VILLAS AT BRYN MAWR LLC
VILLAS AT BRYN MAWR LLC is a 105-bed nursing home in MINNEAPOLIS, Minnesota. CMS has certified it for Medicare and Medicaid since 1978-10-01. It averages 97.2 residents a day.
What harm was found in the violations cited at VILLAS AT BRYN MAWR LLC?
CMS lists 57 health-inspection deficiencies for VILLAS AT BRYN MAWR LLC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-17 | F0609, F0921, F0924 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Put firmly secured handrails on each side of hallways. | E |
| 2026-06-17 | F0550, F0582, F0584, F0605, F0628, F0641, F0657, F0684, F0761, F0880, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2026-03-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2026-03-13 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2026-02-27 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-09-29 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-09-11 | 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 |
| 2025-06-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-06-24 | F0609, F0657, F0742, F0755 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-04-15 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2025-03-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-27 | F0684, F0921 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-03-27 | F0576, F0638, F0645, F0676, F0677, F0685, F0687, F0688, F0740, F0758, F0880 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Assure that each resident’s assessment is updated at least once every 3 months. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate foot care. / 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-03-27 | F0583 | Keep residents' personal and medical records private and confidential. | B |
| 2025-01-23 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-01-14 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-08-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L |
| 2024-08-12 | F0914, F0949 | Provide bedrooms that don't allow residents to see each other when privacy is needed. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2024-08-12 | F0941, F0944 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B |
| 2024-05-02 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-02 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-05-02 | F0554, F0584, F0677, F0693, F0699, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-05-02 | F0732 | Post nurse staffing information every day. | C |
| 2024-02-26 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
Why was VILLAS AT BRYN MAWR LLC fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-27 | Fine | $16,720 |
| 2024-08-12 | Fine | $35,260 |
How is VILLAS AT BRYN MAWR LLC staffed relative to the MN average?
| Measure | This facility | MN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.73418 | 4.19318 |
| Total nursing staff turnover (%) | 29.2 | 42.2 |
| Average number of residents per day | 97.2 | 60.3 |
Who owns VILLAS AT BRYN MAWR LLC, and what chain is it in?
VILLAS AT BRYN MAWR LLC is registered with CMS as For profit - Corporation, operates under the legal business name VILLAS AT BRYN MAWR LLC and belongs to the MONARCH HEALTHCARE MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MONARCH HEALTHCARE OPERATING XII LLC | since 01/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NIJ LLC, SPARTAN HEALTHCARE LLC, WBS HOLDINGS LLC, YAZOMA HOLDINGS, LLC, HALPERT, MARC, JAFFA, NOAM, LEGUM, JOSHUA, STERN, WILLIAM | since 01/01/2023 |
| CONTRACTED MANAGING EMPLOYEE | LEGUM, JOSHUA | since 01/01/2023 |
| CORPORATE DIRECTOR | JAFFA, NOAM | since 01/01/2023 |
| CORPORATE OFFICER | HALPERT, MARC, STERN, WILLIAM | since 01/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | HALPERT, MARC | since 01/01/2023 |
Were you or a family member harmed at VILLAS AT BRYN MAWR LLC?