Starfile

Starfile / Pennsylvania

BRYN MAWR VILLAGE

773 EAST HAVERFORD ROAD, BRYN MAWR, PA 19010 · CCN 395095

Ratings

Overall
★★★☆☆ 3
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
Non profit - Corporation
Certified beds
120
Avg residents/day
30.4
Phone
6105258300

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
12025-03-061310.19.5+2.9 worse
22024-05-101210.99.8+1.1 worse
32023-07-101010.59.3-0.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care6
Resident assessment and care planning2
Resident rights2
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1177.3%
RN staffing (reported)0.7987.5%
Total nurse staffing (adjusted)3.95

Fines & penalties

Total fines
$15,902
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (35)1 immediate jeopardy

  1. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-09-24 · Health

    Potential for more than minimal harm

  2. EF0610Respond appropriately to all alleged violations.2025-09-24 · Health

    Potential for more than minimal harm

  3. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  4. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  5. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  9. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  10. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  12. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-06 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  14. DF0583Keep residents' personal and medical records private and confidential.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  16. DF0687Provide appropriate foot care.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  17. JF0692Provide enough food/fluids to maintain a resident's health.2024-05-10 · Health · corrected 2024-07-01

    Immediate jeopardy

  18. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  19. EF0730Observe each nurse aide's job performance and give regular training.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  20. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  21. DF0803Ensure 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.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  22. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  23. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  25. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-05-10 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  26. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-02-14 · Health · corrected 2024-03-06

    Potential for more than minimal harm

  27. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  29. DF0730Observe each nurse aide's job performance and give regular training.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  30. EF0880Provide and implement an infection prevention and control program.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  31. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  32. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  33. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  34. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-07-10 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  35. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-16 · Health · corrected 2023-04-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HAVERFORD HOLDING COMPANY INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-08-30
COMPASSIONATE CARE HEALTHCARE CONSULTANTS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-08-30
BRAUNSTEIN, MIRIAMIndividualCORPORATE DIRECTOR2021-08-30
IKE, AKIKOIndividualCORPORATE DIRECTOR2021-08-30
WAKE, CORYIndividualCORPORATE DIRECTOR2021-08-30
FREDERICKS, JOHNIndividualW-2 MANAGING EMPLOYEE2021-08-30

Other facilities in BRYN MAWR

NameOverallBeds
BEAUMONT AT BRYN MAWR★★★★★44
BRYN MAWR EXTENDED CARE CENTER★☆☆☆☆160

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