Public Record
Liberty Pointe Rehabilitation and Healthcare Ctr
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 178
- Avg. residents per day
- 152.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 48
- Inspections on file
- 12
- Last inspection
- 2026-01-16
*CMS
*CMS
*CMS
Citations
48 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0541Generalpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0100Generalno actual harm
Meet other general requirements.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0584Generalpotential for harm
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.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0541Generalpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0804Generalno actual harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0541Generalpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0584Generalpotential for harm
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.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0133Generalpotential for harm
Install a two-hour-resistant firewall separation.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0015Generalno actual harm
Address subsistence needs for staff and patients.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalno actual harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0036Generalno actual harm
Establish emergency prep training and testing.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0100Generalpotential for harm
Meet other general requirements.
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Inspection findings
What the surveyors documented
The verbatim CMS Form 2567 statement of deficiencies for each survey, straight from the federal record. Open a report for the full findings and plan of correction.
- Inspection9 deficiencies
F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, observation, clinical record review, and resident and staff interviews, it was determined that the facility failed to…
Read full statement of deficiencies - Inspection8 deficiencies
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observation, and staff interview…
Read full statement of deficiencies - Inspection2 deficiencies
F 0580 Level of Harm - Minimal harm or potential for actual harm Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Based on facility policy review and clinical record review, it was determined that the…
Read full statement of deficiencies - Inspection9 deficiencies
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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. **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Liberty Pointe Rehabilitation and Healthcare Ctr?
- Liberty Pointe Rehabilitation and Healthcare Ctr is a Medicare- and Medicaid-certified nursing home in Doylestown, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395409.
- What is the CMS rating for Liberty Pointe Rehabilitation and Healthcare Ctr?
- Liberty Pointe Rehabilitation and Healthcare Ctr has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Liberty Pointe Rehabilitation and Healthcare Ctr have?
- Liberty Pointe Rehabilitation and Healthcare Ctr is certified for 178 beds. It serves an average of 152.1 residents per day.
- How many citations does Liberty Pointe Rehabilitation and Healthcare Ctr have?
- Liberty Pointe Rehabilitation and Healthcare Ctr has 48 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Liberty Pointe Rehabilitation and Healthcare Ctr last inspected?
- Liberty Pointe Rehabilitation and Healthcare Ctr was last inspected on January 16, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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