Home / Pennsylvania / Macungie
Complete Care at Lehigh LLC
1718 Spring Creek Road, Macungie, PA 18062 · Lehigh County · (610) 366-0500
128 certified beds, about 122 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395939 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 30, 2026, inspectors cited 8 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 23 health citations since July 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,351 in the last three years; the largest was $8,351, and the latest is dated June 4, 2026.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
43.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Complete Care, an affiliated group of 85 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
507/24
110/24
508/25
102/26
206/26
107/26
807/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
3E
2F
Potential for minimal harm
0A
0B
0C
July 30, 2026Standard inspection, Complaint inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department.
- E Honor 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.
Inspectors wroteBased on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on four of four nursing units. (Units TCU, 1A, 2B and 2C)
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, observation, and resident and staff interviews, it was determined that the facility failed to ensure that appropriate assistance with bathing and personal hygiene was provided to four of eight sampled residents who required assistance from staff to complete activities of daily living (ADL)s. (Resident 7, 13, 114, 121)
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to assess a resident's capability to self-administer medications for two of 28 sampled residents. (Residents 5 and 10)
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that a call system was accessible for one of 28 sampled residents. (Resident 21)
- D Provide 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.
Inspectors wroteBased on facility policy review, clinical record review, and resident and staff interviews, it was determined that the facility failed to implement interventions to prevent further decline and/or improve range of motion for three of 28 sampled residents with limited range of motion. (Residents 4, 13, 84)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement safety interventions for one of 28 sampled residents. (Resident 1)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to implement enhanced barrier precautions (EBP) and the proper use of personal protective equipment (PPE) to prevent the spread of infection for one of 28 sampled residents. (Resident 41)
July 15, 2026Complaint inspection · 1 citation
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, clinical record review, facility documentation, and staff interview, it was determined that the facility failed to provide prescribed treatment for one of five sampled residents with wounds. This failure resulted in an Immediate Jeopardy situation. (Resident 1)
June 4, 2026Complaint inspection · 2 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility documentation, results of a test tray audit, resident interview and staff interview, it was determined that the facility failed to provide food that was palatable and at an appetizing temperature on one of four nursing units. (1st floor TCU)
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, observation, resident interview, and staff interview, it was determined that the facility failed to provide care and services to maintain dignity and preferences to promote quality of life for two of ten sampled residents. (Residents 1 and 10)
February 11, 2026Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that a physician ordered medication was available from the pharmacy for one of six sampled residents. (Resident 1)
August 21, 2025Standard inspection · 5 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on facility policy review, observation, clinical record review, and resident and staff interview, it was determined that the facility failed to assess a resident's capability to self-administer medications for two of 24 sampled residents. (Residents 63 and 76)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to complete an accurate Minimum Data Set (MDS) assessment for one of 24 sampled residents. (Resident 118)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that appropriate assistance with grooming and personal hygiene was provided to one of two sampled residents who required assistance from staff to complete activities of daily living(ADL's). (Resident 10)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 24 sampled residents. (Resident 11)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide necessary treatment and services to promote healing and to prevent new pressure sores from developing for one of two sampled residents who had pressure sores. (Resident 10)
October 26, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, facility documentation review, and staff interview, it was determined that the facility failed to ensure that the responsible party was notified of a change in condition for one of six sampled residents. (Resident 1)
July 12, 2024Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen.
- D Honor 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.
Inspectors wroteBased on observation, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained in two of two shower rooms. (first-floor central bath and second-floor central bath)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS) assessment was completed to accurately reflect the resident's current status for one of 24 sampled residents. (Resident 26)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for one of 24 sampled residents. (Resident 109) Findings Include: Clinical record review revealed that Resident 109 had diagnoses that included congestive heart failure. A physician's order dated May 30, 2024, directed staff to obtain a daily weight and to notify the provider for a weight gain of greater than or equal to two pounds (lbs.) in one day. There was no evidence that staff obtained the resident's weight or that the resident refused to be weighed on June 3, 7, 8, 29, 2024, or July 8, 2024. Further review of the clinical record revealed that on June 24, 2024, the resident weighed 130.1 lbs. and on June 25, 2024, the resident weighed 133.8 lbs., which reflected a 3.7 lb. gain in 24 hours. [...]
- D Provide 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.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement interventions to prevent further decline and/or improve range of motion for two of 24 sampled residents. (Residents 35, 54)
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 4, 2026 | Fine | $8,351 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.89 | 3.86 |
| Registered nurses | 0.52 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.53 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 43.0% | 44.5% | 45.8% |
| Registered nurse turnover | 52.6% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.37 on weekdays and 2.85 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.22 | 0.52 | 3.37 | 2.85 | 0.0% | 0 of 90 | 122 |
| Oct to Dec 2025 | 3.46 | 0.63 | 3.65 | 2.99 | 0.0% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.43 | 0.69 | 3.59 | 3.03 | 0.0% | 0 of 92 | 123 |
| Apr to Jun 2025 | 3.44 | 0.63 | 3.55 | 3.18 | 0.0% | 0 of 91 | 121 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.7 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.3 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
Owners and operators
Legal business name: COMPLETE CARE AT LEHIGH LLC. CMS links this home to Complete Care, a group of 85 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| PC Pa Opcos LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2021 |
| PC Wta Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 05/01/2021 | |
| Sms 2021 Trust | 5% or greater indirect ownership interest | Organization | 05/01/2021 | |
| Schwartz, Hershel | W-2 managing employee | Individual | 05/01/2021 | |
| Stein, Shalom | Corporate officer | Individual | 05/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 30, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on July 30, 2026: "Honor 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 30, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 21, 2025: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Mosser Nursing Home Trexlertown, 2.2 mi · 5 of 5 stars · 5 citations
- Lehigh Valley Hospital Tsu Allentown, 2.3 mi · 5 of 5 stars · 2 citations
- Cedarbrook Senior Care and Rehabilitation Allentown, 2.5 mi · 5 of 5 stars · 16 citations
- Cedar Crest Post Acute Allentown, 3 mi · 4 of 5 stars · 13 citations
- Luther Crest Nursing Facility Allentown, 3.3 mi · 5 of 5 stars · 7 citations
- Phoebe Allentown Health Care Center Allentown, 5.1 mi · 3 of 5 stars · 19 citations
- Jewel Healthcare and Rehabilitation Center Allentown, 5.5 mi · 4 of 5 stars · 6 citations
- Good Shepherd Home Raker Center Allentown, 6.4 mi · 2 of 5 stars · 12 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Complete Care at Lehigh LLC's Medicare star rating?
- CMS rates Complete Care at Lehigh LLC 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Complete Care at Lehigh LLC get at its last inspection?
- 8 health deficiencies at the standard inspection on July 30, 2026. The Pennsylvania average is 10.
- Has Complete Care at Lehigh LLC been fined?
- Yes. CMS lists 1 fine totaling $8,351 in the last three years.
- Does Complete Care at Lehigh LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Complete Care at Lehigh LLC?
- CMS lists 5 owners and managers, and links the home to Complete Care. Legal business name: COMPLETE CARE AT LEHIGH LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.