BRYN MAWR VILLAGE

Continuing care retirement community · CCN 395095 · NORTHEAST SNF OPERATIONS LLC · Non profit - Corporation · 120 certified beds · Delaware · PA


BRYN MAWR VILLAGE is a 120-bed nursing home in BRYN MAWR, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 33.7 residents a day.

What harm was found in the violations cited at BRYN MAWR VILLAGE?

CMS lists 44 health-inspection deficiencies for BRYN MAWR VILLAGE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-13.

Survey dateTagDeficiencySeverity
2026-02-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-02-13F0552, F0655, F0692Ensure that residents are fully informed and understand their health status, care and treatments. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide enough food/fluids to maintain a resident's health.E
2026-02-13F0584, F0609, F0656, F0658, F0677, F0686, F0693, F0695, F0697, F0755, F0761, F0880, F0919Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2026-02-13F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.C
2025-09-24F0610Respond appropriately to all alleged violations.E
2025-09-24F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D
2025-03-06F0578, F0604, F0655, F0656, F0677, F0686, F0692, F0693, F0695, F0697, F0755Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-05-10F0692Provide enough food/fluids to maintain a resident's health.J
2024-05-10F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-10F0730Observe each nurse aide's job performance and give regular training.E
2024-05-10F0583, F0684, F0687, F0710, F0761, F0803, F0806, F0808, F0835Keep residents' personal and medical records private and confidential. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2024-02-14F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D

Why was BRYN MAWR VILLAGE fined?

DateTypeAmount
2024-05-10Fine$15,902

How is BRYN MAWR VILLAGE staffed?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day4.256413.88823
Total nursing staff turnover (%)73.344.5
Average number of residents per day33.7104.6

Who owns BRYN MAWR VILLAGE?

BRYN MAWR VILLAGE is registered with CMS as Non profit - Corporation, operates under the legal business name NORTHEAST SNF OPERATIONS LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHAVERFORD HOLDING COMPANY INCsince 08/30/2021
W-2 MANAGING EMPLOYEEFREDERICKS, JOHNsince 08/30/2021
CORPORATE DIRECTORBRAUNSTEIN, MIRIAM, IKE, AKIKO, WAKE, CORYsince 08/30/2021
OPERATIONAL/MANAGERIAL CONTROLCOMPASSIONATE CARE HEALTHCARE CONSULTANTS LLCsince 08/30/2021

Were you or a family member harmed at BRYN MAWR VILLAGE?