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Bryn Mawr Village

773 East Haverford Road, Bryn Mawr, PA 19010
6105258300
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.3/5

5.0/5

Quality Measures

vs State Average: 3.5/5

1 penalties in last 3 years
Penalties
vs State Average: 1 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Sep 24, 2025 Respond appropriately to all alleged violations. E
Sep 24, 2025 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. D
Mar 6, 2025 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D
Mar 6, 2025 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D
Mar 6, 2025 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. D
Score
3.0
State Average
3.3
National Average
2.9
0.8 RN Hours / Resident / Day
4.1 Total Nurse Hours / Resident / Day
87.5% RN Turnover Rate
Score
5.0
State Average
3.5
National Average
3.6
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
30.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST HAVERFORD HOLDING COMPANY INC
OPERATIONAL/MANAGERIAL CONTROL COMPASSIONATE CARE HEALTHCARE CONSULTANTS LLC
CORPORATE DIRECTOR BRAUNSTEIN, MIRIAM
CORPORATE DIRECTOR IKE, AKIKO
CORPORATE DIRECTOR WAKE, CORY
W-2 MANAGING EMPLOYEE FREDERICKS, JOHN
Recent Penalties
Date Type Fine
May 10, 2024 Fine $15,902

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