All citations for Bryn Mawr Extended Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bryn Mawr Extended Care Center

Last standard health inspection on record

March 12, 2026

Showing 1 to 25 of 83 citations

Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level K.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 11, 2024).
Immediate jeopardy to resident health or safety
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Isolated (one or a few residents). CMS level J.
Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of February 29, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 11, 2024).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2026).
Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of November 1, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (December 9, 2024).
No harm, with potential for more than minimal harm
Meet other general requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0100, Construction Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 13, 2026).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 13, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 13, 2026).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 13, 2026).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 10, 2025. Found during a standard inspection.
A waiver was granted (May 23, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 10, 2025. Found during a standard inspection.
A waiver was granted (May 23, 2025).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 10, 2025. Found during a standard inspection.
A waiver was granted (May 23, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 10, 2025. Found during a standard inspection.
A waiver was granted (May 23, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.
A waiver was granted (December 18, 2024).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Widespread (many residents). CMS level F.
Health citation F-0835, Administration Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 11, 2024).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0131, Construction Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0225, Egress Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have an alternate power supply for its alarm system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0344, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0541, Services Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.