Special Focus candidateAbuse citationGovernment-run
Data as of July 1, 2026·
★★★★★1 of 5 overall
Gracedale Nursing Home in Nazareth, PA has a 1-star overall rating, with 1-star health inspections, 2-star quality measures, and 3-star staffing. It is a Special Focus Facility candidate/attention flag, had $122,572 in fines in the last 24 months, and reported nurse staffing is 3.68 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: May 14, 2026Penalties, last 24 months: $122,572special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6806.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
1.18
Nurse aides
2.02
Weekend nursing
3.24
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
31.6%34.4%Worsening
Residents with a fall causing major injury
3.9%3.9%No change
Residents with pressure ulcers (bedsores)
7%4.1%Improving
Residents with a urinary tract infection
0.9%1.3%No change
Residents who lost too much weight
7.3%5.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.8%17.4%Worsening
Residents whose ability to walk got worse
20.5%14%Improving
Long-stay residents on antianxiety or sleep medication
21.9%21.3%Improving
Short-stay residents newly given an antipsychotic
4.1%2.9%Improving
Residents with a long-term catheter
0.3%0.8%No change
Residents with new or worsening incontinence
21.9%23.7%Worsening
Residents with depressive symptoms
4.5%3.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.2%—
Long-stay residents given the pneumonia vaccine
94.1%90.5%Worsening
Short-stay residents given the seasonal flu vaccine
—39.3%—
Short-stay residents given the pneumonia vaccine
56.5%71.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited October 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to run its operations effectively and efficiently using its available resources. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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PENALTY
A federal fine of $91,202 was recorded.
PENALTY
A federal fine of $9,113 was recorded.
PENALTY
A federal fine of $140,310 was recorded.
PENALTY
A federal fine of $14,020 was recorded.
PENALTY
A federal fine of $22,257 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $122,572 in total fines.
Federal fine
Sep 19, 2025
$91,202
Federal fine
Sep 19, 2025
$9,113
Federal fine
Jun 25, 2025
$22,257
Operator & ownership
Ownership
Government - County
Occupancy
490.4 residents on an average day (71% of 688 beds)
Resident voice
Resident council
Medicare history
Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.