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 76 to 86 of 86 citations

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

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

  3. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, 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).

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

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

  5. 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).

  6. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician 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).

  7. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

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

  8. No harm, with potential for minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of May 2, 2024. Found during a standard inspection.

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

  9. 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).

  10. No harm, with potential for minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

    Health citation F-0941, Administration Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  11. No harm, with potential for minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

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.