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Complaint Investigation

Harborview Rehabilitation Care Center At Doylestow

August 12, 2025 · Doylestown, PA · 432 Maple Avenue
Citations 1
CMS Rating 1/5
Beds 120
Provider ID 395277
Healthcare Facility
Harborview Rehabilitation Care Center At Doylestow
Doylestown, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Harborview Rehabilitation Care Center at Doylestow in DOYLESTOWN, PA — inspection on August 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689
Quality of Life and Care Deficiencies

applied to residents to prevent doors from opening (Wanderguard). 4. Resident 1's room was changed

jeopardy to resident health or plan was updated to include risk for elopement.5.

Elopement drills were conducted immediately to safety ensure that all staff are proficient in the facility's procedure if a resident was missing.

Additional future drills were scheduled bi-monthly.6.

All residents were audited to ensure they were assessed

staff in the facility on the facility's procedure for finding a missing resident.

Receptionist staff were educated on their responsibilities to ensure only authorized people leave the building.8.

The Director of Nursing or designee was to initiate weekly audits and report results to the QAPI (Quality assurance, performance improvement) committee.

The first audit was done on August 7, 2025.9.

All staff members were required to be trained on this plan before being permitted back to work.On August 12, 2025, a review was conducted to verify the complete implementation of the facility corrective action plan.

Licensed employees RN 1 and LPN 1, non-licensed employees NA 1, NA 2, NA 3, and NA 4, and receptionist E 1, were all interviewed regarding education provided.

All staff interviewed confirmed that they received the training described in the facility action plan.

All nursing staff were aware of the requirements for supervising residents who were at risk for elopement.

The receptionist stated that she was aware of her responsibility to monitor the front door for residents.

All facility doors and safety devices (Wanderguards) were checked and were functioning properly. Resident 1 was observed on the third floor with safety devices in place.

All sampled residents were being supervised by staff when needed.

All training was completed by August 7, 2025, with the exception of staff who were not on the schedule.

Those staff were not permitted to return to work until they received the training.

The Immediate Jeopardy existed on August 6, 2025, from 2:45 p.m. until August 7, 2025, at 4:15 p.m.

Verification of all elements of the action plan was completed on August 12, 2025, at 5:00 p.m., and the Immediate Jeopardy was officially lifted as of August 7, 2025.

The Nursing Home Administrator and the Director of Nursing were informed the residents were no longer considered to be in immediate jeopardy.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.

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 DOYLESTOWN, 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 Harborview Rehabilitation Care Center at Doylestow or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.