Villas at Bryn Mawr LLC
275 Penn Avenue North · Minneapolis, MN · 55405 · 6123774723
105 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- 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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations 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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$51,980 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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 | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.48 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 2 · $51,980 |
Inspection citations (61 in the current record)
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Immediate jeopardy · J March 13, 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 13, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 7, 2026 · Quality of Life and Care
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Actual harm · G February 27, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Past Non-Compliance · Quality of Life and Care
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Immediate jeopardy · J September 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 11, 2025 · found via complaint
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.
Past Non-Compliance · Resident Rights
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Immediate jeopardy · J June 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 24, 2025 · 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 July 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 24, 2025 · found via complaint
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.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · D April 15, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate foot care.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · F March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 29, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Potential for harm · E March 27, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 29, 2025 · Environmental
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Potential for harm · D March 27, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 29, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 27, 2026 | Fine | $16,720 |
| August 12, 2024 | Fine | $35,260 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245203 · certified since October 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.