Northampton County-gracedale
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
address his elopement risk, wandering behavior, and alert bracelet. On September 19, 2025, at 1:28 p.m.,
the Administrator was notified that the failure to provide adequate supervision to prevent elopement constituted an Immediate Jeopardy situation at F-F689-J, and the Immediate Jeopardy template was provided. The facility was informed that a corrective action plan was required. The facility implemented the following corrective action plan: 1. Resident 1's room was changed to a secure unit, and a new alert bracelet was placed on the resident. The resident's care plan was updated to include risk for elopement.
Resident 1 was placed on 1:1 observation.2. The facility conducted an immediate audit of all residents with alert bracelets to ensure they were intact and with the appropriate band.3. The facility conducted an audit to ensure all residents with an alert bracelet had an appropriate care plan in place.4. The facility created a log to monitor each alert bracelet and band to ensure the correct band is in place, and that the policy regarding stronger bands is being followed.5. The receptionists will review the binder of at risk residents at the start of their shifts for changes and initial a log.6. The facility will update the template for 1:1 orders in the electronic health record on September 22, 2025.7. The facility educated all staff in the facility on the facility's procedure for alert bracelets, stronger bands, and resident care plans. All staff that were available on September 19, 2025, were immediately educated. Other staff will be re-educated prior to the start of their next shift. 8. Weekly audits of alert bracelets, bands, logs, and care plans will be completed and the results discussed at QAPI (Quality assurance, performance improvement) committee. 9. Signs are posted with instructions to not share door codes and to be aware of residents who may try to exit. The survey team validated that the Immediate Jeopardy was removed on September 19, 2025, at 7:00 p.m., through review of the facility training and review of facility procedures following the facility's implementation of the corrective action plan for removal of the Immediate Jeopardy. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1)(3) Management 28 Pa. Code 211.10(d) Resident care policies 28 Pa.
Code 212.12(d)(1)(3)(5) Nursing services
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NORTHAMPTON COUNTY-GRACEDALE in NAZARETH, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 NAZARETH, 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 NORTHAMPTON COUNTY-GRACEDALE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.