Moravian Village of Bethlehem

In the surveyor’s words

From the most serious findings on record at Moravian Village of Bethlehem, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 5, 2021

  Based on observation and staff interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on August 3, 2021, at 9:29 a.m. revealed the following items in the walk in refrigerator: A container of prepared marinara sauce with a use by date of July 28 A container of prepared chicken and vegetable soup with a use by date of August 2 A container of prepared mashed potatoes with a use by date of July 31 A container of blueberry yogurt with a use by date of August 1 Strawberries noted in three different containers with white mold on the surface of the fruit A pan of cooked ground chicken with a production date of July 23 During the observation period, the production manager stated that prepared food… […]

• No harm, potential for more than minimal, patternF628Jul 1, 2026

  Based on clinical record review and staff interview, it was determined the facility failed to provide the resident and the resident's representative(s) with a written notice of transfer(s), which included the reasons for the moves, the effective date of the transfer, a statement of the residents' appeal rights, and the Ombudsman information. Additionally, the facility failed to provide written notice of duration of the bed-hold policy, and copies of the written transfer notices to a representative of the Office of the State Long-Term Care Ombudsman for three out of three residents who were transferred out of the facility. […]

• No harm, potential for more than minimal, isolatedF760Aug 21, 2026

  Based on facility policy review, clinical record review, and staff interview, it was determined the facility failed to ensure that one of four sampled residents was free of a significant medication error (Resident 1).Findings include: Review of facility policy entitled General Dose Preparation and Medication Administration, last reviewed January 27, 2026, revealed that prior to administration of medication, facility staff should take all measures required by facility policy and applicable law, including confirming that the Medication Administration Record (MAR) reflected the most recent medication order. Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that included dementia, heart failure, and diabetes. […]

• No harm, potential for more than minimal, isolatedF554Jul 1, 2026

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to assess a resident's capability to self-administer medications for two of 10 sampled residents. (Residents 4 and 5) Findings include: Review of the facility policy entitled, Self-Administration of Medications, last reviewed January 27, 2026, revealed that a resident may exercise the right to self-administer medications when determined that the practice was safe. […]

• No harm, potential for more than minimal, isolatedF656Jul 1, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan that addressed each resident's needs as identified in the comprehensive assessment for one of 10 sampled residents. (Resident 8)Findings include:Clinical record review revealed that Resident 8 was admitted to the facility on [DATE], and had diagnoses that included depression and anxiety. The Minimum Data Set Care Area Assessment summary dated June 11, 2026, noted that the resident's psychotropic drug use was to be addressed in the care plan. […]