid kit did not contain a CPR breathing shield. |
| Pharmacy labels on medications for residents did not include prescribed dosage and instructions for administration. |
| Incorrect documentation on the Medication Administration Record (MAR) for a resident's medication administration. |
| Failure to follow prescriber's orders accurately for medication administration as documented on the MAR. |
Report Facts
License Capacity: 250
Residents Served: 12
Total Daily Staff: 16
Waking Staff: 12
Residents with Mobility Need: 4
Residents 60 Years or Older: 12
Inspection Report
Renewal
Deficiencies: 0
Mar 31, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/31/2022.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Follow-Up
Census: 11
Capacity: 250
Deficiencies: 1
Mar 9, 2022
Visit Reason
The visit was a partial, unannounced inspection triggered by an incident.
Findings
The submitted plan of correction was determined to be fully implemented following the review of the facility. One deficiency involved a staff member instructing a resident to stop using the call bell frequently, which was not considered abuse but did not meet facility standards of behavior.
Deficiencies (1)
| Description |
|---|
| Staff Person A told Resident #1 to stop using his/her call bell for assistance so often, upsetting the resident. |
Report Facts
License Capacity: 250
Residents Served: 11
Current Residents in Hospice: 1
Resident Support Staff: 0
Total Daily Staff: 13
Waking Staff: 10
Residents Age 60 or Older: 11
Residents with Mobility Need: 2
Inspection Report
Renewal
Census: 10
Capacity: 250
Deficiencies: 1
Jul 20, 2021
Visit Reason
The inspection was a full, unannounced renewal inspection conducted on 07/20/2021 to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented. A deficiency was noted regarding housekeeping carts containing poisonous cleaning materials left unattended and not properly secured, which was addressed with a plan of correction including staff training and weekly audits.
Deficiencies (1)
| Description |
|---|
| Housekeeping carts on the 2nd and 3rd floors were observed unattended with poisonous cleaning items not locked or secured as required. |
Report Facts
License Capacity: 250
Residents Served: 10
Total Daily Staff: 14
Waking Staff: 11
Residents with Mobility Need: 4
Notice
Capacity: 250
Deficiencies: 0
Jul 14, 2021
Visit Reason
The document serves as a certificate of compliance and notification of license renewal for Moravian Village II of Bethlehem, a Personal Care Home, confirming the facility's authorized capacity and informing about the upcoming annual inspection requirement.
Findings
The Department has issued a regular license in response to the renewal application and will conduct an onsite inspection within the next twelve months to ensure compliance with applicable regulations.
Report Facts
Maximum licensed capacity: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
Inspection Report
Plan of Correction
Census: 11
Capacity: 250
Deficiencies: 3
Apr 5, 2021
Visit Reason
The inspection was conducted as a partial, unannounced incident review following a complaint and subsequent plan of correction submission.
Findings
The facility was found to have deficiencies related to resident abuse reporting, treatment of residents with dignity and respect, and updating resident support plans to reflect current mobility needs. The submitted plan of correction was determined to be fully implemented.
Complaint Details
The visit was complaint-related based on a complaint from a resident's family member alleging staff disrespect and possible abuse. The complaint was substantiated through investigation and resident interviews.
Deficiencies (3)
| Description |
|---|
| Failure to immediately report suspected abuse of a resident and notify the area agency on aging. |
| Resident was treated disrespectfully by staff on multiple occasions, causing unease and concerns about dignity and respect. |
| Resident support plan was not updated to reflect current ambulation and mobility needs, despite resident using a rolling walker and wheelchair for transport. |
Report Facts
Residents Served: 11
License Capacity: 250
Staffing Hours - Total Daily Staff: 12
Staffing Hours - Waking Staff: 9
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