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 32 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    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.

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

    Health citation F-0803, Nutrition and Dietary 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).

  8. 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 November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  9. 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 November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    Have proper power supply for life support equipment.

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

    Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    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.

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

    Health citation F-0803, 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).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, 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).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, 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).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0770, Administration Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0773, Administration Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of November 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2024).

  23. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0835, Administration Deficiencies. Inspection of February 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2024).

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.