Elder Care Record

Pennsylvania › Lehigh County › Bethlehem

Bethlehem South Skilled Nursing and Rehabilitation

2021 Westgate Drive, Bethlehem, PA 18017

CCN 395429 · For-profit, corporation · 227 certified beds · chain Genesis Healthcare

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Bethlehem South Skilled Nursing and Rehabilitation, in Bethlehem, Pennsylvania, is certified for 227 beds under for-profit, corporation ownership and belongs to the Genesis Healthcare chain.

CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.

Inspectors recorded 33 health deficiencies across the three most recent survey cycles (15, 4, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 14.5 per 100 beds, fewer than the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $27K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 52.2%.

CMS flags that the facility carries the CMS abuse icon.

33health deficiencies, 3 survey cycles1 at actual harm or worse
$27Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.6
86%occupancy (residents ÷ beds)195 residents a day

Compared with county, state and nation

MeasureThis facilityLehigh Co. medianPennsylvania medianUS average
Overall star rating1533.0
Health citations, 3 cycles33132628.7
Citations per 100 beds14.59.922.226.8
Total nurse hours per resident day3.33.83.63.9
RN hours per resident day0.40.70.70.7
Nursing staff turnover52.2%40.1%44.3%45.8%
Fines listed$27,378$0$0—

County and state figures are medians across facilities (16 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)15
Cycle 24
Cycle 314

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Sep 2025, 27 Nov 2024.

Severity mix: J ×1 D ×22 E ×6 B ×1 C ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation13 Jul 2026
30 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation13 Jul 2026
30 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation13 Jul 2026
9 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigationPast Non-Compliance
2 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation13 Jun 2026
29 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation5 Jun 2026
29 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation5 Jun 2026
5 Sep 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey14 Oct 2025
5 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey14 Oct 2025
5 Sep 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey14 Oct 2025
5 Sep 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey14 Oct 2025
5 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey14 Oct 2025
5 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey14 Oct 2025
5 Sep 2025F0688Provide 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.DStandard survey14 Oct 2025
5 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.CStandard survey14 Oct 2025
25 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Aug 2025
1 Jul 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation23 Jul 2025
27 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey18 Dec 2024
27 Nov 2024F0688Provide 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.DStandard survey18 Dec 2024
26 Jul 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BComplaint investigation20 Aug 2024
11 Jun 2024F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation9 Jul 2024
2 Nov 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey19 Dec 2023
2 Nov 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard survey19 Dec 2023
2 Nov 2023F0688Provide 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.EStandard survey19 Dec 2023
2 Nov 2023F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey19 Dec 2023
2 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey19 Dec 2023
2 Nov 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey19 Dec 2023
2 Nov 2023F0641Ensure each resident receives an accurate assessment.DStandard survey19 Dec 2023
2 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Dec 2023
2 Nov 2023F0880Provide and implement an infection prevention and control program.DStandard survey19 Dec 2023
2 Nov 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.CStandard survey19 Dec 2023
2 Nov 2023F0814Dispose of garbage and refuse properly.CStandard survey19 Dec 2023
19 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Oct 2023

Penalties

DateTypeAmountDetail
29 Apr 2026Fine$27,378

Staffing

Total nursing3.3 h
Nurse aides1.94 h
LPN0.93 h
RN0.43 h
Weekend total2.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 52.2%, RNs 64.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.1%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.8%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.4%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.6%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.5%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: 2021 Westgate Drive Operations Llc. Chain: Genesis Healthcare (184 facilities).

OrganisationRole in the CMS recordInterestSince
Genesis Pm Pa Operations LLC5% or greater direct ownership interest100%11/14/2022
Fc-Gen Operations Investment LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Gen Operations I LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Genesis Healthcare Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Genesis Healthcare LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Genesis Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Ghc Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022
Sun Healthcare Group Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/14/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Lehigh County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Advanced Health Care of HanoverBethlehem465442145.7$3K8 May 2026
Cedarbrook Senior Care and RehabilitationAllentown670545162.4—17 Apr 2026
Fellowship ManorWhitehall12154532.5—26 Jun 2025
Good Shepherd Home-BethlehemBethlehem6055535.0—8 Jan 2026
Lehigh Valley Hospital TsuAllentown5253523.8—21 May 2026
Luther Crest Nursing FacilityAllentown60555711.7—5 Jun 2025
Mosser Nursing HomeTrexlertown6054558.3—2 Apr 2026
Riverton Rehabilitation and Healthcare CenterAllentown111543119.9—18 Mar 2026

All 16 facilities in Lehigh County

Questions and answers

How many deficiencies has Bethlehem South Skilled Nursing and Rehabilitation been cited for?

33 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Bethlehem South Skilled Nursing and Rehabilitation been fined?

Yes. CMS lists fines totalling $27K in the period covered.

How does staffing at Bethlehem South Skilled Nursing and Rehabilitation compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Bethlehem South Skilled Nursing and Rehabilitation?

It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Pm Pa Operations LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.

When was Bethlehem South Skilled Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 5 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.