Senior Care Records.

Bryn Mawr Village

773 EAST HAVERFORD ROAD, Bryn Mawr, PA, 19010

Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 19 deficiencies against Bryn Mawr Village in Bryn Mawr, Pennsylvania at its most recent standard inspection on 2026-02-13, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $15,902. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
120certified beds
19deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $15,902
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.41
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2026-02-13 · standard survey · Actual harm to a resident

G

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies · F0552 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies · F0655 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · F0692 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Resident Rights Deficiencies · F0584 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure 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.

Quality of Life and Care Deficiencies · F0693 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies · F0697 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure 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.

Pharmacy Service Deficiencies · F0761 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies · F0919 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies · F0838 · 2026-02-13 · standard survey · No actual harm, potential for minimal harm

C

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-09-24 · from a complaint · No actual harm, potential for more than minimal harm

E

Honor 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.

Resident Rights Deficiencies · F0585 · 2025-09-24 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.25641
Nursing staff turnoverShare of nursing staff who left in a year73.3%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$15,902
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Bryn Mawr Village

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
HAVERFORD HOLDING COMPANY INCOrganization100%since 08/30/2021
FREDERICKS, JOHNIndividualNOT APPLICABLEsince 08/30/2021
BRAUNSTEIN, MIRIAMIndividualNOT APPLICABLEsince 08/30/2021
IKE, AKIKOIndividualNOT APPLICABLEsince 08/30/2021
WAKE, CORYIndividualNOT APPLICABLEsince 08/30/2021
COMPASSIONATE CARE HEALTHCARE CONSULTANTS LLCOrganizationNOT APPLICABLEsince 08/30/2021
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Quadrangle

Haverford · 1.3 mi · 63 beds

Citations0Substantiated0
Contact

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 395095.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction