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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Impressions Memory Care at Bryn Mawr Village is where families can find solace and peace of mind. This exceptional dementia care unit offers top-notch support, round-the-clock supervised care, and a secure environment for seniors in need of memory impairment assistance. Nestled in the heart of Pennsylvania, this idyllic setting provides a haven of tranquility and calmness. Residents can truly find peace within these walls, fostering a sense of contentment and well-being.
Housekeeping and laundry services ensure a clean and comfortable living space, allowing residents to fully enjoy their surroundings. Medication management guarantees that each resident receives their prescribed treatments accurately and on time. To promote overall wellness, exercise, and physical therapy programs are thoughtfully designed to cater to individual needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
90% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Pennsylvania average
Impressions Memory Care at Bryn Mawr Village is legally operated by Northeast Pc Operations Llc.
In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
4 visits/inspections triggered by complaints
11 with citations
0 without citations
Pennsylvania average: 4 complaint visits
Pennsylvania average: 8 inspections with citations
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Pennsylvania average: 4 complaints
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Pennsylvania average: 63 citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Pennsylvania average: 59 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Waivers: 0
Pennsylvania average 6.7
Last Health inspection on Sep 2025
Pennsylvania average 31.3
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 37 citations resulted from standard inspections; and 6 of 37 resulted from complaint investigations.
1
233% worse than Pennsylvania average
Pennsylvania average: 0.3
0
100% better than Pennsylvania average
Pennsylvania average: 0.6
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 24, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 24, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 06, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
11.2 miles from city center — 0.51 miles to nearest hospital (Bryn Mawr Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
215% better than Pennsylvania average
Pennsylvania average ratio: 1.94:1
6% worse than Pennsylvania average
Pennsylvania average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This role is partially covered by contractors.
Total hours from contractors
5,917 contractor hours this quarter
| Certified Nursing Assistant | 10 | 153 | 163 | 6,544 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 5 | 101 | 106 | 4,289 | 91 | 100% | 6.7 |
| Registered Nurse | 6 | 15 | 21 | 1,932 | 89 | 98% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,009 | 91 | 100% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 679 | 68 | 75% | 6.4 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 628 | 71 | 78% | 6.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Respiratory Therapist | 1 | 0 | 1 | 414 | 59 | 65% | 7 |
| Qualified Social Worker | 1 | 0 | 1 | 414 | 59 | 65% | 7 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 215 | 28 | 31% | 7.7 |
| Qualified Activities Professional | 1 | 0 | 1 | 54 | 10 | 11% | 5.4 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 2 | 2% | 5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
32% better than Pennsylvania average
Pennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
38% better than Pennsylvania average
Pennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
9% better than Pennsylvania average
Pennsylvania average: 19.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.4%
61% better than Pennsylvania average
Pennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Pennsylvania average
Pennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.1%
79% better than Pennsylvania average
Pennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
2.4%
35% worse than Pennsylvania average
Pennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
11.4%
72% worse than Pennsylvania average
Pennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Pennsylvania average
Pennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
13.2%
23% better than Pennsylvania average
Pennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
47.6%
45% worse than Pennsylvania average
Pennsylvania average: 86.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
24.7%
64% worse than Pennsylvania average
Pennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
50% better than Pennsylvania average
Pennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.4%
37% worse than Pennsylvania average
Pennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
73% lower than Pennsylvania average
Pennsylvania average: $59K
52% fewer fines than Pennsylvania average
Pennsylvania average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Pennsylvania average
Pennsylvania average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2024
Last updated: Jan 2026
Historical financial and operational data for Impressions Memory Care at Bryn Mawr Village based on CMS SNF Cost Reports.
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