With a score of 55 out of 100, Bryn Mawr Village earns a C grade — placing it near the middle of Pennsylvania nursing facilities. Families should review the detailed metrics below when considering this Bryn Mawr location.
Staffing at Bryn Mawr Village is near the national average, with 4.11 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 35 deficiencies at Bryn Mawr Village, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: respond appropriately to all alleged violations..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.11 | 3.8 | Average |
| Registered Nurses (RN) | 0.79 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.31 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.01 | 2.4 | Below Average |
| Weekend Total Nursing | 3.85 | 3.8 | Average |
| Weekend RN Hours | 0.52 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0610 Severity ERespond appropriately to all alleged violations.Sep 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eSep 23, 2025 · Resident Rights Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMar 5, 2025 · Resident Rights Deficiencies
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Mar 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMar 5, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.4% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| Urinary tract infections | 2.9% | 2.5% | Worse |
| ADL decline (daily activities) | 20.8% | 14.0% | Worse |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 12.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,902
How This Grade Was Calculated
This facility's grade of C is based on a score of 55 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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