Minnesota › Hennepin County › Minneapolis
Villas At Bryn Mawr LLC
275 Penn Avenue North, Minneapolis, MN 55405
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Villas At Bryn Mawr LLC is a For-profit, corporation nursing home in Minneapolis, Minnesota, certified for 105 beds and caring for about 97 residents a day.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (19, 28, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 54.3 per 100 beds, more than the state median of 30.0.
CMS lists 2 penalties in the period covered: fines totalling $52K.
Reported nurse staffing is 2.7 hours per resident per day (0.7 RN), below the Minnesota median of 4.2; nursing staff turnover is 29.2%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Hennepin Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 30 | 20 | 28.7 |
| Citations per 100 beds | 54.3 | 33.8 | 30.0 | 26.8 |
| Total nurse hours per resident day | 2.7 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 29.2% | 30.9% | 40.0% | 45.8% |
| Fines listed | $51,980 | $0 | $0 | — |
County and state figures are medians across facilities (54 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jun 2026, 27 Mar 2025.
Severity mix: J ×4 L ×1 G ×1 D ×39 E ×6 F ×2 B ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 29 Jul 2026 |
| 17 Jun 2026 | F0924 | Put firmly secured handrails on each side of hallways. | E | Complaint investigation | 29 Jul 2026 |
| 17 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0584 | 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 | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0761 | 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 | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 29 Jul 2026 |
| 13 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 7 Apr 2026 |
| 13 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 7 Apr 2026 |
| 27 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | Past Non-Compliance |
| 29 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 Oct 2025 |
| 11 Sep 2025 | F0578 | 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 investigation | Past Non-Compliance |
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Jun 2025 |
| 24 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Jul 2025 |
| 24 Jun 2025 | F0657 | 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 investigation | 18 Jul 2025 |
| 24 Jun 2025 | F0742 | 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 investigation | 18 Jul 2025 |
| 24 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Jul 2025 |
| 15 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 29 Apr 2025 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0688 | 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 | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 29 Apr 2025 |
| 27 Mar 2025 | F0758 | 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 | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2025 |
| 27 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | B | Standard survey | 29 Apr 2025 |
| 23 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 14 Feb 2025 |
| 14 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Feb 2025 |
| 12 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint investigation | 4 Sep 2024 |
| 12 Aug 2024 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Complaint investigation | 4 Sep 2024 |
| 12 Aug 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Complaint investigation | 4 Sep 2024 |
| 12 Aug 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B | Complaint investigation | 4 Sep 2024 |
| 12 Aug 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Complaint investigation | 4 Sep 2024 |
| 2 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0584 | 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 | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0693 | 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 | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 14 Jun 2024 |
| 2 May 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 14 Jun 2024 |
| 26 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Feb 2026 | Fine | $16,720 | |
| 12 Aug 2024 | Fine | $35,260 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 29.2%, RNs 46.2%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.6% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.3% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.3% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Monarch Healthcare Operating Xii LLC | 5% or greater direct ownership interest | 100% | 01/01/2023 |
| Nij LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
| Spartan Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
| Wbs Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
| Yazoma Holdings, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hennepin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Allina Health Restorative Suites | Plymouth | 50 | 5 | 4 | 5 | 13 | 26.0 | — | 28 Aug 2025 |
| Birchwood Care Home | Minneapolis | 60 | 5 | 4 | 3 | 31 | 51.7 | — | 29 Jul 2025 |
| Covenant Living of Golden Valley Care & Rehab Ctr | Golden Valley | 88 | 5 | 5 | 5 | 4 | 4.5 | — | 9 May 2025 |
| Fairview University Trans Serv | Minneapolis | 28 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Folkestone | Wayzata | 30 | 5 | 4 | 5 | 9 | 30.0 | — | 20 Nov 2025 |
| Good Samaritan Ambassador | New Hope | 77 | 5 | 5 | 5 | 2 | 2.6 | — | 9 Jan 2025 |
| Haven Homes of Maple Plain | Maple Plain | 64 | 5 | 5 | 5 | 3 | 4.7 | — | 24 Jul 2025 |
| Lake Minnetonka Shores | Spring Park | 60 | 5 | 4 | 5 | 9 | 15.0 | $9K | 25 Apr 2024 |
All 54 facilities in Hennepin County
Questions and answers
How many deficiencies has Villas At Bryn Mawr LLC been cited for?
57 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Villas At Bryn Mawr LLC been fined?
Yes. CMS lists fines totalling $52K in the period covered.
How does staffing at Villas At Bryn Mawr LLC compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Villas At Bryn Mawr LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Monarch Healthcare Operating Xii LLC, Nij LLC and Spartan Healthcare LLC. Individual owners and managers are not listed on this site.
When was Villas At Bryn Mawr LLC last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 17 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.