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 50 of 86 citations

  1. 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 March 27, 2025. Found during a standard inspection.

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

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems 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.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  4. 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 May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  6. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  8. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  11. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  12. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  13. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  15. 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 June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

  16. 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 June 17, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2026).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, 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 (April 7, 2026).

  21. 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 June 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  22. 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 June 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of June 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  24. 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 June 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of April 15, 2025. Found during a complaint 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 September 30, 2026. Inspection results describe the home at the time of each inspection.