Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heritage Pointe Rehabilitation And Healthcare Ctr during CMS and state inspections, most recent first.
The facility failed to notify a resident’s representative of the outcome of an investigation into an injury of unknown origin. A resident with dementia, depression, anxiety, hallucinations, cognitive impairment, and dependence on staff for ADLs and transfers had a documented behavior problem of yelling and refusing care. A nurse identified a skin tear with minor swelling and discoloration on the resident’s left ring finger, and the provider and responsible party were informed of the injury. The facility’s investigation concluded the injury was related to the resident’s aggressive behaviors during care, but the Administrator later confirmed that the resident’s representative was never informed of the investigation’s findings, contrary to facility policy.
Improper food handling and glove use were observed during tray line service in the kitchen. A dietary employee used gloved hands instead of serving utensils to place pork chops and quiche on resident trays, left the tray line to open the refrigerator and adjust his pants, then returned without changing gloves and continued handling food. He later left again, opened dry storage, and made a grilled cheese sandwich on a resident tray without changing gloves. The RD confirmed staff should use serving utensils and change gloves when changing tasks.
Medication administration errors on the North unit exceeded the 5% threshold, with 2 errors in 32 opportunities for a 6.25% rate. An LPN gave a resident calcium carbonate 500 mg instead of the ordered 600 mg dose, and failed to administer memantine to another resident during the med pass. The DON confirmed both errors.
Food was not served at a palatable, appetizing temperature on the North wing. Residents reported that hot food was frequently served cold and not palatable, and a test tray audit found grilled chicken, brussels sprouts, and roasted potatoes all below the expected hot-food temperature. An RD Director stated hot food should have been 135 degrees F or higher at service, and residents observed eating lunch said the food was cool to taste.
An LPN failed to follow the facility’s medication administration and hand hygiene policy while preparing medications for a resident on the North wing. The LPN removed multiple medications from a medication card with bare hands, touched the computer mouse and medication cart drawers, poured a pill into a bare hand, and administered the medications without performing hand hygiene. The DON confirmed the LPN should not have touched the medications with bare hands.
The facility failed to maintain emergency exit doors, affecting four out of six doors. Observations revealed that the emergency exit doors in the West and North wings did not release after 15 seconds as indicated. This issue persisted during a follow-up visit, confirming the deficiency.
The facility failed to maintain and inspect portable fire extinguishers as per NFPA 10 standards. During a document review, it was found that the facility lacked certification for the inspector who conducted the annual maintenance and inspection of the extinguishers. This issue affects the entire facility, as confirmed in an exit interview with the Administrator and Maintenance Director.
The facility was found non-compliant with NFPA 70, National Electric Code, due to blocked electrical panels in two smoke zones. Observations revealed blocked panels in the medication room, central supply room, nurse station medication room, and boiler room. These findings were confirmed during an exit interview with the Administrator and Maintenance Director.
The facility failed to maintain and inspect the emergency generator, as required by NFPA standards. Weekly inspections of battery electrolyte levels or voltage and monthly testing under load were not completed, affecting the entire facility's readiness for emergencies.
The facility failed to maintain emergency exit doors, with four out of six doors not releasing after 15 seconds as required. This was observed during a survey, and confirmed in an interview with the Administrator and Maintenance Director.
The facility failed to maintain hazardous areas according to NFPA 101 standards, as observed when the door to the trash room in the west wing lacked a self-closure device. This deficiency affects one of the two smoke compartments in the facility and was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility failed to maintain proper food storage and sanitation in the dietary department, with issues such as undated and improperly stored food, food debris in storage areas, and employees not wearing required beard guards. The District Manager confirmed these deficiencies, highlighting a lack of adherence to facility policies.
A facility failed to develop a comprehensive care plan for a resident with malnutrition, colitis, and dysphagia. The care plan did not include interventions for dehydration, fluid maintenance, and dental care as identified in the assessment. The DON confirmed the absence of documented evidence addressing these care areas.
The facility failed to properly dispose of trash and refuse, as observed in the trash compactor area. Various items, including used briefs, gloves, gauze, and crushed plastic items, were found on the ground next to the trash compactor. A plastic bag containing garbage items was also sticking out from below the compactor.
Failure to Notify Resident Representative of Investigation Outcome
Penalty
Summary
The facility failed to notify a resident’s representative in a timely manner of the outcome of an investigation into an injury of unknown origin. Facility policy on Abuse, Neglect, and Exploitation, last reviewed November 7, 2025, stated that the facility would provide residents, representatives, and staff with information on how and to whom to report concerns, incidents, and grievances without fear of retribution, and would provide feedback regarding the concerns expressed. For Resident 1, who had dementia, depression, anxiety, restlessness and agitation, hallucinations, cognitive impairment, and dependence on staff for ADLs and transfers, the care plan documented behavior problems including yelling and refusal of care. On March 9, 2026, a nurse documented a skin tear with minor swelling and discoloration on the resident’s left ring finger, and the provider and responsible party were made aware of this injury of unknown origin. The facility conducted an investigation and determined that the injury resulted from the resident’s aggressive behaviors during care. However, upon interview on March 27, 2026, at 1:00 p.m., the Administrator confirmed that the resident’s representative was not notified of the outcome of the investigation once it was completed, contrary to the facility’s stated policy and resulting in a deficiency under 28 Pa. Code 211.12(d)(1)(5) Nursing services.
Improper Food Handling and Glove Use in Kitchen
Penalty
Summary
The facility failed to properly serve food and maintain sanitary conditions in the main kitchen. During observation of tray line service, Dietary Employee 1 was seen obtaining pork chops and a quiche using only gloved hands instead of serving utensils and placing them on resident meal trays. The employee then left the tray line, opened the refrigerator door to get an item, and pulled up his pants twice before returning to the tray line without changing gloves and continuing to handle food with the same gloves. He later left the tray line again, opened the dry storage room door, obtained bread and cheese, and made a grilled cheese sandwich on a resident tray without changing gloves. The facility policy required proper hand hygiene, glove use, and use of serving utensils to prevent cross contamination, and the Regional Dietary Director confirmed staff should always use serving utensils when handling food and change gloves whenever they change tasks.
Medication Administration Errors Exceeded 5% on North Unit
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5% for one of two nursing units observed during medication administration on the North unit, where 32 medication opportunities resulted in 2 medication errors for a 6.25% error rate. During observation, an LPN administered calcium carbonate 500 mg to a resident whose physician’s order called for calcium carbonate 600 mg twice daily, resulting in an underdose of 100 mg. The same LPN also did not administer memantine to another resident during the medication pass, even though the physician’s order dated September 16, 2025 directed that the medication be given twice daily. The first resident had diagnoses including atrial fibrillation, chronic kidney disease, and hypothyroidism, and the second resident had diagnoses including dementia and cerebral infarction. The DON later confirmed both the incorrect calcium carbonate dose and the missed memantine dose.
Food Served at Improper Temperature
Penalty
Summary
Food and drink were not provided at a palatable and appetizing temperature on the North wing. The facility policy required food to be palatable, attractive, and served at a safe and appetizing temperature, but Dining Council Minutes from August 14, 2025 and September 25, 2025 showed residents reported that food was served cold and was not palatable. During a group interview on November 19, 2025, Residents 7, 14, and 117 stated that hot food was frequently served cold and that this was an ongoing problem. A test tray audit later that day found grilled chicken at 125.6 degrees F, brussels sprouts at 107.5 degrees F, and roasted potatoes at 120.7 degrees F; all items were cool to taste and not palatable. The Regional Dietary Director stated that hot food should have reached 135 degrees F or higher at the time of service. During lunch observation, Residents 9, 10, and 95 stated that the hot foods were served cool to taste and that they would prefer the food to be hot.
Improper Hand Hygiene and Bare-Hand Medication Handling During Administration
Penalty
Summary
The facility failed to follow infection prevention and control policies during medication administration on the North wing. The medication administration policy required staff to perform hand hygiene before administering medications and to remove medications from their source without touching them with bare hands. During observation, an LPN preparing medications for Resident 55 used bare hands to remove seven medications from the resident’s medication card and place them into a medication cup. The LPN then touched the computer mouse, opened medication cart drawers, selected medication bottles, and poured one pill from a bottle into his bare hand before placing it in the medication cup. Hand hygiene was not performed during these tasks, and the medications were then administered to the resident. The DON later confirmed that the LPN should not have touched the medications with bare hands.
Failure to Maintain Emergency Exit Doors
Penalty
Summary
The facility failed to maintain emergency exit doors, affecting four out of six emergency exit doors. During observations on December 11, 2024, between 8:00 a.m. and 10:15 a.m., it was noted that the emergency exit doors in the West and North wings did not release after 15 seconds as indicated on the posted signs. Specifically, the doors next to resident rooms 46, 37, 18, and 8 failed to release within the specified time frame. This deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day. A follow-up onsite revisit conducted on February 4, 2025, between 11:00 a.m. and 12:30 p.m., revealed that the issues with the emergency exit doors had not been resolved. The doors next to resident rooms 46, 37, 18, and 8 continued to fail to release as required. This ongoing deficiency was confirmed during an exit interview with the Director of Nursing and the Maintenance Director.
Plan Of Correction
All Exit Doors have been reset to a 15 second delay and there are signs stating this on all doors by Maintenance. All doors will be audited weekly to ensure proper functioning. Audit result findings will be reported to QAPI monthly.
Failure to Maintain and Inspect Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain and inspect portable fire extinguishers in accordance with NFPA 10, Standard for Portable Fire Extinguishers. During a document review on December 11, 2024, it was discovered that the facility could not provide the certification for the inspector who conducted the annual maintenance and inspection of the portable fire extinguishers. This deficiency affects the entire facility, as confirmed during an exit interview with the Administrator and the Maintenance Director.
Plan Of Correction
Facility had received the inspector's certificate by the end of day of the survey. Maintenance Director/Designee will ensure that we will receive any inspector's certificate at time of the inspection.
Blocked Electrical Panels in Facility
Penalty
Summary
The facility failed to comply with NFPA 70, National Electric Code, for electrical wiring and equipment, affecting two smoke zones. During an observation on December 11, 2024, between 8:00 a.m. and 10:15 a.m., several deficiencies were noted. At 9:14 a.m., an electrical panel was found blocked in the medication room of the West wing. Similarly, at 9:21 a.m., another blocked electrical panel was observed in the central supply room of the West wing. At 9:42 a.m., a blocked electrical panel was identified in the nurse station medication room of the North wing. Lastly, at 9:44 a.m., a blocked electrical panel was found in the boiler room of the West wing. These observations were confirmed during an exit interview with the Administrator and the Maintenance Director.
Plan Of Correction
All cited electrical panels have been cleared and are no longer blocked. Maintenance and Nursing will be educated regarding the regulation for blocking electrical panels. An Audit will be conducted to ensure the electrical panels are not blocked weekly x 4. Audit results will be reported to QAPI committee.
Failure to Maintain and Inspect Emergency Generator
Penalty
Summary
The facility failed to maintain and inspect the emergency generator, which is crucial for the safety and operation of the entire facility. During a document review on December 11, 2024, it was found that the facility did not complete the weekly inspection of battery electrolyte levels or voltage. Additionally, the monthly testing under load for 30 minutes was not conducted as required. These deficiencies were confirmed during an exit interview with the Administrator and the Maintenance Director. The lack of proper maintenance and testing of the emergency generator and its components, as outlined by NFPA standards, indicates a significant oversight in ensuring the facility's readiness for emergency situations. The failure to adhere to these standards affects the entire facility, potentially compromising the safety and well-being of residents and staff in the event of a power outage.
Plan Of Correction
The Battery testing is being completed weekly as required. The Generator Load test was ran for the 30 minute month load test and will continue to be ran monthly as required. An Audit will be conducted to ensure the testing is completed monthly. Audit results will be reported to QAPI committee.
Failure to Maintain Emergency Exit Doors
Penalty
Summary
The facility failed to maintain emergency exit doors, affecting four out of six emergency exit doors. During observations conducted on December 11, 2024, between 8:00 a.m. and 10:15 a.m., it was noted that several emergency exit doors did not function as required. Specifically, the West wing hallway emergency exit doors next to resident rooms 46 and 37, and the North wing hallway emergency exit doors next to resident rooms 18 and 8, failed to release after 15 seconds as indicated on the signs posted on the doors. The deficiency was confirmed during an exit interview with the Administrator and the Maintenance Director on the same day at 10:15 a.m. This failure to maintain the emergency exit doors as per the required standards was observed and documented by the surveyors, indicating a lapse in the facility's adherence to safety protocols for emergency egress.
Plan Of Correction
The facility submitted a request for a waiver to lock all doors to the Plan Review Department prior to the survey. The Department of Health approved the waiver that allows all exit doors to be secured at all times. The facility will verify the status. Stickers were removed from the doors noted.
Deficiency in Hazardous Area Maintenance
Penalty
Summary
The facility failed to maintain hazardous areas as required by NFPA 101 standards. During an observation on December 11, 2024, at 9:12 a.m., it was noted that the door to the trash room in the west wing did not have a self-closure device. This deficiency affects one of the two smoke compartments in the facility. The absence of a self-closure device on the door was confirmed during an exit interview with the Administrator and the Maintenance Director at 10:15 a.m. on the same day.
Plan Of Correction
Trash room on West Wing has a self-closure device. Facility ensured that the self-closure device is functioning properly. Maintenance & housekeeping will be educated on proper closure of self-closure doors & proper reporting issues. An Audit will be conducted to ensure all doors have the proper closure weekly x 4. Audit results will be reported to QAPI committee.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to adhere to its policies regarding food storage and sanitation in the dietary department. Observations revealed multiple issues, including food and paper debris on the floor in dry storage, flour on the floor below a bulk container, and food debris on the lids of bulk cereal containers. In several reach-in freezers and coolers, there were accumulations of food debris, frozen liquids, and opened, uncovered food items. Specific items such as an opened bag of shredded carrots and a large container of cooked green beans were not dated, and there were expired items like coleslaw and applesauce that were not removed. Additionally, leftover pancakes were improperly stored directly on top of bread without a date. During the lunch meal service tray line, two dietary employees were observed with uncovered facial hair, contrary to the facility's policy requiring beard guards. The District Manager of the dietary department confirmed that the foods should have been dated and expired items removed, and that the employees should have been wearing beard guards. These observations indicate a failure to maintain sanitary conditions and proper food storage practices as per the facility's policies.
Plan Of Correction
Immediate corrective action taken: 1. a. Washed and sanitized lids from the cereal dispenser. b. Debris on the floor of the dry storage room was immediately swept and mopped. c. Fridge #3 & 5 and Freezer #7 was cleared of debris inside the coolers. d. Uncovered box of green beans in the #6 reach-in freezer was immediately resealed and all debris was wiped down. e. Dry white liquid in the #5 reach-in refrigerator was immediately wiped down. f. Two opened containers of yogurt in the #4 reach-in refrigerator that had dripped on its side were immediately wiped down. All debris on the bottom of the refrigerator was wiped down. g. Open bag of carrots in the #2 refrigerator with no date were discarded immediately along with a bowl of coleslaw and a pan of green beans with expired dates. The open jar of applesauce was immediately dated with a 7 day expiration label. Leftover pancakes and bread were immediately discarded. All debris was wiped off from the bottom of the refrigerator. h. A metal lid and two containers under the storage shelving were immediately picked up, washed and sanitized. i. The microwave with debris was immediately washed and sanitized. j. All personnel with facial hair were instructed to wear a beard guard. 2. This citation has the potential to affect any resident. 3. Dietary staff will complete the following educations prior to returning to work: Cleaning and Sanitizing In-service; Cleaning Procedures In-services; Cold food storage Policy; Environment Policy and Procedure; Receiving and Storage of Food In-service. Audit: 1. FSD (or designee) will complete Sanitation Audit monitoring log 5 days a week, for 30 days. Monitor and QAPI: 1. The Sanitation audit findings will be reported to QAPI Committee.
Failure to Develop Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident, identified as Resident 10, which addressed their individual needs as identified in the comprehensive assessment. Resident 10 was admitted with diagnoses including malnutrition, colitis, and dysphagia. The Minimum Data Set Care Area Assessment summary indicated that the resident's dehydration, fluid maintenance, and dental care should be addressed in the care plan. However, there was no evidence of interventions for these care areas in the current care plan. This deficiency was confirmed by the Director of Nursing during an interview, who acknowledged the lack of documented evidence addressing these care areas.
Plan Of Correction
A comprehensive care plan has been developed for Resident 10 to address individual resident needs as identified in a comprehensive assessment. A comprehensive care plan will be developed for any identified needs at the time of an MDS. RNAC will review CAA report with Nursing. RNACS & Nursing will be educated on the CAA & care plan process. Care Plan audit will be conducted based on the CAA reports to ensure all identified areas have been care planned x 4 weeks. Audit Findings to be reported to QAPI Committee.
Improper Disposal of Trash and Refuse
Penalty
Summary
The facility failed to properly dispose of trash and refuse, as observed in the trash compactor area. On December 3, 2024, at 10:30 a.m., various items were found on the ground next to the trash compactor. These items included a full bag containing three used briefs, used gloves, used gauze, and several pieces of crushed plastic items. Additionally, a plastic bag containing garbage items was seen sticking out from below the trash compactor.
Plan Of Correction
1. Swept and discarded all debris around the dumpster. Steps to prevent reoccurrence: 1. Dietary staff will complete education: review of the garbage and refuse policy. Audit: 1. FSD (or designee) will complete dumpster area monitoring log for 30 days. 2. Sanitation audit findings will be reported to QAPI Committee.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,500 citations issued within 25 miles in the last 12 months — including the 18 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Doylestown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Liberty Pointe Rehabilitation And Healthcare Ctr | 0.9 mi | ★★★★★ | 9 | 0 |
| Harborview Rehabilitation Care Center At Doylestow | 1 mi | ★★★★★ | 8 | 1 |
| Wesley Enhanced Living - Doylestown | 1.2 mi | ★★★★★ | 13 | 0 |
| Neshaminy Manor Home | 2.5 mi | ★★★★★ | 8 | 0 |
| Pine Run Health Center | 2.6 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Heritage Pointe Rehabilitation And Healthcare Ctr.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.