Starfile

Starfile / Pennsylvania

BRYN MAWR EXTENDED CARE CENTER

956 RAILROAD AVENUE, BRYN MAWR, PA 19010 · CCN 395311

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
160
Avg residents/day
148.7
Phone
6105258412

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-04-101410.19.5+3.9 worse
22024-11-011110.99.8+0.1 worse
32024-02-012910.59.3+18.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning3
Nutrition and dietary1
Pharmacy service1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3145.6%
RN staffing (reported)0.3541.7%
Total nurse staffing (adjusted)3.52

Fines & penalties

Total fines
$42,412
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
SABER HEALTHCARE GROUP
Facilities in chain
126
Chain avg overall
3.00 / 5

Inspection citations (54)2 immediate jeopardy1 actual harm

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-03 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  3. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  6. EF0679Provide activities to meet all resident's needs.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  9. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  10. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  11. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  12. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  14. DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-05-07

    Potential for more than minimal harm

  15. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  16. EF0583Keep residents' personal and medical records private and confidential.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  17. DF0641Ensure each resident receives an accurate assessment.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  19. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-01 · Health · corrected 2024-12-09

    Actual harm

  20. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  21. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  22. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  23. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  24. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-11-01 · Health · corrected 2024-12-09

    Potential for more than minimal harm

  25. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-22 · Health · corrected 2024-09-17

    Potential for more than minimal harm

  26. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-02-29 · Health · corrected 2024-03-11

    Immediate jeopardy

  27. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-29 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  28. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  29. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  30. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  31. DF0584Honor 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.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  33. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  34. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  36. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  37. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  38. DF0758Implement 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.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  39. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  40. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  41. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  42. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  43. KF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-01 · Health · corrected 2024-03-11

    Immediate jeopardy

  44. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  45. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  46. EF0880Provide and implement an infection prevention and control program.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  47. DF0908Keep all essential equipment working safely.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  48. FF0922Have enough backup water supply for essential areas of the nursing home.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  49. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  50. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-01 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  51. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-11-14 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  52. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-01 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-01 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  54. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-21 · Health · corrected 2023-09-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SABER PA HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-12-31
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-01-01
BNV DYNASTY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-01-01
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-01-01
SABER HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-12-31
WIW DYNASTY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-01-01
BNV DYNASTY LLCOrganizationGENERAL PARTNERSHIP INTEREST2023-01-01
WIW DYNASTY LLCOrganizationGENERAL PARTNERSHIP INTEREST2023-01-01
SABER GOVERNANCE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-09-01
CARROLL, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-08-25
TALIAFERRO, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-04-11
VOLPE, BENJAMINIndividualCORPORATE DIRECTOR2019-03-01
WEISBERG, WILLIAMIndividualCORPORATE DIRECTOR2019-03-01
NICOLUZAKIS, GREGORYIndividualCORPORATE OFFICER2019-03-01
VOLPE, BENJAMINIndividualCORPORATE OFFICER2019-03-01
WEISBERG, WILLIAMIndividualCORPORATE OFFICER2019-03-01
BHG AVIV LLCOrganization5% OR GREATER SECURITY INTEREST2016-03-01

Other facilities in BRYN MAWR

NameOverallBeds
BEAUMONT AT BRYN MAWR★★★★★44
BRYN MAWR VILLAGE★★★☆☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.