Liberty Pointe Rehabilitation and Healthcare CTR
Doylestown, Pennsylvania · CCN 395409
20 surveys since 2013, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 38
- Surveys
- 20
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 178
- Ownership
- For profit - Limited Liability company
- Chain
- PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES
- County
- Bucks
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 173 for-profit facilities with 128 or more beds in Pennsylvania.
Last survey on record
Jan 16, 2026
297 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.73 | 3.39 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 46.7% | 49.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1473.7% | E210.5% | F210.5% |
| No harm, potential for minimal | A— | B15.3% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5842×
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.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
In the surveyor’s words
From the most serious findings on record at Liberty Pointe Rehabilitation and Healthcare CTR, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Dec 12, 2024
Based on observation, it was determined that the facility failed to maintain sanitary conditions and store food properly in the dietary department. Findings include: During an environmental tour of the dietary department on December 10, 2024, at 9:30 a.m., observations revealed the following: There was a large hole in the paneling on the back wall of the recycling area located in the dietary department. The convection ovens were soiled. The insides of the top and bottom oven doors were coated with grease. The bottom of the top oven was covered heavily with burnt debris and burnt food crumbs. There was a large metal scoop stored on the inside of the large bin that contained flour. There was debris on the floor alongside the wall near the steamer and dry goods bins. […]
- No harm, potential for more than minimal, widespreadF812Dec 21, 2023
Based on observation and interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen. Findings include: Observation during the kitchen tour on December 19, 2023, at 10:22 a.m., revealed the following: There was a container of mushrooms in the walk-in refrigerator that was dated December 5, 2023. The Regional Director of Dining Services stated that the food should have been discarded seven days after it was opened. In the dry storage room, there was a number ten can of mushrooms and the bottom of the can was bulging. There were number ten cans of fruit cocktail, cherry pie filling, and pitted prunes, that were dented. The cans were not stored in a separate area designated for dented cans. […]
- No harm, potential for more than minimal, patternF584Jan 16, 2026
Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on three of five nursing units. (Station 1, Station 2, Station 3) Findings include: Observations on January 13, 2026, from 9:45 a.m. through 1:00 p.m. and on January 14, 2026, from 8:00 a.m. through 12:00 p.m., revealed the following: The Station 1 dining room had dust and a black substance on ceiling tiles. The Station 1 activities room door didn't latch. The Station 1 central bathroom toilet ran continuously. The bathroom of room [ROOM NUMBER] had a loose doorknob. The half wall by the nurses' station in Station 2 had chipped paint along the length of the top of the wall. […]
- No harm, potential for more than minimal, patternF584Dec 21, 2023
Based on observation, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment on four of five nursing units. (Station 1, Station 2, Station 3, and Station 5) Findings include: Observation on December 20, 2023, at 11:58 a.m., revealed a ceiling tile outside of room [ROOM NUMBER] and inside of room [ROOM NUMBER] that was stained and bowing. Observation on December 19, 2023, at 10:39 a.m., revealed peeling paint in rooms [ROOM NUMBERS]. There was a brown stained ceiling tile in room [ROOM NUMBER]. […]
- No harm, potential for more than minimal, patternF812Feb 26, 2021
Based on observations, facility documentation review, review of facility policy, and staff interview, it was determined that the facility failed to store food under sanitary conditions on one of five nursing units. (Station two) Findings include: Review of the facility policy entitled, Food Brought by Family Members/Visitors, dated January 21, 2021, revealed perishable foods kept in the refrigerator should be dated and discarded after three days. Observation of the nourishment refrigerator on February 26, 2021, at 10:37 a.m., revealed an internal temperature of 48 degrees Fahrenheit which is above the safe internal temperature of 41 degrees Fahrenheit. […]
Read 20 findings in full →The most serious and the most recent: 20 of 38 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 16, 2026Standard6 findings
- Dec 12, 2024Standard3 findings
- Jul 8, 2024Complaint2 findings
- Apr 18, 2024Complaint1 finding
- Feb 22, 2024Complaint1 finding
- Dec 21, 2023Standard5 findings
- Dec 8, 2023Complaint1 finding
- Jan 27, 2023Standard2 findings
Show the 12 earlier surveys
- Feb 24, 2022Standard3 findings
- Jan 28, 2022Complaint1 finding
- Feb 26, 2021Standard1 finding
- Jun 17, 2020Infection control1 finding
- Dec 20, 2019Standard1 finding
- Nov 30, 2018Standard2 findings
- Dec 15, 2017Standard1 finding
- Dec 17, 2015Standard1 finding
- Nov 7, 2014Standard1 finding
- Dec 5, 2013—2 findings
- Mar 1, 2013—1 finding
- Jan 25, 2013—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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