CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bryn Mawr Extended Care Center
View the most recent health deficiencies and inspection results for Bryn Mawr Extended Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bryn Mawr Extended Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2026-03-12 | 2026-07-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-03-12 | 2026-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-12 | 2026-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-07-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2026-03-12 | 2026-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-12 | 2026-04-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-12 | 2026-04-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-12 | 2026-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-12 | 2026-04-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-12 | 2026-04-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-03-12 | 2026-04-08 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-03 | 2025-12-11 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Meet other general requirements. | Fire Safety | 2025-04-10 | 2025-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-10 | 2025-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-10 | 2025-05-07 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-10 | 2025-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-10 | 2025-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-10 | 2025-05-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-10 | 2025-05-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-04-10 | 2025-05-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-10 | 2025-05-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-10 | 2025-05-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-04-10 | 2025-05-07 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-04-10 | 2025-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-10 | 2025-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-05-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-11-01 | 2024-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-01 | 2024-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-01 | 2024-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-01 | 2024-12-18 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-11-01 | 2024-12-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-01 | 2024-12-18 | 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 | 2024-11-01 | 2024-12-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-01 | 2024-12-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-01 | 2024-12-09 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-01 | 2024-12-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-01 | 2024-12-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-11-01 | 2024-12-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-11-01 | 2024-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-01 | 2024-12-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-11-01 | 2024-12-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-01 | 2024-12-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-22 | 2024-09-17 | Y |
| 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 | 2024-02-01 | 2024-03-11 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-29 | 2024-03-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-29 | 2024-03-11 | Y |
| 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 | 2024-02-01 | 2024-03-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-03-11 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-01 | 2024-03-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-01 | 2024-03-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-01 | 2024-03-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-01 | 2024-03-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-03-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-01 | 2024-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-11-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-30 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-14 | 2023-11-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-21 | 2023-09-13 | Y |