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Complaint Investigation

Bethlehem South Skilled Nursing And Rehabilitation

April 29, 2026 · Bethlehem, PA · 2021 Westgate Drive
Citations 2
CMS Rating 1/5
Beds 227
Provider ID 395429
Healthcare Facility
Bethlehem South Skilled Nursing And Rehabilitation
Bethlehem, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BETHLEHEM SOUTH SKILLED NURSING AND REHABILITATION in BETHLEHEM, PA — inspection on April 29, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0686
Quality of Life and Care Deficiencies

review of the TAR for April 2026, revealed a lack of documentation to support that staff assessed the

sacrum on every shift. A review of the TAR for April 2026, revealed a lack of documentation to

revealed a physician's order dated April 16, 2026, that directed staff to assess and document the appearance and the outcome of the wound on the left lower leg on every shift. A review of the TAR for April 2026, revealed a lack of documentation to support that staff assessed the wound on the left lower leg on day shift on seven occasions and there was no documented evidence that the resident had refused to be assessed. In an interview on April 29, at 12:36 p.m., the Director of Nursing confirmed that there was no documented evidence that staff assessed the wounds as ordered, provided wound care, or that the residents refused treatments on those dates. CFR. 483.25(b)(1)(ii) Pressure Ulcers.Previously cited 9/5/25 28 Pa.

Code 211.12(d)(1)(5) Nursing services.

395429 04/29/2026

Bethlehem South Skilled Nursing and Rehabilitation 2021 Westgate Drive Bethlehem, PA 18017

catheter care, and appropriate care to prevent urinary tract infections.

determined that the facility failed to ensure that adequate catheter care was provided for two of eight

Indwelling Urinary - Care of, last reviewed January 15, 2026, revealed that the catheter drainage bag must be positioned lower than the bladder, the catheter drainage bag must be emptied when it became half full, and the catheter tubing and drainage bag must be kept off the floor.

Clinical record review revealed that Resident 5 had diagnoses that included obstructive uropathy (blockage in the urinary tract), diabetes, and kidney failure.

The resident required the use of an indwelling urinary catheter (a tube inserted into the bladder to drain urine). On January 27, 2026, the physician ordered the resident to have an indwelling urinary catheter. On April 28, 2026, at 11:00 a.m., the resident was observed in bed with the catheter tube and catheter bag containing urine lying directly on the floor. On April 29, 2026, at 9:38 a.m., the resident was observed in bed with the catheter tube and catheter bag containing urine lying directly on the floor. At the time of the observation, registered nurse 1 stated that the catheter bag should have been kept off the floor.

Clinical record review revealed that Resident 6 had diagnoses that included neuromuscular dysfunction of the bladder and diabetes. A physician's order dated December 28, 2024, instructed staff to monitor the resident's suprapubic catheter (a tube inserted in the lower abdomen to drain urine directly from the bladder) on every shift.

On April 29, 2026, at 9:48 a.m., Resident 6 was observed lying in bed with the catheter drainage bag that was more than half full of urine on the floor. At the time of the observation, license practical nurse 1 stated that the catheter drainage bag should have been emptied and kept off the floor. In an interview on April 29, 2026, at 11:00 a.m., the Director of Nursing confirmed that the catheter bags should be emptied and not in contact with the floor. 28 Pa.

Code 211.12(d)(1)(5) Nursing services.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BETHLEHEM, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BETHLEHEM SOUTH SKILLED NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.