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 29 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

  2. Harm to a resident

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

  3. 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 April 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 19, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  10. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  11. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  13. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  14. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  16. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  18. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

  19. 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 December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2022).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of July 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 19, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 19, 2024).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2022).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 2, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2022).

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.