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 19 of 19 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  17. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  18. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2026).

  19. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness 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.