Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145070

Nexus At Berwyn

55 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $231,957.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
49
Last 3 years
9
Actual harm+
5
Federal penalties
$231,957
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care24 Resident Rights10 Medication & Pharmacy7 Care Planning5 Abuse & Neglect4

Most common F-tags at this facility

F6897 F6846 F6773 F6003 F7613

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Jan 30, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 30, 2026F583Keep residents' personal and medical records private and confidential.DComplaint
Jan 30, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 30, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 30, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 22, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Dec 12, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Dec 12, 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
Sep 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Sep 11, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 1, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Jul 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 9, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jun 9, 2025F761Ensure 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.DComplaint
Apr 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 22, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Feb 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 28, 2025F880Provide and implement an infection prevention and control program.EStandard
Feb 28, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 28, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Feb 28, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 28, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 23, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Sep 13, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 8, 2024F758Implement 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.GComplaint
Jul 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 8, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Apr 25, 2024F759Ensure medication error rates are not 5 percent or greater.EComplaint
Apr 25, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 25, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 25, 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.FStandard
Apr 25, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 25, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 30, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
May 30, 2023F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.DComplaint
May 30, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Dec 2, 2022F761Ensure 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
Dec 2, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 2, 2022F693Ensure 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
Dec 2, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 2, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 2, 2022F583Keep residents' personal and medical records private and confidential.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $231,957 and 1 payment-denial actions spanning 74 days.

DateTypeFinePayment denial
Jul 1, 2025Fine$17,460—
Jan 16, 2025Fine$12,425—
Apr 12, 2024Fine$140,530—
Apr 12, 2024Payment Denial—May 9, 2024 · 74 days
May 30, 2023Fine$61,542—
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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