The Villas at the Cedars
7900 West 28th Street · Saint Louis Park, MN · 55426 · 9529208380
107 certified beds For profit - Corporation Chain: Monarch Healthcare Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation 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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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 | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $22,205 |
Inspection citations (59 in the current record)
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Potential for harm · D March 3, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 7, 2026 · Resident Rights
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Potential for harm · D March 3, 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 3, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 7, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 7, 2026 · Pharmacy Service
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Immediate jeopardy · J January 27, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · D January 27, 2026 · 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 February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 22, 2025 · Infection Control
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Actual harm · G August 5, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 26, 2025 · Quality of Life and Care
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Potential for harm · D July 15, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 15, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 26, 2025 · Quality of Life and Care
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Potential for harm · E July 15, 2025 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected August 26, 2025 · Quality of Life and Care
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Potential for harm · D July 15, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 26, 2025 · Nursing and Physician Services
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Potential for harm · E July 15, 2025 · found via complaint
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected August 26, 2025 · Environmental
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Potential for harm · D July 15, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected August 26, 2025 · Environmental
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Potential for harm · D June 26, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 9, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 13, 2025 · Infection Control
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Potential for harm · D December 5, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J November 7, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 4, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 19, 2024 | Fine | $22,205 |
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 245187 · certified since February 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.