01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-28 | 1 | 2025-08-28 | 11 |
| Cycle 2 | 2024-09-12 | 4 | 2024-09-12 | 7 |
| Cycle 3 | 2023-10-26 | 4 | 2023-10-26 | 4 |
CMS CCN 3959162026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kirkland Village
One Kirkland Village Circle · Bethlehem, PA 18017 · Northampton County
Certified beds60CMS provider file
Recent citation rows31current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-18 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-02-15 · complaint2025-08-28 · FIREK0131Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0225Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0291Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0761Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0918Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-09-302025-08-28 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-09-302024-09-12 · FIREE0004Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-09-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-09-12 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-09-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-09-12 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-10-302024-09-12 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-10-302023-10-26 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2023-12-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-18 | Fine | $21,645 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PHIOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/21/2008
- BOWSER, NICOLEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2011
- VINETTE-CLAY, MELISSAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/19/2010
- BIRDSALL, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- CHOTTINER, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- ELLIOTT, BRENDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GOLDSTEIN, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- KELLY, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- KINARD, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- PAXTON, STUARTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- REIMANN, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- RHODES, CHERYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- SCOTT, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- SEIBERT, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- SHROPSHIRE, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2017
- STONE, ROBYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- DAVIS, DANNYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/21/2018
- HOFFMAN, CYNTHIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/02/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.71per resident day
RN hours1.30per resident day
Weekend nurse hours4.08per resident day
Staff turnover31.9%CMS reported field
06 / LOCAL RECORDS
Open the Bethlehem ledger →Other published facilities nearby
Advanced Health Care Of Hanover46 beds · CMS overall 5/535 citation rowsBethlehem North Skilled Nursing And Rehabilitation217 beds · CMS overall 1/538 citation rowsBethlehem South Skilled Nursing And Rehabilitation227 beds · CMS overall 1/533 citation rowsCountry Meadows Nursing Center Of Bethlehem70 beds · CMS overall 5/521 citation rowsGood Shepherd Home-Bethlehem60 beds · CMS overall 5/510 citation rowsHoly Family Manor208 beds · CMS overall 4/515 citation rowsMoravian Village Of Bethlehem93 beds · CMS overall 5/56 citation rows