Villas at Bryn Mawr LLC

Nursing Home · Minneapolis, MN

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Corporation

CMS certification number245203
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

275 Penn Avenue North
Minneapolis, MN 55405
Hennepin County
Phone
(612) 377-4723
ZIP code
55405 – all care providers

Open in Google Maps

Facility details

Certified beds
105
Residents per day
97.2 (93% occupied)
Ownership
For profit - Corporation
Chain
Monarch Healthcare Management (45 facilities, avg 2.2★)
Medicare certified since
October 1, 1978
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 4.1
Quality measures★★★★★ 4/5
State avg 3.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.73 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.61 · U.S. 0.86)
Nurse aides
1.58 (state 2.52 · U.S. 2.32)
Weekend total
2.54 (state 3.71 · U.S. 3.42)
Nursing staff turnover
29.2 (state 42.2 · U.S. 45.8)%
RN turnover
46.2 (state 38.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
June 17, 2026
Health deficiencies (last cycle)
19.0 (state 7.0 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
56 health · 24 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-06-17 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-29
2026-03-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2026-04-07
2026-03-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-07
2026-02-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0578 · Resident Rights Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Past Non-Compliance
2025-06-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-10
2025-06-24 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0742 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-04-15 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-29
2025-03-27 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 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.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 Corrected 2024-09-04
2024-08-12 Provide bedrooms that don't allow residents to see each other when privacy is needed.
F0914 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-04
2024-08-12 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0941 · Administration Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2024-09-04
2024-08-12 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-06-14
2024-05-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-14
2024-05-02 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $51,980 in fines.

DateTypeAmount
2026-02-27Fine$16,720
2024-08-12Fine$35,260

Ownership & management

NameRoleSince
Monarch Healthcare Operating Xii LLC (organization)5%+ Direct Ownership Interest · 100%
Halpert, Marc (individual)5%+ Indirect Ownership Interest
Jaffa, Noam (individual)5%+ Indirect Ownership Interest
Legum, Joshua (individual)5%+ Indirect Ownership Interest
Nij LLC (organization)5%+ Indirect Ownership Interest
Spartan Healthcare LLC (organization)5%+ Indirect Ownership Interest
Stern, William (individual)5%+ Indirect Ownership Interest
WBS Holdings LLC (organization)5%+ Indirect Ownership Interest
Yazoma Holdings, LLC (organization)5%+ Indirect Ownership Interest
Legum, Joshua (individual)Contracted Managing Employee · NOT APPLICABLE
Jaffa, Noam (individual)Corporate Director · NOT APPLICABLE
Halpert, Marc (individual)Corporate Officer · NOT APPLICABLE
Stern, William (individual)Corporate Officer · NOT APPLICABLE
Halpert, Marc (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villas at Bryn Mawr LLC?

Villas at Bryn Mawr LLC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does Villas at Bryn Mawr LLC have?

It has 105 certified beds and cares for about 97 residents per day.

Has Villas at Bryn Mawr LLC been fined?

Yes. CMS lists 2 penalties totaling $51,980 in the last three years.

Who owns Villas at Bryn Mawr LLC?

It is part of Monarch Healthcare Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Villas at Bryn Mawr LLC?

(612) 377-4723. The facility is located at 275 Penn Avenue North, Minneapolis, MN 55405.

Other nursing homes in Minneapolis

Compare all nursing homes in Minneapolis, MN →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.