Independent · Federal inspection records, searchable
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Facility profile · CCN 395095

Bryn Mawr Village

35 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $15,902.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
35
Total citations
34
Last 3 years
1
Actual harm+
1
Federal penalties
$15,902
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

35 on record
SurveyF-TagViolationSeveritySource
Sep 24, 2025F610Respond appropriately to all alleged violations.EComplaint
Sep 24, 2025F585Honor 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.DComplaint
Mar 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 6, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 6, 2025F693Ensure 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.DStandard
Mar 6, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 6, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 6, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Mar 6, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 6, 2025F578Honor 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.DStandard
May 10, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
May 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 10, 2024F808Ensure 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.DStandard
May 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
May 10, 2024F803Ensure 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.DStandard
May 10, 2024F761Ensure 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.DStandard
May 10, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
May 10, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
May 10, 2024F692Provide enough food/fluids to maintain a resident's health.JStandard
May 10, 2024F687Provide appropriate foot care.DStandard
May 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 10, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Feb 14, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jul 10, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Jul 10, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Jul 10, 2023F887Educate 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.DStandard
Jul 10, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jul 10, 2023F880Provide and implement an infection prevention and control program.EStandard
Jul 10, 2023F730Observe each nurse aide's job performance and give regular training.DStandard
Jul 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 10, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 16, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $15,902 .

DateTypeFinePayment denial
May 10, 2024Fine$15,902
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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