Bethlehem North Skilled Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Bethlehem North Skilled Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF689Aug 25, 2026

  Based on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to provide adequate supervision to monitor a resident's whereabouts to prevent an elopement (an unauthorized departure from the facility) for one of two sampled residents (Resident 1) at risk for elopement. In addition, the facility failed to clarify physicians' orders and adequately assess residents who were permitted to leave the facility for six of eight residents reviewed (Residents 1, 2, 3, 4, 5, 8). These failures resulted in an immediate jeopardy situation. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on facility policy review, staff interview, and observation, it was determined that the facility failed to store food in a sanitary manner in the dietary department. Findings include:Review of the facility policy entitled, Use-by Dating Guidelines, dated January 15, 2026, revealed that staff were to discard prepared foods after 72 hours and frozen foods after 45 days of opening.Review of the facility policy entitled, Department Sanitation, dated January 15, 2026, revealed that staff were to assure that the pot and pan sink were properly filled with the sanitizing solution at the appropriate concentration. Observations during the kitchen tour on February 10, 2026, at 10:43 a.m., revealed the following:Inside the stockroom reach-in freezer, there was food debris on the bottom. […]

• No harm, potential for more than minimal, widespreadF812Mar 30, 2023

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store items, failed to maintain sanitary conditions, and failed to monitor food temperatures in food preparation and service in the dietary department. Findings include: Review of the facility's policy entitled Sanitation and Infection Control: Labeling and Dating, dated [DATE], revealed that all foods were to be dated and use-by dates were to be monitored and followed. Review of the facility's policy entitled, Meal Service: Taste and Temperature Control/ Food Handling, dated [DATE], revealed that prior to the start of each meal, staff were to evaluate the temperature of food and then document it on the Hazard Analysis Critical Control Point (HACCP) log. […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2022

  Based on policy review, observation, and staff interview, it was determined the facility failed to store food under sanitary conditions. Review of the facility policy entitled, Sanitation and Infection Control: Labeling and Dating, dated March 30, 2022, revealed that all food items were to be labeled, dated, use-by dates monitored and followed, and prepared foods were to be removed from cold storage after five days and discarded. Observations during the kitchen tour on April 19, 2022, at 9:30 a.m., with the dietary manager revealed that in refrigerator 2 there was a container of green gelatin not dated and a container of fruit cocktail that was dated April 12, 2022. […]

• No harm, potential for more than minimal, patternF609May 12, 2026

  Based on facility policy review, clinical record review, resident interview, and review of facility documentation, it was determined that the facility failed to report alleged violations involving abuse to the State Survey Agency for six of six sampled residents. (Residents 1, 2, 3, 4, 5, 6)Findings Include: Review of the facility policy entitled, Abuse Prohibition, last reviewed November 14, 2025, revealed that immediately upon receiving information concerning a report of suspected or alleged abuse, the Administrator or designee would report allegations that involved abuse not later than two hours after the allegation was made and report allegations to the appropriate state and local authorities within 24 hours if the event did not result in serious bodily injury. […]