Deficiency Index

Good Shepherd Home-Bethlehem

Bethlehem, Pennsylvania · CCN 396108

10 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
26
Surveys
10
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
Non profit - Corporation
Chain
Independent
County
Lehigh
Medicare-certified since
2007

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Jan 8, 2026

305 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.894.80
Registered-nurse hours per resident day1.64—
Annual nurse turnover29.4%31.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD266.7%E—F—
No harm, potential for minimalA—B—C133.3%
CMS’s current file: 3 of the 26 citations on record.

In the surveyor’s words

From the most serious findings on record at Good Shepherd Home-Bethlehem, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF584Dec 19, 2024

    Based on resident interview and observation, it was determined that the facility failed to provide a clean and comfortable environment on the nursing unit. Findings include: During a confidential resident interview on December 17, 2024, at 12:34 p.m., it was reported that the floors in resident rooms were not cleaned thoroughly. During a group interview on December 18, 2024, at 10:05 a.m., two of four residents reported that the floors on the nursing unit are not always cleaned thoroughly. On December 17, 2024, at 12:29 p.m., there was dirt and debris on the floor of room [ROOM NUMBER]. Observations on December 18, 2024, between 9:29 a.m. and 1:26 p.m., revealed the following: There was dirt and debris on the floors of rooms 204, 217, 219, and 221. […]

  • No harm, potential for more than minimal, isolatedF600Dec 19, 2024

    Based on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to prevent resident to resident physical abuse by one resident (Resident 55) to ensure that each resident was free from abuse, for one of 15 sampled residents. (Resident 29) Findings include: Review of the facility policy entitled, Prevention of Resident Abuse, last reviewed December 2, 2024, revealed that all residents within the facility shall be free from abuse regardless of whether it comes from staff, other residents, volunteers, visitors, family or friends. Clinical record review revealed that Resident 55 had diagnoses that included diffuse traumatic brain injury, anxiety, mood disorder, and impulse disorder. […]

  • No harm, potential for minimal, widespreadF814Jan 8, 2026

    Based on observation, it was determined that the facility failed to dispose of trash and refuse properly.Findings include:Observation of the dumpster area on January 6, 2025, at 10:53 a.m., revealed the dumpster was full of trash bags and the top lid was broken. 28 Pa Code 201.18(b)(3) Management.

Read 20 findings in full →The most serious and the most recent: 20 of 26 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 8, 2026Standard1 finding
  • Dec 19, 2024Standard2 findings
  • Oct 13, 2017Standard2 findings
  • Sep 22, 2016Standard2 findings
  • Aug 8, 2016Complaint1 finding · 1 harm
  • Oct 16, 2015Standard1 finding
  • Sep 5, 2014Standard3 findings
  • Oct 3, 2013—6 findings
Show the 2 earlier surveys
  • Sep 7, 2012—4 findings
  • Oct 14, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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