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.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-06 | 13 | 10.1 | 9.5 | +2.9 worse |
| 2 | 2024-05-10 | 12 | 10.9 | 9.8 | +1.1 worse |
| 3 | 2023-07-10 | 10 | 10.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 77.3% |
| RN staffing (reported) | 0.79 | 87.5% |
| 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
- 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
- EF0610Respond appropriately to all alleged violations.2025-09-24 · Health
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-06 · Health · corrected 2025-04-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2024-05-10 · Health · corrected 2024-07-01
Potential for more than minimal harm
- 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
- DF0687Provide appropriate foot care.2024-05-10 · Health · corrected 2024-07-01
Potential for more than minimal harm
- JF0692Provide enough food/fluids to maintain a resident's health.2024-05-10 · Health · corrected 2024-07-01
Immediate jeopardy
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-07-10 · Health · corrected 2023-08-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HAVERFORD HOLDING COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-08-30 |
| COMPASSIONATE CARE HEALTHCARE CONSULTANTS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-30 |
| BRAUNSTEIN, MIRIAM | Individual | CORPORATE DIRECTOR | — | 2021-08-30 |
| IKE, AKIKO | Individual | CORPORATE DIRECTOR | — | 2021-08-30 |
| WAKE, CORY | Individual | CORPORATE DIRECTOR | — | 2021-08-30 |
| FREDERICKS, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2021-08-30 |
Other facilities in BRYN MAWR
| Name | Overall | Beds |
|---|---|---|
| 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.