Deficiency Index

Beaumont at Bryn Mawr

Bryn Mawr, Pennsylvania · CCN 395753

7 surveys since 2012, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
19
Surveys
7
Harm or worse
3
Immediate jeopardy
0
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file6/7

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
44
Ownership
Non profit - Corporation
Chain
Independent
County
Delaware
Medicare-certified since
1988

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Aug 15, 2024

816 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.374.80
Registered-nurse hours per resident day1.89—
Annual nurse turnover22.2%31.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 2 of the 19 citations on record.

In the surveyor’s words

From the most serious findings on record at Beaumont at Bryn Mawr, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF656Aug 15, 2024

    Based on review of facility policy, clinical record review and interview with staff, it was determined that the facility did not develop a comprehensive care plan related to hospice care for one of two residents on hospice reviewed (Resident R26). Findings include: Review of facility policy titled Care Plans, Comprehensive Person-Centered, revised December 2017, revealed that Assessments of residents are ongoing and care plans are revised as information about the residents and the resident's conditions change. […]

  • No harm, potential for more than minimal, isolatedF689Aug 15, 2024

    Based on observation, review of facility policy, and staff interview, it was determined that the facility failed to ensure that the environment remained free of accident hazards for two of 12 residents reviewed. (Resident R1 and Resident R15) Findings Include: Review of facility policy titled, Administering Oral Medications dated October 2010 states, The purpose of this procedure is to provide guidelines for the safe administration of oral medications. Under Step in the Procedure the policy states, .16. Allow the resident to swallow oral tablets or capsules at his or her comfortable pace .21. Remain with the resident until all medications have been taken. […]

Read all 19 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Aug 15, 2024Standard2 findings
  • Nov 21, 2019Standard4 findings
  • Jan 28, 2019Standard1 finding
  • Dec 3, 2018Complaint3 findings · 2 harm
  • Nov 1, 2017Standard5 findings
  • Dec 3, 2015Standard3 findings · 1 harm
  • Oct 16, 2012—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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