Nursing homes › Minnesota › Minneapolis › Villas at Bryn Mawr LLC
275 Penn Avenue North, Minneapolis, MN 55405 · (612) 377-4723 · 105 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 336 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 state. Group record: average rating 2.2/5, 6 abuse citation icons, 1 facility on the Special Focus list, $1,558,347 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 2.73 (Minnesota median: 4.16). RN hours: 0.68. Weekend total: 2.54. Nursing staff turnover: 29%.
In the downloaded CMS dataset: 57 deficiency citations, including 5 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Health | corrected 2026-07-29 |
| 2026-06-17 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2026-07-29 |
| 2026-06-17 | Put firmly secured handrails on each side of hallways. | E | complaint | corrected 2026-07-29 |
| 2026-06-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | 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. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | 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. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-07-29 |
| 2026-06-17 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2026-07-29 |
| 2026-03-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2026-04-07 |
| 2026-03-13 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-04-07 |
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | Past Non-Compliance |
| 2025-09-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-10-15 |
| 2025-09-11 | 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. | J | complaint | Past Non-Compliance |
| 2025-06-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-06-10 |
| 2025-06-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-18 |
| 2025-06-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-07-18 |
| 2025-06-24 | 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. | D | complaint | corrected 2025-07-18 |
| 2025-06-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-18 |
| 2025-04-15 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-04-29 |
| 2025-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-29 |
| 2025-03-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-04-29 |
| 2025-03-27 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2025-04-29 |
| 2025-03-27 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Provide appropriate foot care. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | 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. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-04-29 |
| 2025-03-27 | 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. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-29 |
| 2025-03-27 | Keep residents' personal and medical records private and confidential. | B | Health | corrected 2025-04-29 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-27 | Fine | $16,720 |
| 2024-08-12 | Fine | $35,260 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MONARCH HEALTHCARE OPERATING XII LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2023 |
| NIJ LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| SPARTAN HEALTHCARE LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| WBS HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| YAZOMA HOLDINGS, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| HALPERT, MARC | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| JAFFA, NOAM | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| LEGUM, JOSHUA | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| STERN, WILLIAM | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| JAFFA, NOAM | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| HALPERT, MARC | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
| STERN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
| HALPERT, MARC | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2023 |
How to cite this page: CareRecords, “Villas at Bryn Mawr LLC — compliance, penalty and ownership record” (CCN 245203), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/villas-at-bryn-mawr-llc-minneapolis-mn/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245203. Corrections: data@carerecords.org.