Pennsylvania Department of Health
HARBORVIEW REHABILITATION AND CARE CENTER AT DOYLESTOWN
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HARBORVIEW REHABILITATION AND CARE CENTER AT DOYLESTOWN
Inspection Results For:

There are 210 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


HARBORVIEW REHABILITATION AND CARE CENTER AT DOYLESTOWN - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a Revisit Survey completed on May 13, 2025, 2025, it was determined that Harborview Rehabilitation and Care Center at Doylestown, failed to correct all of the deficiencies cited during the survey of April 21, 2025, under the requirements for 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

Plan of Correction:

§ 211.12(f.1)(3) LICENSURE Nursing services. :

(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for ten of 13 days reviewed.

Findings include:

Review of nursing schedules for 13 days from April 30 though May 12, 2025, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA for ten residents on day shift (7:00 a.m. to 3:00 p.m.) on April 30, May 1, 2, 3, 4, 8, 10, 11, and 12, 2025.

The facility failed to meet the minimum NA to resident ratio of one NA for 11 residents on evening shift (3:00 p.m. to 11:00 p.m.) on May 1, 3, 5, 8, and 11, 2025.

Plan of Correction - To be completed: 05/15/2025

Staff scheduler was re-educated on the importance of meeting current LPN staffing ratios as set by State.

DON and/or ADON to complete routine audits.

Audits to be completed weekly x 4 weeks, then monthly x 3 months.

Results of all audits to be reported to the QAPI committee for review and analysis of need for ongoing monitoring

§ 211.12(f.1)(4) LICENSURE Nursing services. :

(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.

Observations:
Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum licensed practical nurse (LPN) to resident ratios for one of 13 days reviewed.

Findings include:

Review of nursing schedules for 13 days from April 30 through May 12, 2025, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 25 residents on day shift (7:00 a.m. to 3:00 p.m.) on May 3, 2025.

Plan of Correction - To be completed: 05/15/2025

Staff scheduler was re-educated on the importance of meeting current LPN staffing ratios as set by the state.

DON and/or ADON to complete routine audits.

Audits to be completed weekly x 4 weeks, then monthly x 3 months.

Results of all audits to be reported to the QAPI committee for review and analysis of need for ongoing monitoring

§ 211.12(i)(2) LICENSURE Nursing services.:

(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:
Based on a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 3.2 hours of direct care for each resident for four of 13 days reviewed.

Findings include:

Review of nursing schedules for 13 days from April 30 through May 12, 2025, revealed the following total nursing care hours below minimum requirements:

May 2, 2025: 3.19 care hours per resident.
May 3, 2025: 3.05 care hours per resident.
May 10, 2025: 2.91 care hours per resident.
May 11, 2025: 2.79 care hours per resident.

Plan of Correction - To be completed: 05/15/2025

Staff scheduler was in-serviced regarding the importance of meeting minimum staffing ratios and PPD.

Staff to continue to work on building a PRN pool for unexpected staff call outs and replacements.

DON and/or designee to complete routine audits.

Audits to be completed weekly x 4 weeks, then monthly x 3 months.

Results of all audits to be reported to the QAPI committee for review and analysis of need for ongoing monitoring

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