nursing home in Minneapolis, MN
Villas at Bryn Mawr LLC
275 Penn Avenue North, Minneapolis, MN 55405 · (612) 377-4723
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Villas at Bryn Mawr LLC at a glance
Villas at Bryn Mawr LLC is a 105-bed for-profit nursing home in Minneapolis, Minnesota (Hennepin County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 2.7 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (June 17, 2026) found 19 health citations. The Minnesota average is 7.1.
Federal regulators fined it 3 times in the past three years, totaling $105,505.
Nursing staff turnover is 29.2% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 105
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Monarch Healthcare Management
- Medicare-certified since
- October 1, 1978
- Resident/family council
- Resident
- County
- Hennepin County
- CMS Certification Number
- 245203
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.9 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.73 hrs | 4.19 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.68 hrs | 1.06 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.58 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.54 hrs | 3.71 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 29.2% | 42.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 19 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 274.3 | 63.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $105,505 | $24,507 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 105 | 71 | 107 | |
| Average residents per day | 97 | 60 | 86 | |
| Occupancy | 92.6% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 5.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 23.3% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 2.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.6% | 18.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.3% | 20.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 4.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 10.2% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.3% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.8% | 24.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.4% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 97.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 57.1% | 82.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 72.1% | 88.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 57 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 17, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | C No harm, widespread | Corrected July 29, 2026 |
| June 17, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected July 29, 2026 |
| June 17, 2026 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Complaint | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Tag F0924 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected July 29, 2026 |
| June 17, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 29, 2026 |
| June 17, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected July 29, 2026 |
| March 13, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected April 7, 2026 |
| March 13, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 7, 2026 |
| February 27, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Past Non-Compliance |
| September 29, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected October 15, 2025 |
| September 11, 2025 Complaint | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | J Immediate jeopardy, isolated | Past Non-Compliance |
| June 24, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 10, 2025 |
| June 24, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 18, 2025 |
| June 24, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 18, 2025 |
| June 24, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 18, 2025 |
| June 24, 2025 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected July 18, 2025 |
| April 15, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected April 29, 2025 |
| March 27, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 29, 2025 |
| March 27, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 29, 2025 |
| March 27, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected April 29, 2025 |
| March 27, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | B No harm, pattern | Corrected April 29, 2025 |
| January 23, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 14, 2025 |
| January 14, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 3, 2025 |
| August 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | L Immediate jeopardy, widespread | Corrected September 4, 2024 |
| August 12, 2024 Complaint | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Tag F0914 | D Potential harm, isolated | Corrected September 4, 2024 |
| August 12, 2024 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | D Potential harm, isolated | Corrected September 4, 2024 |
| August 12, 2024 Complaint | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | B No harm, pattern | Corrected September 4, 2024 |
| August 12, 2024 Complaint | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | B No harm, pattern | Corrected September 4, 2024 |
| May 2, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | C No harm, widespread | Corrected June 14, 2024 |
| May 2, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | C No harm, widespread | Corrected June 14, 2024 |
| May 2, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 14, 2024 |
| May 2, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 2, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 2, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 14, 2024 |
| February 26, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 8, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $105,505 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 13, 2026 | Fine | $53,525 |
| February 27, 2026 | Fine | $16,720 |
| August 12, 2024 | Fine | $35,260 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MONARCH HEALTHCARE OPERATING XII LLC Organization | 5% or greater direct ownership interest | 100% | 01/01/2023 |
| HALPERT, MARC Individual | 5% or greater indirect ownership interest | — | 01/01/2023 |
| JAFFA, NOAM Individual | 5% or greater indirect ownership interest | — | 01/01/2023 |
| LEGUM, JOSHUA Individual | 5% or greater indirect ownership interest | — | 01/01/2023 |
| NIJ LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2023 |
| SPARTAN HEALTHCARE LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2023 |
| STERN, WILLIAM Individual | 5% or greater indirect ownership interest | — | 01/01/2023 |
| WBS HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2023 |
| YAZOMA HOLDINGS, LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2023 |
| LEGUM, JOSHUA Individual | contracted managing employee | NOT APPLICABLE | 01/01/2023 |
| JAFFA, NOAM Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| HALPERT, MARC Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| STERN, WILLIAM Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| HALPERT, MARC Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
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Frequently asked questions
What is Villas at Bryn Mawr LLC's rating?
Villas at Bryn Mawr LLC has 1 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did Villas at Bryn Mawr LLC receive?
Its most recent standard health inspection found 19 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Villas at Bryn Mawr LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Villas at Bryn Mawr LLC?
It is for profit - corporation and part of Monarch Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Villas at Bryn Mawr LLC and how do I contact it?
Villas at Bryn Mawr LLC is at 275 Penn Avenue North, Minneapolis, MN 55405. Phone: (612) 377-4723.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.