Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BRYN MAWR VILLAGE

BRYN MAWR, PA · 120 certified beds · Last Life Safety survey February 13, 2026

CMS Certification Number 395095 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within PA

6 citations — more than 29% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was February 2026. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

3 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility6PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0522025-0332026-02
Citations at each Life Safety survey
Survey dateCitations
May 10, 20241
March 6, 20252
February 13, 20263

Most-cited tags

Most-cited tags at this facility
E-00361K-01311K-02931E-00371E-00351K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0036Establish emergency prep training and testing.12026-02-13
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12024-05-10
K-0293Have properly located and lighted "Exit" signs.12025-03-06
E-0037Establish staff and initial training requirements.12026-02-13
E-0035Provide family notifications of emergency plan.12026-02-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-03-06

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
  • Construction Deficiencies 1
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3
Construction Deficiencies1
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 13, 2026 — 3 citations

Citations issued on February 13, 2026
TagWhat the surveyor checksStatus
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (April 14, 2026)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (April 14, 2026)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 14, 2026)

March 6, 2025 — 2 citations

Citations issued on March 6, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 29, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 29, 2025)

May 10, 2024 — 1 citation

Citations issued on May 10, 2024
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (July 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.