Villas At Bryn Mawr LLC
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-03-13 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2026-02-27 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-09-29 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-11 — IMMEDIATE JEOPARDY (tag F0578, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
2025-06-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-12 — IMMEDIATE JEOPARDY (tag F0689, severity L)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
1.90
state median 3.48
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.48
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
29%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $51,980 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-27 | Fine | $16,720 |
| 2024-08-12 | Fine | $35,260 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the MONARCH HEALTHCARE MANAGEMENT chain.
Other facilities under the same ownership, with their CMS overall ratings:
- The Emeralds at Faribault LLC (FARIBAULT, MN) —
- THE VILLAS AT THE PARK (SAINT LOUIS PARK, MN) —
- The Estates at Roseville LLC (ROSEVILLE, MN) —
- The Estates at St Louis Park LLC (SAINT LOUIS PARK, MN) —
- THE VILLAS AT NEW BRIGHTON (NEW BRIGHTON, MN) —
- THE VILLAS AT ST LOUIS PARK (SAINT LOUIS PARK, MN) —
- THE VILLAS AT BROOKVIEW (GOLDEN VALLEY, MN) —
- THE VILLAS AT THE CEDARS (SAINT LOUIS PARK, MN) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-13 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-03-13 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-27 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-09-29 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-09-11 | F0578 | Resident Rights Deficiencies | J | not recorded |
| 2025-06-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-24 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-06-24 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-24 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-15 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0576 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-27 | F0583 | Resident Rights Deficiencies | B | not recorded |
| 2025-03-27 | F0638 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-27 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-27 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-27 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-27 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-03-27 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-03-27 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-01-23 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-12 | F0689 | Quality of Life and Care Deficiencies | L | not recorded |
| 2024-08-12 | F0914 | Environmental Deficiencies | D | not recorded |
| 2024-08-12 | F0941 | Administration Deficiencies | B | not recorded |
| 2024-08-12 | F0944 | Administration Deficiencies | B | not recorded |
| 2024-08-12 | F0949 | Administration Deficiencies | D | not recorded |
| 2024-05-02 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-02 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-02 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-02 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-02 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-02 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-05-02 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-02 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-05-02 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2024-02-26 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-03-09 | F0645 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-03-09 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0921 | Environmental Deficiencies | F | not recorded |