All citations for Villas at Bryn Mawr LLC

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 Villas at Bryn Mawr LLC

Last standard health inspection on record

June 17, 2026

Showing 26 to 33 of 33 citations

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

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

    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 D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  6. 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 January 14, 2025. Found during a complaint inspection.

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

  7. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

  8. No harm, with potential for minimal harm

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.