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Inspection reports on Medicare Care Compare →

Nursing home

Northampton County-Gracedale

Nazareth, Pennsylvania · Northampton County

  • Gracedale Avenue, Nazareth, PA 18064 · Directions
  • (610) 746‑1900
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: Government – county
  • 22 health citations in its last 3 inspection cycles (most serious: level K), $160,678 in fines. See the inspection record

Summary

Northampton County-Gracedale is a Medicare-certified nursing home in Nazareth, Pennsylvania, with 688 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-05-01, with 8 health deficiencies. Medicare lists 5 fines. Ownership: government – county. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
688Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Northampton County-Gracedale?
Gracedale Avenue, Nazareth, PA 18064, in Northampton County, Pennsylvania.
What is the phone number of Northampton County-Gracedale?
(610) 746-1900, as listed by Medicare (CMS).
What is the Medicare star rating of Northampton County-Gracedale?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Northampton County-Gracedale been fined?
Medicare lists 5 fines totaling $160,678.
What did inspectors find at Northampton County-Gracedale?
In its last three inspection cycles (May 2, 2024 to May 14, 2026), Medicare lists 22 health citations; the most serious was level K. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 1 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 1 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 2, 2024 to May 14, 2026), Northampton County-Gracedale had 22 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $160,678 in total (5 fines, the latest on September 10, 2026). Nurse staffing is 3.93 hours per resident per day; the Pennsylvania average is 3.90 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: May 1, 2026 — 8 health citations

Inspections in this cycle: October 2, 2025 (complaint investigation); October 17, 2025 (complaint investigation); May 1, 2026 (standard health inspection); May 14, 2026 (complaint investigation).

  • F0689 Level J May 14, 2026 · from a complaint · corrected June 19, 2026

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

  • F0628 Level J October 2, 2025 · from a complaint · corrected October 6, 2025

    “Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies

  • F0600 Level G October 17, 2025 · from a complaint · corrected December 3, 2025

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show 5 less serious citations (levels A to F)
  • F0656 Level D May 14, 2026 · from a complaint · corrected June 29, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0658 Level D May 14, 2026 · from a complaint · corrected June 22, 2026

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0605 Level D May 1, 2026 · corrected May 31, 2026

    “Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”

  • F0641 Level D May 1, 2026 · corrected May 31, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0684 Level D May 1, 2026 · corrected May 31, 2026

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

Previous cycle: April 16, 2025 — 12 health citations

Inspections in this cycle: April 16, 2025 (standard health inspection); June 25, 2025 (complaint investigation); September 19, 2025 (complaint investigation); September 23, 2025 (complaint investigation).

  • F0689 Level K September 23, 2025 · from a complaint · corrected September 25, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies

  • F0689 Level J September 19, 2025 · from a complaint · corrected September 22, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

  • F0600 Level G June 25, 2025 · from a complaint · corrected August 1, 2025

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show 9 less serious citations (levels A to F)
  • F0725 Level E September 23, 2025 · from a complaint · corrected September 25, 2025

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0835 Level E September 23, 2025 · from a complaint · corrected September 25, 2025

    “Administer the facility in a manner that enables it to use its resources effectively and efficiently.”

  • F0656 Level D September 23, 2025 · from a complaint · corrected September 25, 2025

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0641 Level D April 16, 2025 · corrected June 2, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0686 Level D April 16, 2025 · corrected June 2, 2025

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

  • F0687 Level D April 16, 2025 · corrected June 2, 2025

    “Provide appropriate foot care.”

  • F0688 Level D April 16, 2025 · corrected June 2, 2025

    “Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

  • F0761 Level D April 16, 2025 · corrected June 2, 2025

    “Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”

  • F0812 Level D April 16, 2025 · corrected June 2, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

Earlier cycle: May 2, 2024 — 2 health citations

Inspections in this cycle: May 2, 2024 (standard health inspection).

Show 2 citations (levels A to F, no actual harm)
  • F0684 Level D May 2, 2024 · corrected June 15, 2024

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0690 Level D May 2, 2024 · corrected June 15, 2024

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (15)
  • K0918 Level F April 16, 2025 · corrected May 27, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0321 Level E April 16, 2025 · corrected May 27, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0353 Level E April 16, 2025 · corrected May 27, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0355 Level E April 16, 2025 · corrected May 27, 2025

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level E April 16, 2025 · corrected May 27, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0923 Level E April 16, 2025 · corrected May 27, 2025

    “Have proper medical gas storage and administration areas.”

  • K0293 Level E May 2, 2024 · corrected July 13, 2024

    “Have properly located and lighted "Exit" signs.”

  • K0372 Level E May 2, 2024 · corrected July 13, 2024

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0355 Level D May 2, 2024 · corrected July 13, 2024

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0761 Level D May 2, 2024 · corrected July 13, 2024

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0712 Level C May 2, 2024 · corrected July 13, 2024

    “Have simulated fire drills held at unexpected times.”

  • K0321 Level E June 8, 2023 · corrected July 26, 2023

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0363 Level D June 8, 2023 · corrected July 26, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0541 Level D June 8, 2023 · corrected July 26, 2023

    “Install properly constructed and protected linen or trash chutes.”

  • K0100 Level C June 8, 2023 · corrected July 26, 2023

    “Meet other general requirements.”

Fines and payment denials

Total fines over about the last three years: $160,678 (5 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
September 10, 2026Fine$16,350
May 1, 2026Fine$21,756
September 19, 2025Fine$9,113
September 19, 2025Fine$91,202
June 25, 2025Fine$22,257

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homePennsylvaniaNational
Registered nurse (RN) hours per resident per day0.400.780.69
Licensed practical nurse (LPN) hours per resident per day1.260.900.86
Nurse aide hours per resident per day2.272.222.35
Total nurse staff hours per resident per day3.933.903.90
Total nurse staff hours per resident per day on the weekend3.563.523.43
RN hours per resident per day on the weekend0.290.550.48
Nursing staff turnover (per year)47.5%44.6%45.3%
RN turnover (per year)43.1%39.4%42.5%
Administrators who left in the last year1.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds688
Average residents per day475.1
Takes part inMedicare and Medicaid
OwnershipGovernment – county
Legal business nameCounty of Northampton
First approved by Medicare/Medicaid1980-11-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
AddressGracedale Avenue, Nazareth, PA 18064
CountyNorthampton County
StatePennsylvania
Phone(610) 746‑1900
CMS Certification Number395476
Name in Medicare recordsNORTHAMPTON COUNTY-GRACEDALE
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13