Inspection Reports for
Moravian Village of Bethlehem

PA, 18018

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21 Reports

2016–2026

Inspection Report — Jun 24, 2026

Renewal
Date: Jun 24, 2026

Visit Reason
The inspection was conducted as a renewal visit with an incident reason, including a full unannounced inspection on 06/24/2026.

Findings
The facility was found deficient in several areas including lack of staff trained in First Aid/CPR during certain periods, hot water temperature exceeding 120°F, failure to submit emergency procedures to the local emergency management agency, and incomplete training records documentation. All deficiencies have been addressed with corrective actions implemented by 08/27/2026.

Citations (4)
63a - First Aid/CPR Training: On 5/30/2026 and 5/31/2026, the home had 23 residents and no staff present trained in First Aid and CPR as required.
89b - Hot Water Temperature: The hot water temperature measured 123.8°F in the bathroom next to bedroom 236, exceeding the 120°F limit.
107d - Procedure Emergency Management Agency Submission: The updated emergency preparedness plan was not submitted to the local Emergency Management Agency after review in January 2026.
190c - Record of Training: Annual practicum forms for two staff members lacked original qualification date, completion date, trainer’s signature, and student’s signature.
Report Facts
Residents served: 24 Staff total daily: 27 Waking staff: 20 Current Hospice Residents: 2

Inspection Report — Oct 10, 2024

Renewal
Date: 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 Several deficiencies were identified related to staff qualifications, food storage and labeling, outdated food, medication storage procedures, and resident support plans, all of which were addressed with corrective actions and ongoing monitoring.

Citations (6)
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Outdated or unlabeled food items including a bag of shrimp and chicken in the walk-in freezer.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 Current Hospice Residents: 2 Residents Age 60 or Older: 18 Residents with Mobility Need: 3

Inspection Report — Jul 31, 2024

Date: 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 Residents Age 60 or Older: 10 Residents with Mobility Need: 1

Inspection Report — Apr 3, 2024

Date: 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 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 — Aug 9, 2022

Renewal
Date: 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.

Citations (4)
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
Residents Served: 12 Total Daily Staff: 16 Waking Staff: 12 Residents with Mobility Need: 4 Residents 60 Years or Older: 12

Inspection Report — Mar 31, 2022

Renewal
Date: 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 — Mar 9, 2022

Follow-Up
Date: 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.

Citations (1)
Staff Person A told Resident #1 to stop using his/her call bell for assistance so often, upsetting the resident.
Report Facts
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 — Jul 20, 2021

Renewal
Date: 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.

Citations (1)
Housekeeping carts on the 2nd and 3rd floors were observed unattended with poisonous cleaning items not locked or secured as required.
Report Facts
Residents Served: 10 Total Daily Staff: 14 Waking Staff: 11 Residents with Mobility Need: 4

Notice — Jul 14, 2021

Date: 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

Employees mentioned
NameTitleContext
Jamie L. BuchenauerDeputy Secretary, Office of Long-term LivingSigned the renewal notification letter.

Inspection Report — Apr 5, 2021

Plan of Correction
Date: Apr 5, 2021

Visit Reason
The inspection was conducted as a partial, unannounced incident review following a complaint and subsequent plan of correction submission.

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.
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.

Citations (3)
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 Staffing Hours - Total Daily Staff: 12 Staffing Hours - Waking Staff: 9

Inspection Report — Jun 9, 2020

Renewal
Date: Jun 9, 2020

Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.

Findings
No regulatory citations were identified as a result of this inspection.

Inspection Report — Jun 10, 2019

Renewal
Date: Jun 10, 2019

Visit Reason
The inspection was a renewal inspection conducted by the Department’s Bureau of Human Services Licensing on June 10, 2019, to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.

Findings
The inspection identified multiple violations related to resident confidentiality, sanitary conditions, emergency telephone postings, fire department notification, first aid kit contents, medication expiration, medication changes, and medication record accuracy. Plans of correction were partially implemented as of July 12, 2019.

Citations (8)
Resident records were not kept confidential as resident privacy coding documents were posted and accessible to the public.
Glucometers belonging to residents had dried red substance resembling blood on them, indicating unsanitary conditions.
Emergency telephone numbers were not posted by the phone located in resident room #242.
The home's notice to the fire department did not include the home's total capacity.
The first aid kit in the vehicle used to transport residents did not contain a thermometer at the time of inspection.
Resident #3's Latanoprost eye drops were expired at the time of inspection, having been opened and dated on 4/4/19 with a 60-day disposal requirement.
Medication label for Resident #3's Lidocaine patch was not updated to reflect changes in the prescription as required.
Resident #1's medication administration record did not indicate that Glimepiride 2mg must be taken with supper as prescribed.
Report Facts
Residents Served: 16 Total Daily Staff: 16 Waking Staff: 12

Employees mentioned
NameTitleContext
Kristel SeagreavesPC AdminNamed in multiple plans of correction and signature on violation report pages.

Notice — Apr 15, 2019

Date: Apr 15, 2019

Visit Reason
The document serves as a renewal notification and approval for the operation of Moravian Village II of Bethlehem as a Personal Care Home. It also informs the facility of the requirement for an annual onsite inspection within the next twelve months.

Findings
No inspection findings are reported in this document. It is an administrative letter confirming license renewal and outlining inspection requirements.

Report Facts

Inspection Report — Sep 24, 2018

Complaint Investigation
Date: Sep 24, 2018

Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by an incident related to an allegation of financial exploitation by staff against a resident.

Complaint Details
The complaint involved an allegation of financial exploitation by staff against resident #1. The allegation was substantiated by the finding that the home did not notify the local Area Agency on Aging on 6/22/18 as required.
Findings
The facility was found to have violated 55 Pa. Code Chapter 2600 regarding failure to immediately report suspected abuse of a resident. The home did not notify the local Area Agency on Aging of the allegation as required.

Citations (1)
55 Pa.Code §2600.15(a) - The home failed to immediately report suspected abuse of a resident involving financial exploitation by staff and a resident to the local Area Agency on Aging.
Report Facts
Number of Residents Served: 16 Number of Current Hospice Residents: 1

Employees mentioned
NameTitleContext
Kristel SeagreavesPC AdminNamed as legal entity representative and in plan of correction related to abuse reporting violation
Jason HarveyDepartment representative on-site during inspection

Inspection Report — May 15, 2018

Renewal
Date: May 15, 2018

Visit Reason
The inspection was a renewal visit conducted by the Department of Human Services Licensing to assess compliance with 55 Pa. Code Chapter 2600 for Personal Care Homes.

Findings
The facility was found to be in violation of 55 Pa. Code §2600.42(s) regarding resident privacy due to videotaping in resident areas without proper signage. A plan of correction was submitted to restrict videotaping to entrances, exits, and hallways and to post signage accordingly.

Citations (1)
55 Pa.Code §2600.42(s) - The facility failed to post signage informing residents and others that videotaping occurs in the facility. Videotaping was conducted in resident lounge areas on all three floors, violating resident privacy.
Report Facts
Number of Residents Served: 15 Total Daily Staff: 16 Waking Staff: 12 Number of Current Hospice Residents: 1 Number of Hospice Residents in past year: 2 Number of Residents 60 Years or Older: 15 Number of Residents with Mobility Need: 1

Employees mentioned
NameTitleContext
Kristel SeagravesPC AdministratorNamed in plan of correction and signature on violation report

Notice — Apr 13, 2018

Date: Apr 13, 2018

Visit Reason
The document serves as a renewal notification and license issuance for Moravian Village II of Bethlehem as a Personal Care Home, following receipt of a renewal application dated April 13, 2018.

Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license and states the Department's requirement to conduct an annual onsite inspection within the next twelve months.

Report Facts

Inspection Report — May 31, 2017

Renewal
Date: May 31, 2017

Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Moravian Village II of Bethlehem to assess compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes.

Findings
Multiple violations were found including failure to post licensing inspection summary, lack of carbon monoxide detectors, uncovered trash receptacles, missing thermometers in refrigerators, medication labeling and administration errors, and improper calibration of medical equipment. Plans of correction were submitted with timelines for staff education and compliance audits.

Citations (8)
55 Pa.Code 2600.3(c) - The home did not post the current licensing inspection summary and 2600 regulation book in a public and conspicuous place.
55 Pa.Code 2600.18 - The home has not installed a carbon monoxide detector near natural gas fired water heaters as required.
55 Pa.Code 2600.85(d) - Trash in kitchens and bathrooms was found in uncovered receptacles allowing penetration of insects and rodents.
55 Pa.Code 2600.103(f) - Refrigerators in common areas lacked thermometers to ensure proper food storage temperature.
55 Pa.Code 2600.183(d) - Medication cart contained a prescription with a dosage different from the current order and the incorrect medication was given to the resident.
55 Pa.Code 2600.184(b) - Over the counter medication Refresh Ophthalmic Solution was not labeled with the resident's name.
55 Pa.Code 2600.185(a) - The glucometer for resident #2 was not calibrated with the correct date and time.
55 Pa.Code 2600.187(d) - Resident #2's blood glucose was not tested as prescribed and the reading was not documented in the resident's glucometer history.
Report Facts
Number of Residents Served: 14 Total Daily Staff: 14 Waking Staff: 11

Employees mentioned
NameTitleContext
Kristel SeagreavesPC AdminNamed as legal entity representative and responsible for plan of correction signatures.
Jesse HummelDepartment representative conducting the inspection.
Amy DelucaDepartment representative conducting the inspection.

Inspection Report — Sep 29, 2016

Complaint Investigation
Date: Sep 29, 2016

Visit Reason
The inspection was conducted as a complaint investigation triggered by an incident at Moravian Village II of Bethlehem.

Complaint Details
The inspection was incident-driven. The violation involved incomplete documentation of a resident's medical evaluation. No substantiation status was explicitly stated.
Findings
The inspection found violations related to medical evaluations not fully documented as required by 55 Pa.Code Chapter 2600. The facility lacked documentation that the resident's physician completed the evaluation in agreement with the items completed after the evaluation was signed.

Citations (1)
55 Pa.Code 2600.141(a)(2) The medical evaluation must include specified items. The facility did not have documentation that the resident's physician completed the evaluation in agreement with the items completed after the evaluation was signed.
Report Facts
Number of Residents Served: 17 Total Daily Staff: 17 Waking Staff: 13

Employees mentioned
NameTitleContext
Kristel SeagreavesAdministratorNamed in relation to the plan of correction and signature on violation report

Inspection Report — Jun 1, 2016

Renewal
Date: Jun 1, 2016

Visit Reason
The inspection was conducted as an annual licensing renewal inspection of Moravian Village II of Bethlehem to assess compliance with 55 Pa.Code Chapter 2600 for Personal Care Homes.

Findings
Multiple violations were found related to staff training, fire safety, emergency preparedness, equipment maintenance, medication management, and resident records. Plans of correction were submitted with timelines for compliance and ongoing monitoring.

Citations (8)
55 Pa.Code §2600.65(g) - A direct care staff person did not receive training in emergency preparedness and fire safety for the year 2015.
55 Pa.Code §2600.101(u)(7) - A bedside lamp in room 419 did not have a light bulb or any source of light that can be turned on at bedside.
55 Pa.Code §2600.132(c) - The written fire drill records for drills held on 1/20/2016 and 5/19/2015 did not indicate the exits used or the time of the drill.
55 Pa.Code §2600.132(e) - The home did not complete a fire drill during sleeping hours within the past six months; the most recent sleeping-hours drill was conducted on 7/7/2015 at 2:20am.
55 Pa.Code §2600.132(h) - During a fire drill, affected residents were not evacuated and accounted for properly; some residents remained in their rooms instead of evacuating to the fire-safe area.
55 Pa.Code §2600.17(1)(b)(5) - The first aid kit in the home's van did not contain a thermometer or a breathing shield.
55 Pa.Code §2600.183(d) - Resident #1's Novalog flex-pen medication was opened on 4/18/16 and expired 28 days after opening but was not properly disposed of until 6/1/16.
55 Pa.Code §2600.252 - The records of residents #2, #3, and #4 did not indicate the residents' identifying marks, if any.
Report Facts
Number of Residents Served: 15 Total Daily Staff: 15 Waking Staff: 11 Number of Hospice Residents in past year: 2

Employees mentioned
NameTitleContext
Kristel SeagreavesAdministratorNamed as legal entity representative and involved in plan of correction approvals
Jason HarveyDepartment representative conducting inspection
Ryan NovakDepartment representative conducting inspection

Notice — May 12, 2016

Date: May 12, 2016

Visit Reason
This document serves as a renewal notice and license issuance for Moravian Village II of Bethlehem to operate as a Personal Care Home, following receipt of the renewal application dated April 18, 2016.

Findings
No inspection findings are reported in this document. It states that an onsite inspection will be conducted within the next twelve months as required by regulation.

Report Facts

Notice — June 10, 2020

Date: June 10, 2020

Visit Reason
This document serves as a renewal notification and license issuance for Moravian Village II of Bethlehem as a Personal Care Home. It also advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.

Findings
No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and outlines the Department's plan to conduct a future annual inspection.

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