Harborview Rehabilitation Care Center At Doylestow
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
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.
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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.