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Deficiency Records for Bryn Mawr Village

View the most recent health deficiencies and inspection results for Bryn Mawr Village. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Bryn Mawr Village. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Establish emergency prep training and testing. Fire Safety 2026-02-13 2026-04-14 N
Establish staff and initial training requirements. Fire Safety 2026-02-13 2026-04-14 N
Provide family notifications of emergency plan. Fire Safety 2026-02-13 2026-04-14 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2026-02-13 2026-04-07 N
Provide and implement an infection prevention and control program. Health 2026-02-13 2026-04-07 N
Conduct 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. Health 2026-02-13 2026-04-07 N
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. Health 2026-02-13 2026-04-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-02-13 2026-04-07 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2026-02-13 2026-04-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-02-13 2026-04-07 N
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. Health 2026-02-13 2026-04-07 N
Provide enough food/fluids to maintain a resident's health. Health 2026-02-13 2026-04-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-02-13 2026-04-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-02-13 2026-04-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-02-13 2026-04-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2026-02-13 2026-04-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-02-13 2026-04-07 N
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. Health 2026-02-13 2026-04-07 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2026-02-13 2026-04-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2026-02-13 2026-04-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-13 2025-10-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-03-06 2025-04-29 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-03-06 2025-04-29 N
Provide enough food/fluids to maintain a resident's health. Health 2025-03-06 2025-04-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-03-06 2025-04-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-03-06 2025-04-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-03-06 2025-04-21 N
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. Health 2025-03-06 2025-04-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-03-06 2025-04-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-06 2025-04-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-03-06 2025-04-21 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-03-06 2025-04-21 N
Honor 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. Health 2025-03-06 2025-04-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-03-06 2025-04-21 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-05-10 2024-07-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-10 2024-07-01 N
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. Health 2024-05-10 2024-07-01 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-05-10 2024-07-01 N
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. Health 2024-05-10 2024-07-01 N
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. Health 2024-05-10 2024-07-01 N
Observe each nurse aide's job performance and give regular training. Health 2024-05-10 2024-07-01 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-05-10 2024-07-01 N
Provide enough food/fluids to maintain a resident's health. Health 2024-05-10 2024-07-01 N
Provide appropriate foot care. Health 2024-05-10 2024-07-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-10 2024-07-01 N
Keep residents' personal and medical records private and confidential. Health 2024-05-10 2024-07-01 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2024-05-10 2024-07-01 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-02-14 2024-03-06 Y
Respond appropriately to all alleged violations. Health 2025-09-24 Not Fixed Y
Honor 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. Health 2025-09-24 Not Fixed Y

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