All citations for Nexus at Berwyn

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 Nexus at Berwyn

Last standard health inspection on record

February 28, 2025

Showing 1 to 25 of 37 citations

  1. 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 March 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 14, 2026).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 31, 2025).

  3. Harm to a resident

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 13, 2025).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of June 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  6. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  7. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  8. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  9. 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.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of December 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2025).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  19. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Provide properly sized and located linen or trash receptacles.

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

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  23. 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 February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 21, 2026).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 31, 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.