BRYN MAWR EXTENDED CARE CENTER
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-03-12 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-01 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2024-02-29 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-02-01 — IMMEDIATE JEOPARDY (tag F0812, severity K)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing, from payroll records
Nursing hours / resident / day
2.97
state median 3.36
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.20
registered nurses only
Contract (agency) staff
9%
share of all nursing hours
Nursing staff turnover
38%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $35,925 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-01 | Fine | $12,048 |
| 2024-02-01 | Fine | $23,877 |
Ownership
Ownership type: For profit - Corporation. Part of the SABER HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- NEW CASTLE HEALTH AND REHABILITATION CENTER (NEW CASTLE, DE) —
- GREY STONE HEALTH AND REHABILITATION CENTER (FORT WAYNE, IN) —
- Sage Bluff Health and Rehab Center (FORT WAYNE, IN) —
- Autumn Care Of Biscoe (Biscoe, NC) —
- Davidson Health & Rehab Center (Lexington, NC) —
- Matthews Health & Rehab Center (Matthews, NC) —
- Autumn Care of Waynesville (Waynesville, NC) —
- Davie Nursing and Rehabilitation Center (Mocksville, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-12 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-12 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-12 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-12 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-12 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-12 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-12 | F0813 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-03-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-03-12 | F0919 | Environmental Deficiencies | D | not recorded |
| 2025-10-03 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-10 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-10 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-10 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-04-10 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-10 | F0809 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-04-10 | F0840 | Administration Deficiencies | D | not recorded |
| 2025-04-10 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-11-01 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-01 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2024-11-01 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-01 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-01 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-11-01 | F0770 | Administration Deficiencies | D | not recorded |
| 2024-11-01 | F0773 | Administration Deficiencies | D | not recorded |
| 2024-11-01 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-01 | F0919 | Environmental Deficiencies | D | not recorded |
| 2024-11-01 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-08-22 | F0921 | Environmental Deficiencies | D | not recorded |
| 2024-02-29 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-02-29 | F0835 | Administration Deficiencies | D | not recorded |
| 2024-02-01 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-01 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-01 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-01 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-02-01 | F0812 | Nutrition and Dietary Deficiencies | K | not recorded |
| 2024-02-01 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-02-01 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-14 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0806 | Nutrition and Dietary Deficiencies | E | not recorded |