• CMS rates this facility 1/5 stars (below average)
• Has 105 certified beds with an average of 102.8 residents per day (98% occupancy)
• Last health inspection found 23 deficiencies (inspected Mar 27, 2025)
• Has been fined a total of $35,260 across 1 fine(s)
• Total nursing staff: 2.69 hours per resident per day
• Staff turnover rate: 29.5%
• Part of the Monarch Healthcare Management chain (45 facilities)
The Villas At Bryn Mawr LLC is a 1-star Medicare and Medicaid certified nursing home in Minneapolis, Minnesota with 105 certified beds. It has been operating since 1978. The facility scored below average compared to Minnesota facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide enough food/fluids to maintain a resident's health.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Keep residents' personal and medical records private and confidential.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide bedrooms that don't allow residents to see each other when privacy is needed.
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.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
+ 28 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MONARCH HEALTHCARE OPERATING XII LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jan 1, 2023 |
| NIJ LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2023 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2023 |
| WBS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2023 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2023 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2023 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2023 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2023 |
| STERN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2023 |
| HALPERT, MARC | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2023 |
| JAFFA, NOAM | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| HALPERT, MARC | CORPORATE OFFICER | Individual | N/A | Jan 1, 2023 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | N/A | Jan 1, 2023 |
| LEGUM, JOSHUA | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2023 |
This chain operates 45 facilities. View all →