Doylestown, PA

Harborview Rehabilitation Care Center at Doylestow

1-star overall rating with 2-star inspections with $92,859 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

432 Maple Avenue, Doylestown, PA

(215) 345-1452

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lme Family Holdings

Operator or chain grouping

Approved since

1970-03-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.72

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.85

CMS adjusted RN staffing hours

Adjusted total hours

3.99

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,853

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.29% · Performance 21.69% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.07

Baseline 6.94% · Performance 6.62% · Measure score 4.07 · Achievement 4.07 · Improvement 1.14

Total nurse turnover

Baseline 50.00% · Performance 65.35% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.93

Baseline 3.02 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 1.69

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.82%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 74 · Observed rate 13.51% · Lower 95% interval 7.41%
Discharge to community	41.09%	50.57% 9.5 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 26% · Lower 95% interval 28.6%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	39.47%	95.27% 55.8 pts worse	Numerator 15 · Denominator 38
Falls with major injury	5.26%	0.77% 4.5 pts worse	Numerator 2 · Denominator 38
Discharge self-care score	20%	53.69% 33.7 pts worse	Numerator 4 · Denominator 20
Discharge mobility score	20%	50.94% 30.9 pts worse	Numerator 4 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 38 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 41 · Observed rate 4.88% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	33.67%	42% 8.3 pts worse	Numerator 33 · Denominator 98
Discharge function score	10%	56.45% 46.5 pts worse	Numerator 2 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	1.7 1.2 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.8 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	1.2 1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	37.8%	86.9% 49.1 pts worse	93.4% 55.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 34.4% · Q3 41.2% · Q4 39.0% · 4Q avg 37.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.0%	93.5% 6.5 pts worse	95.5% 8.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.8%	3.2% 3.6 pts worse	3.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.3% · Q3 4.9% · Q4 8.0% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.9%	6.5% 2.6 pts better	11.4% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 0.0% · Q4 12.2% · 4Q avg 3.9%
Percentage of long-stay residents who lose too much weight	7.2%	6.5% 0.7 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 6.3% · Q3 9.3% · Q4 3.2% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	19.9% 10.8 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 36.0% · Q3 31.5% · Q4 23.2% · 4Q avg 30.7%
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	36.1%	19.6% 16.5 pts worse	16.3% 19.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 56.8% · Q2 43.4% · Q3 16.4% · Q4 38.3% · 4Q avg 36.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	37.8%	18.3% 19.5 pts worse	14.9% 22.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 55.1% · Q2 48.7% · Q3 15.3% · Q4 36.3% · 4Q avg 37.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.9% 0.4 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	1.7% 1.3 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.5% · Q3 3.1% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.1%	26.4% 9.3 pts better	19.8% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 26.8% · Q3 17.8% · Q4 14.0% · 4Q avg 17.1%
Percentage of long-stay residents with pressure ulcers	2.2%	5.3% 3.1 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.4% · Q3 2.5% · Q4 2.4% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	10.5%	68.9% 58.4 pts worse	81.7% 71.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 10.2% · Q3 12.8% · Q4 20.5% · 4Q avg 10.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.8%	9.8% 3 pts worse	12.0% 0.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 14.5% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	15.7%	68.7% 53 pts worse	79.7% 64 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 15.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.1%	23.1% 3 pts worse	23.9% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 29.1% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-26 · Fire 2024-09-26

8 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2023-10-04 · Fire 2023-10-04

26 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

17 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2024-09-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-05

B · Minimal harm 2024-09-26

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2024-12-27

C · Minimal harm 2023-10-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-07-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-05

E · Potential for more than minimal harm 2023-07-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-08

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2026-01-23

J · Immediate jeopardy 2025-08-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-07

D · Potential for more than minimal harm 2025-04-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-03-12

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-02-05

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-04-29

E · Potential for more than minimal harm 2025-02-05

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-02-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-15

F · Potential for more than minimal harm 2024-09-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-09-26

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-09-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-14

F · Potential for more than minimal harm 2024-08-05

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-04

J · Immediate jeopardy 2024-07-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-04

F · Potential for more than minimal harm 2024-07-01

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-07-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-17

D · Potential for more than minimal harm 2024-07-01

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-07-16

C · Minimal harm 2024-07-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-07-17

D · Potential for more than minimal harm 2024-04-29

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-01-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-10-23

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-10-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-16

E · Potential for more than minimal harm 2023-10-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-11-16