Bryn Mawr Extended Care CenterCMS ratings, inspections and fines
- Address
- 956 Railroad Avenue, Bryn Mawr, PA 19010
- CCN
- 395311
- Ownership type
- For-profit, corporation
- Certified beds
- 160
- Residents per day
- 151
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Bryn Mawr Extended Care Center an overall rating of 1 of 5 stars. The last standard survey was on 12 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $35,925 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Delaware County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 28 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Mar 2026 | 11 | 8 |
| Cycle 2 | 10 Apr 2025 | 14 | 8 |
| Cycle 3 | No date | 26 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jun 2026 |
| 12 Mar 2026 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 8 Apr 2026 |
| 12 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Apr 2026 |
| 12 Mar 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 8 Apr 2026 |
| 3 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Dec 2025 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 7 May 2025 |
| 10 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0809 | 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. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0840 | 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. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 May 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 May 2025 |
| 22 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 17 Sep 2024 |
Survey cycle 3: 26 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0803 | 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. | E | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 9 Dec 2024 |
| 29 Feb 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 11 Mar 2024 |
| 29 Feb 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0584 | 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. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0803 | 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. | E | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | K | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 11 Mar 2024 |
| 1 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Mar 2024 |
| 14 Nov 2023 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 30 Nov 2023 |
| 1 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 30 Nov 2023 |
| 1 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Nov 2023 |
| 21 Aug 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 13 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 1 Nov 2024 | Fine | $12,048 | |
| 1 Feb 2024 | Fine | $23,877 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.10 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.33 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.06 | 0.91 | |
| Nurse aides | 1.71 | 2.19 | |
| All nurse staff, weekends | 2.76 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 37.7%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 36.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.4% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.9% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Bryn Mawr Healthcare Group, LLC
- Chain
- Saber Healthcare Group (126 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| BHG Aviv LLC | 5% or greater security interest | 1 Mar 2016 | |
| Saber Governance LLC | Operational/managerial control | 1 Sep 2019 | |
| Citrin Cooperman Advisors LLC | Adp of the snf | 1 Jun 2011 | |
| RKL LLP | Adp of the snf | 26 Jan 2023 | |
| SHG Boa LLC | Adp of the snf | 1 Mar 2016 | |
| SHG Management LLC | Adp of the snf | 1 Mar 2016 | |
| TCF National Bank | Adp of the snf | 19 Jul 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Delaware County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bryn Mawr Village | Bryn Mawr | 3 of 5 | 20 | $15,902 | 13 Feb 2026 | |
| Rosemont Center | Rosemont | 3 of 5 | 12 | $0 | 8 Sep 2025 | |
| Quadrangle | Haverford | 2 of 5 | 16 | $8,278 | 3 Apr 2025 | |
| Beaumont at Bryn Mawr | Bryn Mawr | 5 of 5 | 0 | $0 | 14 May 2026 | |
| Westgate Hills Rehabilitation and Nursing Ctr | Havertown | 3 of 5 | 9 | $49,590 | 14 Jan 2026 | |
| Rosewood Gardens Rehabilitation and Nursing Center | Broomall | 5 of 5 | 1 | $0 | 6 Feb 2026 | |
| Broomall Manor | Broomall | 5 of 5 | 1 | $0 | 18 Sep 2025 | |
| Pine View Healthcare and Rehabilitation Center | Broomall | 2 of 5 | 16 | $0 | 26 Aug 2025 | |
| William Hood Dunwoody Care Ctr | Newtown Square | 5 of 5 | 0 | $0 | 14 May 2026 | |
| Wesley Enhanced Living Main Line Rehab and Skd Nsg | Media | 4 of 5 | 0 | $151,457 | 12 Mar 2026 | |
| Edenbrook of Yeadon | Yeadon | 2 of 5 | 8 | $34,298 | 23 Apr 2026 | |
| Springfield Rehabilitation and Healthcare Center | Springfield | 2 of 5 | 10 | $20,010 | 2 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Bryn Mawr Extended Care Center (CCN 395311). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/bryn-mawr-extended-care-center-bryn-mawr-pa-395311/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Bryn Mawr Extended Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 10 Apr 2025.
- Who operates Bryn Mawr Extended Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Saber Healthcare Group. The CMS ownership file names Saber Governance LLC for operational or managerial control. This site does not show the names of persons.
- Is Bryn Mawr Extended Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.