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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

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
4E
0F
Potential for minimal harm
0A
0B
0C
June 5, 2026Standard inspection · 7 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2026
    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. [...]
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2026
    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).
  3. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2026
    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).
  4. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2026
    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).
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2026
    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).
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2026
    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).
  7. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2026
    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
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    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
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 20, 2025
    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).
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2025
    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).
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2025
    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
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2025
    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
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    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).
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    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
  1. D
    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
    F606 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    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).
  2. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    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).
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    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).
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    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
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    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
  1. B
    Conduct testing and exercise requirements.
    E 39 · April 18, 2025 · Corrected (the home has a date of correction)

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.013.893.86
Registered nurses0.450.790.69
All nursing staff on weekends2.753.533.42
Nurse aides1.65
Licensed practical nurses0.91
Nursing staff turnover (share who left in a year)50.0%44.5%45.8%
Registered nurse turnover22.2%39.9%42.9%
Administrators who left1

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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.010.453.112.75 13.5%0 of 9086
Oct to Dec 20253.190.513.312.88 9.4%0 of 9279
Jul to Sep 20253.250.493.352.98 14.2%0 of 9277
Apr to Jun 20253.170.513.282.91 8.2%0 of 9180
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%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.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.516.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.217.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.04.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.117.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.09.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.21.8

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.

NameRoleTypeShareSince
Bh Opco Holdco LLC5% or greater direct ownership interestOrganization100%07/01/2019
Chrh Equities LLC5% or greater indirect ownership interestOrganization10%07/29/2021
Ens Holdings, LLC5% or greater indirect ownership interestOrganization25%07/29/2021
The Ens Family Trust5% or greater indirect ownership interestOrganization25%07/29/2021
Ymcs Equities LLC5% or greater indirect ownership interestOrganization10%07/29/2021
Gottesman, Daniel5% or greater indirect ownership interestIndividual25%07/29/2021
Chiles, MachereW-2 managing employeeIndividual07/01/2019
Herzka, YisroelCorporate officerIndividual07/29/2021

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.

  1. 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."
  2. 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."
  3. 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."
  4. 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."
  5. 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.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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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

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