Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pine Run Health Center during CMS and state inspections, most recent first.
A resident with multiple medical conditions experienced a fall, and an LPN placed the resident back into a chair without an RN assessment, contrary to facility policy. The RN supervisor was notified but did not assess the resident, and there was no documentation of an RN assessment. The Director of Nursing confirmed that the required RN assessment did not occur.
A resident with multiple care needs, including assistance with medication management, was found with a cup of medications at her bedside without a physician's order for self-administration. Staff confirmed the medications were left for the resident, and the DON verified that no order was in place for self-administration.
A nurse aide was observed handling soiled linens and entering another resident's room without performing required hand hygiene, in violation of facility policy. The aide touched resident belongings and obtained clean linens without sanitizing or washing hands before or after these tasks.
The facility failed to store food under sanitary conditions, with issues including missing freezer shelves, improperly stored and dated food items, broken equipment, water leakage, debris accumulation, and expired food items.
The facility failed to maintain the dignity of two residents. One resident's white board was not updated daily as preferred, and another resident's foley catheter bag was left uncovered in a common area. The Director of Nursing confirmed these deficiencies.
The facility failed to implement physician's orders for a resident with pleural effusion, dysphagia, and lymphedema. Weights were not obtained on several dates, and the physician was not notified of significant weight changes. This was confirmed by the DON.
The facility failed to provide written notification to two residents and their representatives upon transfer to the hospital after a change in condition. Clinical records lacked documentation of written information regarding the transfers, which was confirmed by the Assistant Administrator.
Failure to Ensure RN Assessment After Resident Fall
Penalty
Summary
A deficiency was identified when a licensed practical nurse (LPN) failed to adhere to facility policy and state regulations regarding post-fall assessment for a resident with diagnoses including orthostatic hypotension, history of stroke, and glaucoma. After the resident was found on the floor following a fall, the LPN noted the incident and placed the resident back into his chair without an assessment by a registered nurse (RN), as required by the facility's Falls Management Program policy. The RN supervisor was notified, but did not assess the resident, and there was no documentation of an RN assessment in the clinical record or facility documentation. Further review and staff interview confirmed that the LPN did not directly notify the RN supervisor of the fall, and the resident was transferred before an RN assessment was completed. The facility's Director of Nursing acknowledged that the required RN assessment did not occur. This failure to follow established policies and procedures resulted in noncompliance with Pennsylvania Code Title 49 and facility protocols for post-fall care.
Failure to Safely Administer Medications Without Physician Order
Penalty
Summary
The facility failed to safely administer medications for one resident, as evidenced by clinical record review, observation, and staff interviews. The resident in question had multiple diagnoses, including muscle wasting, dysphagia, a need for assistance with personal care, and hearing loss. According to the resident's assessment, she required help with storing medications securely, administering oral medications, and identifying her medications and their prescribed uses, and she was not approved to self-administer her medications. Despite this, the resident was observed with a cup of medications on her bedside table, and a nurse aide confirmed that these were her morning medications. There was no evidence of a physician's order permitting the resident to self-administer medications, and the Director of Nursing confirmed that such an order did not exist.
Failure to Follow Hand Hygiene Policy on Nursing Unit
Penalty
Summary
A deficiency was identified when a nurse aide failed to follow the facility's hand hygiene policy on the fourth floor nursing unit. The policy, last reviewed in January 2025, requires staff to sanitize or wash their hands before and after each procedure or task and after handling resident belongings. On November 10, 2025, at 11:50 a.m., the nurse aide was observed exiting one resident's room carrying linens with bare hands, disposing of them in the dirty linen receptacle, and then entering another resident's room without performing hand hygiene. The nurse aide touched the second resident's belongings, obtained clean linens, and re-entered and exited the room again, all without performing hand hygiene at any point during the observation.
Failure to Store Food Under Sanitary Conditions
Penalty
Summary
The facility failed to store food under sanitary conditions in the kitchen. Observations revealed multiple issues: the bottom row of shelves in the reach-in freezer were missing, leading to food items being stored on the bottom floor of the freezer. An open box of raw chicken cheesesteak meat had other food items stored on top of it, and an open bag of French fries was not dated. The slicer handle was broken, and a muffin tin and round cake pan were stored on top of a transformer. Two muffin tins were found on the floor between the storage shelf and the transformer. Water was leaking from the nozzle of a hose behind the kettle while food was being cooked. There was an accumulation of debris under the stovetop and grille. Additionally, expired cocktail sauce and blue cheese dressing were found in the walk-in refrigerator, and expired popcorn was found in dry storage. Two trays of croquettes in the walk-in freezer were not completely sealed and were open to air.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to maintain the dignity of two residents. Resident 45, who had a history of stroke, hemiplegia, depression, and muscle weakness, preferred that his white board be updated daily with accurate and current information. However, observations on three separate days revealed that the white board displayed outdated information from March 11, 2024, despite the resident's preference for daily updates. The resident expressed that he did not recall the last time staff updated the board, indicating a failure to honor his preferences and maintain his dignity. Resident 222, diagnosed with obstructive uropathy and neurogenic bladder, was observed sitting in a wheelchair in the common area with an uncovered foley catheter bag containing urine. This occurred on two separate occasions, with multiple residents and staff present in the area. The Director of Nursing confirmed that the resident's foley catheter was not covered with a dignity bag, further failing to ensure the resident's dignity was maintained.
Failure to Implement Physician's Orders for Weight Monitoring
Penalty
Summary
The facility failed to ensure that physician's orders were implemented for Resident 15, who had diagnoses including pleural effusion, dysphagia, and lymphedema. The care plan required daily weight monitoring and reporting significant weight changes to the physician. However, weights were not obtained on several specified dates, and the physician was not notified of multiple instances where the resident's weight changed by more than two pounds in one day. This was confirmed by the Director of Nursing during an interview.
Failure to Provide Written Notification of Hospital Transfers
Penalty
Summary
The facility failed to notify the resident and the resident's representative(s) in writing upon transfer from the facility for two residents who were transferred to the hospital. Clinical record reviews revealed that Resident 2 was transferred and admitted to the hospital on December 30, 2023, after a change in condition, and Resident 23 was transferred and admitted to the hospital on March 6, 2024, after a change in condition. There was no documentation to support that the residents and/or their responsible parties or legal representatives were provided written information regarding the transfers to the hospital. In an interview on March 22, 2024, the Assistant Administrator confirmed that written notice regarding the transfers was not provided.
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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.
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Nursing homes near Doylestown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wesley Enhanced Living - Doylestown | 2.1 mi | — | 13 | 0 |
| Liberty Pointe Rehabilitation And Healthcare Ctr | 2.5 mi | — | 9 | 0 |
| Heritage Pointe Rehabilitation And Healthcare Ctr | 2.6 mi | — | 5 | 0 |
| Harborview Rehabilitation Care Center At Doylestow | 2.7 mi | — | 6 | 0 |
| Neshaminy Manor Home | 4.4 mi | — | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.