Nursing homes › Minnesota › Villas at Bryn Mawr LLC
275 Penn Avenue North, Minneapolis, MN 55405 · 6123774723 · 105 certified beds
Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 states. Group record: average rating 2.3/5, 5 abuse citation icons, 0 facilities on the Special Focus list, $1,559,048 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 2.73 (Minnesota median: 4.16). RN hours: 0.68. Weekend total: 2.54. Nursing staff turnover: 29%.
All-time on record: 61 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 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 |
| 2025-01-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-02-14 |
| 2025-01-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-02-03 |
| 2024-08-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | complaint | corrected 2024-09-04 |
| 2024-08-12 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | complaint | corrected 2024-09-04 |
| 2024-08-12 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | complaint | corrected 2024-09-04 |
| 2024-08-12 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B | complaint | corrected 2024-09-04 |
| 2024-08-12 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | complaint | corrected 2024-09-04 |
| 2024-05-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-06-14 |
| 2024-05-02 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-06-14 |
| 2024-05-02 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-06-14 |
| 2024-05-02 | 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 2024-06-14 |
| 2024-05-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-06-14 |
| 2024-05-02 | 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. | D | Health | corrected 2024-06-14 |
| 2024-05-02 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-06-14 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245203. Corrections: data@carerecords.org.