• CMS rates this facility 3/5 stars (average)
• Has 120 certified beds with an average of 30.4 residents per day (25% occupancy)
• Last health inspection found 13 deficiencies (inspected Mar 6, 2025)
• Has been fined a total of $15,902 across 1 fine(s)
• Total nursing staff: 4.11 hours per resident per day
• Staff turnover rate: 77.3% (high)
Bryn Mawr Village is a 3-star Medicare certified nursing home in Bryn Mawr, Pennsylvania with 120 certified beds. It has been operating since 1967. The facility scored at average compared to Pennsylvania facilities.
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.
Respond appropriately to all alleged violations.
Honor 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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide enough food/fluids to maintain a resident's health.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate pain management for a resident who requires such services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Keep residents' personal and medical records private and confidential.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate foot care.
Provide enough food/fluids to maintain a resident's health.
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Observe each nurse aide's job performance and give regular training.
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.
Ensure 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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure 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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Observe each nurse aide's job performance and give regular training.
+ 5 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HAVERFORD HOLDING COMPANY INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 30, 2021 |
| COMPASSIONATE CARE HEALTHCARE CONSULTANTS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 30, 2021 |
| BRAUNSTEIN, MIRIAM | CORPORATE DIRECTOR | Individual | N/A | Aug 30, 2021 |
| IKE, AKIKO | CORPORATE DIRECTOR | Individual | N/A | Aug 30, 2021 |
| WAKE, CORY | CORPORATE DIRECTOR | Individual | N/A | Aug 30, 2021 |
| FREDERICKS, JOHN | W-2 MANAGING EMPLOYEE | Individual | N/A | Aug 30, 2021 |