Home / Pennsylvania / Bryn Mawr
773 East Haverford Road, Bryn Mawr, PA 19010 · Delaware County · (610) 525-8300
120 certified beds, about 34 residents a day · Non profit - Corporation · Medicare since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395095 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 13, 2026, inspectors cited 18 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 44 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $37,562 in the last three years; the largest was $21,660, and the latest is dated February 13, 2026.
Nurses and nurse aides worked 4.26 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
73.3% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
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.
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 44 health citations on file.
Inspectors wroteBased on review of facility policy, facility documentation, clinical records, and staff interview it was determined the facility failed to ensure the resident environment remained free of accident hazards for one of 12 residents reviewed (Resident R47). This failure resulted in actual harm to Resident R47 who spilled a hot liquid on his/her thigh resulting in a burn. This deficiency was identified as past non-compliance. Findings Include: Review of facility policy Assisting the Resident with In-Room Meals revised December 2013 revealed staff should check that hot foods are hot (but not scalding temperature). [...]
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to discuss the risks/benefits in advance for newly admitted resident for two of five resident records reviewed (Residents R1, and R23).
Inspectors wroteBased on review of facility policy and review of clinical records, it was determined that the facility failed to provide the resident and their representative with a summary of the baseline care plan for two of three newly admitted residents reviewed (Resident R38, and R45).
Inspectors wroteBased on review of facility policy, review of clinical record, and resident interview, it was determined that the facility failed to implement interventions consistent with the resident's assessed needs to maintain acceptable parameters of nutritional status for one of 12 residents reviewed (Resident R19). Findings Include:Review of facility policy Weight Assessment and Intervention revised February 2021 revealed resident weight will be measured on admission and weekly for four weeks thereafter. Any weight change of 5% or more since the last weight assessment will be addressed by the Registered Dietitian. [...]
Inspectors wroteBased on observations, review facility policies and staff interviews, it was determined that the facility failed to maintain a clean and homelike environment in resident care areas for one of two nursing units observed (CE Unit).
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the State Survey Agency of an allegation of verbal abuse within 24 hours for one of 12 residents reviewed. (Resident R 41)
Inspectors wroteBased on review of facility policy, review of clinical records, observations, and staff interviews, it was determined that the facility failed to develop a comprehensive person-centered care plan for two of twelve residents reviewed (Residents R31 and R6).
Inspectors wroteBased on facility policy review, observation, clinical record review, and staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards for one of five residents observed during medication administration pass (Resident R31).
Inspectors wroteBased on a review of clinical records, and interviews with residents, family members, and staff, it was determined that the facility failed to provide the necessary assistance with activities of daily living (ADLs) to maintain proper nail care for one of the 12 residents reviewed (Residents R6).
Inspectors wroteBased on review of clinical records, observations, and staff interviews it was determined that the facility failed to implement preventative care for a resident at risk of alterations in skin integrity for one of 12 residents reviewed (Resident R49). Findings Include:Review of Resident R49's comprehensive Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated February 6, 2026, revealed the resident was newly admitted to the facility on [DATE], and had diagnoses of heart failure (a chronic condition in which the heart doesn't pump blood as well as it should), hypoxemia (low blood oxygen levels), need for assistance with personal care, muscle weakness, and abnormalities of gait and mobility. Continued review of Resident R49's MDS dated [DATE], revealed the resident was identified as at risk of developing pressure ulcers/injuries. [...]
Inspectors wroteBased on observation, clinical record review, and interviews with staff, it was determined that the facility failed to ensure enteral feedings were labeled in accordance with professional standards of practice, for one of one resident reviewed for tube feeding (Resident R6).
Inspectors wroteBased on a review of clinical records, observations of care and services, and interviews with staff, it was determined that the facility failed to consistently provide respiratory care and supplemental oxygen as ordered by the physician for one of one residents reviewed. (Resident R6).
Inspectors wroteBased on review of facility policy, review of clinical records, and staff interview it was determined that the facility failed to provide pain management consistent with a resident's assessed needs for one of 12 residents reviewed (Resident R45). Findings Include:Review of facility policy Pain - Clinical Protocol revealed with input from the resident, the physician and staff will establish goals of pain treatment. Review of Resident R45's Minimum Data Set (federally mandated resident assessment and care screening) dated November 15, 2025, revealed the resident was admitted to the facility on [DATE], and had diagnoses of heart failure (a chronic condition in which the heart doesn't pump blood as well as it should), peripheral vascular disease (narrowed arteries that reduce blood flow to the limbs), respiratory failure, and muscle weakness. [...]
Inspectors wroteBased on review of facility policy and review of clinical records it was determined that the facility failed to provide pharmaceutical services to meet the needs of each resident for one of 12 residents reviewed. Findings Include:Review of facility policy Medication Shortages/Unavailable Medications revealed when medications are unavailable the licensed nurse will urgently initiate action in cooperation with the attending physician and the pharmacy provider. Continued review of facility policy Medication Shortages/Unavailable Medications revealed a medication shortage is noted the nurse should notify the pharmacy and determine the status of the order. If the next available delivery results in a delay or missed dose in the resident's medication regimen the nurse should retrieve the medication from the emergency stock or request an emergency/stat delivery from the pharmacy. [...]
Inspectors wroteBased on review of observation, resident and staff interviews, it was determined that the facility failed to properly secure a medication for one of 12 residents reviewed. (Resident R38).
Inspectors wroteBased on review of facility policy, review of clinical records, observations, and staff interviews it was determined that the facility failed to implement infection control standards related to the use of personal protective equipment and wound care for one of 12 residents reviewed. (Resident R5)Findings Include:Review of memo Enhanced Barrier Precautions in Nursing Homes from the Centers for Medicare & Medicaid Services dated March 20, 2024, revealed enhanced barrier precautions (EBP- involve gown and glove use during high-contact resident care activities ) recommendations include use of EBP for residents with chronic wounds or indwelling medical devices during high-contact resident care activities regardless of their multidrug-resistant organism status. [...]
Inspectors wroteBased on review of facility policy, review of clinical records, observations, and staff interviews it was determined that the facility failed to ensure the call light was within easy reach for one of 12 residents reviewed (Resident R49). Findings Include:Review of facility policy Answering the Call Light revised October 2010 revealed when the resident is in bed or confined to a chair, the call light should be within easy reach of the resident. [...]
Inspectors wroteBased on review of facility policy, review of facility assessment and staff interview, the facility failed to ensure include the direct care staff and input from residents, resident representatives and family members when conducting the facility assessment.
Inspectors wroteBased on observation, review of clinical records, review of facility documents and interview with staff and residents, it was determined that the facility failed to investigate an allegation of verbal abuse by two of four residents reviewed. (Resident R1 and Resident R2)
Inspectors wroteBased on observation, review of facility policy and interview with staff and residents, it was determined that the facility failed to ensure that grievances are addressed in a timely manner for one of four residents reviewed (Resident R1). Review of the facility's policy entitled Grievances/Complaints, Filing revealed that under section Policy Statement residents and their representatives have the right to file grievances either orally or in writing to the facility staff or to the agency designated to hear grievances (i.e. the State Ombudsman). The Administrator and his staff will make prompt efforts to resolve grievances to the satisfaction of the resident and or representative. [...]
Inspectors wroteBased on clinical record reviews and interviews with staff, it was determined that the facility failed to ensure that advanced directives were in place for two of 13 clinical records reviewed (Resident R149 and Resident R26).
Inspectors wroteBased on review of facility policies, clinical record review, observations, and staff interviews, it was determined the facility failed to identify the placement of beds against the wall as a restraint three one of 13 residents reviewed. (Residents R247, R248, R249). Findings Include: Review of facility policy titled, Use of Restraints, revised 2017, revealed physical restraints are defined as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restrics freedom of movement or restricts normal access to one's body. Further review of policy Use of Restraints revealed the definition of a restraint is based on the functional status of the resident and not the device. [...]
Inspectors wroteBased on clinical record review, staff interview, and review of facility policy, it was determined that the faciltiy failed to ensure that a baseline care plan was developed for one of 13 residents reviewed. (Resident R149)
Inspectors wroteBased on review of facility policy, review of clinical record, observations, and staff interviews, it was determined that the facility failed to develop comprehensive care plan for one of thirteen residents reviewed related to weight changes(Resident R33). Findings Include: Review of facility policy on care plan, Comprehensive-Person Centered revealed that. Under Section Policy Statement, a comprehensive person-centered care plan that includes measurable objectives and timetables to meet the residents physical, psychological and functional needs is developed and implemented for each resident. Under section Policy Interpretation and Implementation. Revealed that. #1 The interdisciplinary team, in conjunction with the resident and his or her family or legal representative, develops and implements a comprehensive person-centered care plan for each resident. #7. [...]
Inspectors wroteBased on clinical record review, resident and staff interviews, it was determined that the facility failed to provide services to maintain adequate grooming of residents that required staff assistance with activities of daily living for two of 13 residents reviewed (Resident R243, R244).
Inspectors wroteBased review of clinical records, facility policies and interviews with staff, it was determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice and physician orders, to promote healing of pressure ulcers and prevent development of pressure ulcers for one of 13 residents reviewed for pressure ulcer. (Resident R1)
Inspectors wroteBased staff interviews and review of clinical records, it was determined that the facility failed to ensure that weekly weights were obtained as ordered by physician for 2 out of 13 residents reviewed (Resident R1, Resident R33).
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to follow recommendations to maintain acceptable parameters of nutrition for a resident receiving enteral nutrition for one of two residents reviewed. (Resident R33)
Inspectors wroteBased on observations and interviews with staff, it was determined that the facility failed to provide appropriate respiratory care services related to changing and labelling respiratory equipment's and administering oxygen as ordered by the physician for two of thirteen residents reviewed. (Residents R146 and R149). Findings Include: A review of the facility policy titled Oxygen Administration The purpose of this procedure is to provide guidelines for safe oxygen administration. Verify that there is a physician's order for this procedure. Review the physician's orders or facility protocol for oxygen administration. [...]
Inspectors wroteBased on review of facility policy, review of clinical record, and staff interview, it was determined that the facility failed to ensure that appropriate pain management was provided to a resident consistent with standards of professional practice for one of thirteen residents reviewed (Resident R148).
Inspectors wroteBased on record review and interview with resident and staff it was determined that the facility failed to ensure the safe and effective use of medications in a manner that minimizes medication-related adverse consequences or events related to drug allergies for one of thirteen residents reviewed. (Resident R148)
Inspectors wroteBased on clinical record review, review of facility policies and staff interviews, it was determined that the facility failed to provide nutritional interventions, failed to complete timely nutritional assessments by a qualified nutrition professional, failed to notify physician of weight loss, failed to ensure residents with vegetarian diet received appropriate diet with nutritional value and failed to complete weight assessment to promote acceptable parameters of nutritional status which resulted in Resident R20 experiencing unplanned significant weight loss four times from November 24, 2023 to April 24, 2024, (lost 33.03% (43 pounds) of body weights) and continued to place Resident R20 at risk for further nutritional decline. This failure placed Resident R20 in Immediate Jeopardy situation, for one of three residents reviewed for nutritional risk. (Resident R20)
Inspectors wroteBased on observations, interviews with staff, and a review of facility procedures, it was determined that the facility did not ensure that food was stored in accordance with professional standards for food service safety.
Inspectors wroteBased on the review of facility documentation, review of personnel files and interview with staff, it was determined that the facility did not ensure that a nurse aide had a minimum of 12-hour annual training to ensure continuing competence as required for five of five employees reviewed. (Employee E15, E16, E17, E18 and E19)
Inspectors wroteBased on observation, interview with staff, and review of facility policy, it was determined that the facility failed to maintain confidentiality of residents' medical records and provide privacy to a resident during incontinence care for two of 12 residents reviewed (Resident R30 and R41).
Inspectors wroteBased on review of facility policies, clinical record review and interviews with staff, it was determined that the facility failed to follow the physician orders related to weekly weights for one of 13 residents reviewed (Residents R37).
Inspectors wroteBased on review of facility policies, review of clinical records, observations and resident, resident representative and staff interviews, it was determined that the facility failed to ensure that foot care needs were provided timely for one of 13 residents reviewed (Resident R38).
Inspectors wroteBased on clinical record review, facility policy and interviews with staff, it was determined that the facility did not ensure that a physician assessment was completed related to unplanned weight loss for one of 3 residents with weight loss reviewed (Resident R21).
Inspectors wroteBased on observation, staff interviews, and review of facility policy, it was determined that the facility failed to ensure that all drugs and biologicals used in the facility were stored in accordance with professional standards for one of one medication storage rooms observed (first floor cart A and second floor medication storage room).
Inspectors wroteBased on observations, review of the facility's planned written menus, menu extensions, and facility policy, and staff interviews, it was determined that the facility failed to follow approved vegetarian diet to ensure nutritional adequacy for one of 13 residents reviewed. (Resident R21)
Inspectors wroteBased on review of facility documentation, observations, and staff interviews, it was determined that the facility failed to provide food that accommodates resident allergies, intolerances, and preferences for one of 13 residents reviewed. (Resident R37) Findings Include: Review of Resident R37's admission nutrition assessment dated [DATE], revealed that the resident had a lactose allergy and intolerance to lactose. Review of physician orders dated April 18, 2024, revealed an order for lactose intolerance, no milk. Further review of resident's nutrition assessment dated [DATE], revealed that Resident R37 had a lactose allergy and intolerance. Further review revealed an order dated May 2, 2024, for fortified foods one time a day for nutritional supplement Super Cereal. Interview with Resident R37 and his wife, on May 3, 2024, at 2:07 p.m. [...]
Inspectors wroteBased on review of facility policy, review of clinical record, observations, and staff and resident interviews, it was determined that the facility failed provide food items consistent with the prescribed diet order for two of 10 residents observed during dining (Resident R25, R14). Findings Include: Review of facility policy, Therapeutic Diets, undated, revealed that 'therapeutic diets are prepared and served as ordered by the attending physician. Review of physician orders for Resident R25 confirmed an order dated, October 14, 2022, for health shake three times a day and double portions dated August 24, 2024. Observations during dining, on May 6, 2024, at 12:57 p.m. revealed Resident R25's meal ticket indicated that the resident was ordered to receive double portions and a mighty shake supplement. [...]
Inspectors wroteBased on a review of clinical records, facility documentation and interviews with staff, it was determined that the Nursing Home Administrator and the Director of Nursing failed to effectively manage the facility related to failing to ensure that one of three residents reviewed (Resident R20) was provided with nutritional interventions, timely nutritional assessments, notification to the resident's physican of the resident's weight loss, and that the resident was provided an appropriate vegetarian diet. This failure resulted in Resident R20 experiencing unplanned significant weight loss of 43 pounds in 5 months and in an Immediate Jeopardy situation. (Resident R20)
Inspectors wroteBased on review of facility policies, clinical record reviews, and interviews with staff, it was determined that the facility failed to maintain sufficient documentation regarding the basis for the discharge for one of five records reviewed (Resident CL1).
6 fire safety citations on file: 3 on February 13, 2026, 2 on March 6, 2025, 1 on May 10, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2026 | Fine | $21,660 |
| May 10, 2024 | Fine | $15,902 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.26 | 3.89 | 3.86 |
| Registered nurses | 0.69 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.53 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 1.36 | ||
| Nursing staff turnover (share who left in a year) | 73.3% | 44.5% | 45.8% |
| Registered nurse turnover | 75.0% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.45 on weekdays and 3.79 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 38.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.35 in April to June 2025 to 4.26 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 | 4.26 | 0.69 | 4.45 | 3.79 | 38.5% | 0 of 90 | 34 |
| Oct to Dec 2025 | 5.47 | 0.86 | 5.48 | 5.44 | 40.0% | 0 of 92 | 29 |
| Jul to Sep 2025 | 4.11 | 0.79 | 4.22 | 3.85 | 33.1% | 0 of 92 | 30 |
| Apr to Jun 2025 | 5.35 | 0.93 | 5.33 | 5.38 | 42.6% | 0 of 91 | 28 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 10.0 | 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 | 0.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 9.5 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bryn Mawr Village's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.8% this home
No different from the national rate
US median of homes 51.5% · Pennsylvania: 100 better, 108 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 230 eligible stays.
11.3% this home
No different from the national rate
US median of homes 10.7% · Pennsylvania: 3 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 201 eligible stays.
7.9% this home
No different from the national rate
US median of homes 7.1% · Pennsylvania: 7 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 129 eligible stays.
56.0% this home
Median of homes: Pennsylvania54.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 75 residents counted.
0.0% this home
Median of homes: Pennsylvania0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 100 residents counted.
3.0% this home
Median of homes: Pennsylvania2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 100 residents counted.
97.9% this home
Median of homes: Pennsylvania100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 48 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NORTHEAST SNF OPERATIONS LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Haverford Holding Company Inc | 5% or greater direct ownership interest | Organization | 100% | 08/30/2021 |
| Fredericks, John | W-2 managing employee | Individual | 08/30/2021 | |
| Braunstein, Miriam | Corporate director | Individual | 08/30/2021 | |
| Ike, Akiko | Corporate director | Individual | 08/30/2021 | |
| Wake, Cory | Corporate director | Individual | 08/30/2021 | |
| Compassionate Care Healthcare Consultants LLC | Operational/managerial control | Organization | 08/30/2021 |
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.
Chosen from this home's own inspection record.
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