Home / Pennsylvania / Glen Mills
Brinton Manor Nursing and Rehabilitation Center
549 Baltimore Pike, Glen Mills, PA 19342 · Delaware County · (610) 358-6005
92 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395917 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2026, inspectors cited 7 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 19 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.01 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
50.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Imperial Healthcare Group, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
June 5, 2026Standard inspection · 7 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased 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. During interview conducted with Resident 3 on June 3, 2026, at 1:04 p.m., Resident 3 denied ever requiring the use of an indwelling foley catheter. [...]
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased 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).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased 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).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to monitor the resident's behaviors, medication side effects, and document indications for a resident receiving a psychotropic medication for one of the five residents reviewed (Resident 13).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to incorporate PASSAR level 2 recommendations into the resident's care plan for one out of eight residents reviewed (Resident 9).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, the facility failed to ensure that the attending physician documented their rationale for not addressing a medication irregularity documented by the pharmacist during their monthly review of medications for three of 16 residents reviewed (Residents 3, 9, and 18).
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interview, observation, and record review, the facility failed to deliver rehab services for one out of eight residents reviewed (Resident 34).
March 16, 2026Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on a review of the facility's policy, clinical records, and staff interview, it was determined that the facility failed to comprehensively assess and timely provide treatment to a wound for one of two residents reviewed (Resident CL1).
April 18, 2025Standard inspection · 3 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased 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).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on a review of the Pennsylvania Professional Nursing Practice Act, facility policy and procedure, clinical records review, and staff interview, it was determined the facility failed to ensure that staff met the professional standards upon identifying a skin impairment for one of three residents reviewed (Resident 39).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of facility policy, clinical record, facility documentation, and staff interview, it was determined the facility failed to assess timely, monitor, and provide appropriate treatment to a skin impairment for one of three residents reviewed (Resident 39).
March 19, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical records review and staff interviews, it was determined that the facility failed to follow physician orders regarding administration of medications for one of the 9 residents reviewed (Resident 1).
October 8, 2024Complaint inspection · 2 citations
- D 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.
Inspectors wroteBased on observations, and staff interview it was determined that the facility failed to provide a safe and sanitary environment on one of five rooms reviewed (Resident 1's room).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, review of drug manufacturer's guidelines, and staff interviews, it was determined that the facility failed to ensure medications were properly stored and labeled for two of two medication carts and one of two medication rooms observed (Medication Cart A, Medication Cart B, and Medication Room A).
May 10, 2024Standard inspection · 4 citations
- D Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on review of facility policy and personnel records, it was determined that the facility failed to complete a criminal background check upon hire for one of five employee personnel records reviewed (Employee E4).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, it was determined that the facility failed to provide treatment and services to maintain/restore bladder continence for one of two residents reviewed for bowel and bladder (Resident 31).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to monitor weight changes in a timely manner for one of seven residents reviewed for nutrition (Resident 62).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on clinical record review, resident and staff interview, it was determined that the facility failed to ensure the highest practicable pain management for one of one resident reviewed (Resident 20).
January 24, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, resident and staff interviews it was determined the facility failed to follow physician orders for medication treatments for one of three residents reviewed. (Resident R1) Findings Include: Review of Resident R1's clinical record revealed diagnoses of the following including but not limited to of Obstructive Sleep Apnea and Acute Respiratory Failure with Hypoxia. Interview conducted with Resident R1 on January 24, 2024, at approximately 2:40 p.m. revealed after resident's admission on [DATE]; Resident R1 went nearly two weeks without his/her CPAP (continuous positive airway pressure machine) which is required for him/her to breathe properly. Review of Resident R1's clinical record revealed the resident was admitted into the facility on December 8, 2023. [...]
Fire safety inspections
1 fire safety citation on file: 1 on April 18, 2025.
Every fire safety citation1 citation
- B Conduct testing and exercise requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.01 | 3.89 | 3.86 |
| Registered nurses | 0.45 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.75 | 3.53 | 3.42 |
| Nurse aides | 1.65 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 44.5% | 45.8% |
| Registered nurse turnover | 22.2% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.11 on weekdays and 2.75 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.01 | 0.45 | 3.11 | 2.75 | 13.5% | 0 of 90 | 86 |
| Oct to Dec 2025 | 3.19 | 0.51 | 3.31 | 2.88 | 9.4% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.25 | 0.49 | 3.35 | 2.98 | 14.2% | 0 of 92 | 77 |
| Apr to Jun 2025 | 3.17 | 0.51 | 3.28 | 2.91 | 8.2% | 0 of 91 | 80 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.0 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
Owners and operators
Legal business name: BM REHAB & NURSING CENTER LLC. CMS links this home to Imperial Healthcare Group, a group of 9 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bh Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2019 |
| Chrh Equities LLC | 5% or greater indirect ownership interest | Organization | 10% | 07/29/2021 |
| Ens Holdings, LLC | 5% or greater indirect ownership interest | Organization | 25% | 07/29/2021 |
| The Ens Family Trust | 5% or greater indirect ownership interest | Organization | 25% | 07/29/2021 |
| Ymcs Equities LLC | 5% or greater indirect ownership interest | Organization | 10% | 07/29/2021 |
| Gottesman, Daniel | 5% or greater indirect ownership interest | Individual | 25% | 07/29/2021 |
| Chiles, Machere | W-2 managing employee | Individual | 07/01/2019 | |
| Herzka, Yisroel | Corporate officer | Individual | 07/29/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on June 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 5, 2026: "Ensure each resident receives an accurate assessment."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 5, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 5, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the Pennsylvania average of 3.53.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Continuing Care at Maris Grove Glen Mills, 1.4 mi · 5 of 5 stars · 16 citations
- Willowbrooke Court-Granite Media, 3.5 mi · 5 of 5 stars · 0 citations
- Willowbrooke Court Skd Care Center at Lima Estates Lima, 3.6 mi · 5 of 5 stars · 0 citations
- Fair Acres Geriatric Center Lima, 3.6 mi · 1 of 5 stars · 8 citations
- HCC at White Horse Village Newtown Square, 4.6 mi · 5 of 5 stars · 3 citations
- Encore at Wilmington Wilmington, 5.3 mi · 3 of 5 stars · 65 citations
- Aventura at Pembrooke West Chester, 5.5 mi · 1 of 5 stars · 38 citations
- Naamans Creek Country Manor Boothwyn, 5.7 mi · 4 of 5 stars · 15 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Brinton Manor Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Brinton Manor Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brinton Manor Nursing and Rehabilitation Center get at its last inspection?
- 7 health deficiencies at the standard inspection on June 5, 2026. The Pennsylvania average is 10.
- Has Brinton Manor Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Brinton Manor Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brinton Manor Nursing and Rehabilitation Center?
- CMS lists 8 owners and managers, and links the home to Imperial Healthcare Group. Legal business name: BM REHAB & NURSING CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.