Bryn Mawr Extended Care: Medication Delays Found - PA
Inspectors reviewing records at Bryn Mawr Extended Care Center found that on October 1 and 2, 2025, staff administered medications to Resident R16 anywhere from 90 minutes to nearly four hours behind schedule, across seven different drugs. Levothyroxine, a thyroid medication prescribed for a 6:00 a.m. dose, shows no record of administration on either October 2 or October 3.
The delays touched almost every category of medication the resident was taking. Escitalopram oxalate, an antidepressant prescribed at 20 mg, was due at 9:00 a.m. on October 1 and wasn't given until 12:35 p.m. Pregabalin, an antiseizure and nerve pain drug, was due at the same hour and arrived at 12:37 p.m. Ziprasidone, an antipsychotic, was also due at 9:00 a.m. that morning and given at 12:37 p.m. Restasis eye drops, prescribed twice that day, ran more than three and a half hours late in the morning and nearly two hours late at night.
Artificial tears, scheduled four times across the two days, were late every single time. The closest any dose came to on-time was two and a half hours past schedule. The furthest was just over two hours and fifty minutes.
The facility's own medication administration policy, revised in November 2024, instructs staff to verify the correct time for every dose before giving it. The electronic medication administration record reviewed by inspectors is the same system that would have shown staff when each drug was due.
The violation was cited at the lowest level of harm, meaning inspectors found minimal harm or potential for actual harm rather than documented injury. Whether the missed thyroid doses caused any clinical consequence for Resident R16 is not recorded in the inspection report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bryn Mawr Extended Care Center from 2025-10-03 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
BRYN MAWR EXTENDED CARE CENTER in BRYN MAWR, PA was cited for violations during a health inspection on October 3, 2025.
Levothyroxine, a thyroid medication prescribed for a 6:00 a.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.