NORTHAMPTON COUNTY-GRACEDALE
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-05-14 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-10-17 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-10-02 — IMMEDIATE JEOPARDY (tag F0628, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-09-23 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-19 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-06-25 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.38
state median 3.36
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.18
registered nurses only
Contract (agency) staff
58%
share of all nursing hours
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $122,572 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-19 | Fine | $9,113 |
| 2025-09-19 | Fine | $91,202 |
| 2025-06-25 | Fine | $22,257 |
Ownership
Ownership type: Government - County.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-14 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-14 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-05-01 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-01 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-17 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-10-02 | F0628 | Resident Rights Deficiencies | J | not recorded |
| 2025-09-23 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-23 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-09-23 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-09-23 | F0835 | Administration Deficiencies | E | not recorded |
| 2025-09-19 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-06-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-04-16 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-16 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-16 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-16 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-16 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-16 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-05-02 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-02 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |