Harborview Rehabilitation Care Center at Doylestow

In the surveyor’s words

From the most serious findings on record at Harborview Rehabilitation Care Center at Doylestow, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 12, 2025

  Based on clinical record review, policy review, review of facility documentation, observation, and staff interviews, it was determined that the facility failed to provide necessary supervision to monitor a resident's whereabouts and prevent an elopement (unauthorized departure from the facility) by one of four sampled residents at risk for elopement. (Resident 1) This failure resulted in an Immediate Jeopardy situation. The incident has been identified as past non-compliance. Findings include:Review of the facility policy entitled, Elopement, last reviewed on July 1, 2025, revealed that staff was to monitor residents' whereabouts who were at risk for unsafe wandering and elopement. […]

• Immediate jeopardy, isolatedF689Jul 1, 2024

  Based on clinical record review, policy review, observations, review of facility documentation, and staff interviews it was determined that the facility failed to provide necessary supervision to monitor a resident's whereabouts and prevent an elopement (unauthorized departure from the facility) by one of seven sampled residents. This failure resulted in an Immediate Jeopardy situation. (Resident 1) Additionally, the facility failed to keep the environment free of accident hazards on one of three nursing units. (First Floor) Findings include: Review of the facility policy entitled, Elopement - Overview, last reviewed on March 13, 2024, revealed that each resident was to be assessed for elopement risk when admitted and develop individualized interventions and communicate to staff. […]

• No harm, potential for more than minimal, widespreadF919Jul 23, 2026

  Based on staff interview, and review of facility documentation the facility failed to provide a working call bell system for 96 residents on all three nursing units. (First, Second, Third floor nursing units) Review of facility documentation dated May 13, 2025, revealed that the electric call bell system was not functioning properly for several resident rooms. In an interview on July 27, 2026, at 11:15 a.m., the Administrator stated that the electric call bell system was still not functioning on the first, second and third floor nursing units. The Administrator further stated that there was a total of 96 out of 116 call bells that were not functioning in resident rooms. […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2026

  Based on observation it was determined that the facility failed to maintain sanitary conditions in the kitchen.Findings include: Observation during the kitchen tour on March 16, 2026, at 1:30 p.m., revealed in the dishwashing machine area, there was an exposed ceiling with several missing tiles, and a black-like substance on the walls and ceiling surfaces. There were droplets of water above the exit door. There was an accumulation of a black substance below the dishwashing machine. 28 Pa. Code 201.18(b)(3) Management.

• No harm, potential for more than minimal, widespreadF921Mar 12, 2025

  Based on observation it was determined that the facility failed to provide a safe, sanitary, and comfortable environment on three of three nursing units. (First, Second, and Third Floor) Findings include: Observation on the First floor nursing unit on March 12, 2025, from 10:00 a.m. through 12:30 p.m. revealed the following: In room [ROOM NUMBER], the toilet would not flush. In room [ROOM NUMBER], the floor mat for bed 3 had a strong pervasive odor, the toilet would not flush. Observation on the Second floor nursing unit on March 12, 2025, from 12:40 p.m. through 2:00 p.m. […]