COMPLETE CARE AT LEHIGH LLC
Inspected within the last 6 months. Data reflects current conditions.
Complete Care at Lehigh LLC in Macungie, Pennsylvania, has received a Trust Grade of B+, indicating that it is above average and recommended for families considering care options. It ranks #163 out of 653 facilities in the state, placing it in the top half of Pennsylvania nursing homes, and #9 out of 16 in Lehigh County, meaning only a few local facilities rank higher. The facility is improving, as the number of identified issues decreased from 6 in 2024 to 5 in 2025. While staffing is average with a turnover rate of 34%, which is better than the state average, they maintain a solid RN coverage, ensuring that residents receive appropriate attention. However, there have been concerns, such as failures to maintain sanitary conditions in the kitchen, with inadequate sanitizer levels and cleanliness issues, as well as lapses in assessing residents' capability to self-administer medications and inaccuracies in resident assessments. Overall, while there are definite strengths in staffing and care, families should be aware of these concerns.
- Trust Score
- B+
- In Pennsylvania
- #163/653
- Safety Record
- Low Risk
- Inspections
- Getting Better
- Staff Stability ○ Average
- 34% turnover. Near Pennsylvania's 48% average. Typical for the industry.
- Penalties ✓ Good
- No fines on record. Clean compliance history, better than most Pennsylvania facilities.
- Skilled Nurses ○ Average
- Each resident gets 37 minutes of Registered Nurse (RN) attention daily — about average for Pennsylvania. RNs are the most trained staff who monitor for health changes.
- Violations ⚠ Watch
- 11 deficiencies on record. Higher than average. Multiple issues found across inspections.
The Good
-
4-Star Quality Measures · Strong clinical quality outcomes
-
Full Sprinkler Coverage · Fire safety systems throughout facility
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No fines on record
-
Staff turnover below average (34%)
14 points below Pennsylvania average of 48%
Facility shows strength in quality measures, fire safety.
The Bad
12pts below Pennsylvania avg (46%)
Typical for the industry
Part of a multi-facility chain
Ask about local staffing decisions and management
The Ugly 11 deficiencies on record
Aug 2025
5 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0554
(Tag F0554)
Could have caused harm · This affected 1 resident
Based 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 ...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Assessment Accuracy
(Tag F0641)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to complete an accurate Minimum ...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
ADL Care
(Tag F0677)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that app...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Quality of Care
(Tag F0684)
Could have caused harm · This affected 1 resident
Based 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)Findings inc...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Pressure Ulcer Prevention
(Tag F0686)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide necessa...
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Oct 2024
1 deficiency
CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Notification of Changes
(Tag F0580)
Could have caused harm · This affected 1 resident
Based 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 conditi...
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Jul 2024
5 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Safe Environment
(Tag F0584)
Could have caused harm · This affected 1 resident
Based 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 seco...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Assessment Accuracy
(Tag F0641)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the Minimum Data ...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Quality of Care
(Tag F0684)
Could have caused harm · This affected 1 resident
Based 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:
Clini...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0688
(Tag F0688)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and staff interview, it was determined that the facility failed to implement inter...
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CONCERN
(F)
Potential for Harm - no one hurt, but risky conditions existed
Food Safety
(Tag F0812)
Could have caused harm · This affected most or all residents
Based on observation and interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen.
Findings include:
Observation in the kitchen on July 9, 2024, at 10:48 ...
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Understanding Severity Codes (click to expand)
Questions to Ask on Your Visit
- "Can I speak with families of current residents?"
- "What's your RN coverage like on weekends and overnight?"
Our Honest Assessment
- • Grade B+ (80/100). Above average facility, better than most options in Pennsylvania.
- • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
- • No fines on record. Clean compliance history, better than most Pennsylvania facilities.
- • 34% turnover. Below Pennsylvania's 48% average. Good staff retention means consistent care.
- • 11 deficiencies on record. Higher than average. Multiple issues found across inspections.
About This Facility
What is Complete Care At Lehigh Llc's CMS Rating?
CMS assigns COMPLETE CARE AT LEHIGH LLC an overall rating of 4 out of 5 stars, which is considered above average nationally. Within Pennsylvania, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.
How is Complete Care At Lehigh Llc Staffed?
CMS rates COMPLETE CARE AT LEHIGH LLC's staffing level at 3 out of 5 stars, which is average compared to other nursing homes. Staff turnover is 34%, compared to the Pennsylvania average of 46%. This relatively stable workforce can support continuity of care.
What Have Inspectors Found at Complete Care At Lehigh Llc?
State health inspectors documented 11 deficiencies at COMPLETE CARE AT LEHIGH LLC during 2024 to 2025. These included: 11 with potential for harm.
Who Owns and Operates Complete Care At Lehigh Llc?
COMPLETE CARE AT LEHIGH LLC is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility is operated by COMPLETE CARE, a chain that manages multiple nursing homes. With 128 certified beds and approximately 121 residents (about 95% occupancy), it is a mid-sized facility located in MACUNGIE, Pennsylvania.
How Does Complete Care At Lehigh Llc Compare to Other Pennsylvania Nursing Homes?
Compared to the 100 nursing homes in Pennsylvania, COMPLETE CARE AT LEHIGH LLC's overall rating (4 stars) is above the state average of 3.0, staff turnover (34%) is significantly lower than the state average of 46%, and health inspection rating (4 stars) is above the national benchmark.
What Should Families Ask When Visiting Complete Care At Lehigh Llc?
Based on this facility's data, families visiting should ask: "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?"
Is Complete Care At Lehigh Llc Safe?
Based on CMS inspection data, COMPLETE CARE AT LEHIGH LLC has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 4-star overall rating and ranks #1 of 100 nursing homes in Pennsylvania. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.
Do Nurses at Complete Care At Lehigh Llc Stick Around?
COMPLETE CARE AT LEHIGH LLC has a staff turnover rate of 34%, which is about average for Pennsylvania nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.
Was Complete Care At Lehigh Llc Ever Fined?
COMPLETE CARE AT LEHIGH LLC has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.
Is Complete Care At Lehigh Llc on Any Federal Watch List?
COMPLETE CARE AT LEHIGH LLC is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.