Villas at Bryn Mawr LLC
275 Penn Avenue North · Minneapolis, MN · 55405 · 6123774723
105 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$51,980 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.48 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 2 · $51,980 |
Inspection citations (61 in the current record)
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Immediate jeopardy · J March 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 7, 2026 · Quality of Life and Care
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Actual harm · G February 27, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Past Non-Compliance · Quality of Life and Care
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Immediate jeopardy · J September 29, 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 October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 11, 2025 · found via 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.
Past Non-Compliance · Resident Rights
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Immediate jeopardy · J June 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 24, 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 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 24, 2025 · found via 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.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · D April 15, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate foot care.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · F March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 29, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Potential for harm · E March 27, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 29, 2025 · Environmental
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Potential for harm · D March 27, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 29, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 27, 2026 | Fine | $16,720 |
| August 12, 2024 | Fine | $35,260 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245203 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.