Deficiency Index

Brinton Manor Nursing and Rehabilitation Center

Glen Mills, Pennsylvania · CCN 395917

34 surveys since 2011. The first finding at harm level was recorded in 2019.

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

Citations on record
129
Surveys
34
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file26/34

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

The facility

Certified beds
92
Ownership
For profit - Limited Liability company
Chain
IMPERIAL HEALTHCARE GROUP
County
Delaware
Medicare-certified since
1993

CMS ratings

Overall
3
Health inspection
3
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 58 for-profit facilities of 66–99 beds in Pennsylvania.

Last survey on record

Jun 5, 2026

157 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 day3.013.54
Registered-nurse hours per resident day0.45—
Annual nurse turnover50.0%46.3%

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 minimalD1982.6%E417.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 129 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6844×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F7562×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F5841×

    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.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Brinton Manor Nursing and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 20, 2022

    Based on observation, staff interview, and review of facility policy it was determined that the facility failed to store food in accordance with professional standards and maintain sanitary conditions in the kitchen area. Findings Include: Review of facility policy and procedure titled, Food Storage: Cold Foods, revised [DATE] revealed all perishable foods will be maintained at a temperature of 41 degrees Fahrenheit or below. Observation of the kitchen on [DATE], at 9:30 a.m. […]

  • No harm, potential for more than minimal, patternF641Jun 5, 2026

    Based on clinical record reviews, resident interviews and staff interviews, it was determined that the facility failed to properly assess two of twenty-three residents reviewed (Resident 3 and Resident 66). Review of Resident 3's quarterly MDS assessment (MDS - periodic assessment of resident care needs) dated April 22, 2026, Section H0100 - Bowel and Bladder indicated that the resident had an indwelling foley catheter (a flexible tube inserted into the bladder to continuously drain urine.)No current, discharged , or completed orders for an indwelling foley catheter were observed in Resident 3's physician orders.Review of resident 3's care plan revealed no care plan or interventions for an indwelling foley catheter. […]

  • No harm, potential for more than minimal, patternF684Jun 5, 2026

    Based on review of the facility's policy and clinical records, observations, and interview with staff and residents, it was determined that the facility failed to appropriately monitor and follow a fluid restriction order for four of the four residents reviewed (Residents 1, 7, 37, and 53). Findings: A review of the facility's policy titled Encouraging and Restricting Fluid, undated, revealed, Be accurate when recording fluid intake. The same policy revealed, When a resident has been placed on restricted fluids, remove the water cup from the room. […]

  • No harm, potential for more than minimal, patternF695Jun 5, 2026

    Based on observation review of facility's policy and clinical records, and interview with resident and staff, it was determined that the facility failed to follow a respiratory order and provide sanitary measures for handling, cleaning and storage of respiratory equipment for two out of eight residents reviewed (Resident 34, and 37).Findings include: Review of facility policy Administering Medications through a Small Volume (Handheld) Nebulizer (a medical device that coverts liquid medication into a fine mist for inhalation directly into the lungs for the treatment of breathing difficulty. […]

  • No harm, potential for more than minimal, patternF684Apr 18, 2025

    Based on clinical records review and staff interviews, it was determined that the facility failed to follow physician orders regarding administration of medications for two of the two residents reviewed (Resident R3 and R33). Findings include: Review of Resident R3's clinal record revealed the following diagnosis, dialysis-induced hypotension (low blood pressure occurring during dialysis treatment) and congestive heart failure (CHF, a chronic condition in which the heart doesn't pump blood as well as it should). Review of Resident R3's clinical record revealed the following order, Midodrine (used to treat low blood pressure) HCL 5 milligrams (MG), give 2 tablets by mouth two times a day for hypotension hold if blood pressure greater than 120/70. […]

Read 21 findings in full →The most serious and the most recent: 21 of 129 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 5, 2026Standard7 findings
  • Mar 16, 2026Complaint1 finding
  • Apr 18, 2025Standard3 findings
  • Mar 19, 2025Complaint1 finding
  • Oct 8, 2024Complaint2 findings
  • May 10, 2024Standard4 findings
  • Jan 24, 2024Complaint1 finding
  • Jul 13, 2023Standard4 findings
Show the 26 earlier surveys
  • Mar 8, 2023Complaint2 findings
  • Oct 3, 2022Complaint1 finding
  • Jul 20, 2022Standard10 findings
  • Apr 4, 2022Complaint2 findings
  • Sep 7, 2021Complaint1 finding
  • Apr 1, 2021Standard6 findings
  • Jan 20, 2021Complaint1 finding
  • Sep 10, 2020Complaint2 findings
  • Jun 29, 2020Complaint1 finding
  • Jan 17, 2020Complaint1 finding
  • Jul 12, 2019Standard18 findings · 1 harm
  • Jun 10, 2019Complaint2 findings
  • Jan 4, 2019Complaint1 finding
  • Oct 31, 2018Complaint6 findings
  • Apr 13, 2018Standard9 findings
  • Nov 17, 2017Complaint1 finding
  • May 22, 2017Standard4 findings
  • Sep 14, 2016Complaint1 finding
  • Jun 10, 2016Standard8 findings
  • Apr 22, 2015Standard9 findings
  • Sep 16, 2014Complaint3 findings
  • May 2, 2013—7 findings
  • Apr 16, 2012—5 findings
  • Feb 7, 2012—1 finding
  • May 27, 2011—1 finding
  • May 17, 2011—3 findings

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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