The Villas at Osseo LLC
501 Second Street Southeast · Osseo, MN · 55369 · 7637621800
100 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management
Why this verdict
- Federal penalties on record: $48,399 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.26 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 3 · $48,399 |
Inspection citations (43 in the current record)
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Potential for harm · D February 6, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 4, 2026 · Pharmacy Service
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Potential for harm · D June 12, 2025
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.
Corrected July 31, 2025 · Resident Rights
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Potential for harm · D June 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 31, 2025 · Resident Rights
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Potential for harm · E June 12, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 31, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
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.
Corrected July 31, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected July 31, 2025 · Administration
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Potential for harm · D June 12, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 31, 2025 · Infection Control
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Potential for harm · D June 12, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 31, 2025 · Infection Control
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Immediate jeopardy · J May 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 1, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 28, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 11, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 27, 2024 · Pharmacy Service
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Potential for harm · D September 6, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 27, 2024 · Infection Control
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Potential for harm · D August 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 24, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2025 | Fine | $17,345 |
| January 24, 2025 | Fine | $14,069 |
| January 24, 2025 | Fine | $16,985 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245629 · certified since March 10, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.