The Villas At Bryn Mawr LLC
MINNEAPOLIS, MN · 105 beds · For profit - Limited Liability company
Red Flags
- ⚠ This facility has a substantiated finding of abuse
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 23 deficiencies — 2.9x the state average
- ⚠ 4 citation(s) at the highest severity level — immediate risk to residents
Green Flags
- ✓ 4-star staffing rating
Quick Facts
Violation Timeline
September 28, 2025
1 deficiencyFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 10, 2025
1 deficiencyResident Rights Deficiencies
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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.
June 23, 2025
5 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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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.
Pharmacy Service Deficiencies
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 14, 2025
1 deficiencyQuality of Life and Care Deficiencies
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Provide enough food/fluids to maintain a resident's health.
March 26, 2025
12 deficiencyiesResident Rights Deficiencies
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Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
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Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
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Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
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PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
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Provide appropriate foot care.
Quality of Life and Care Deficiencies
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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.
Pharmacy Service Deficiencies
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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.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing
A nurse checks on each resident roughly every 6.1 hours on average.
Fines & Penalties
- Fine Aug 11, 2024$35,260
Ownership
-
MONARCH HEALTHCARE OPERATING XII LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 01/01/2023
100% Organization -
NIJ LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Organization -
SPARTAN HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Organization -
WBS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Organization -
YAZOMA HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Organization -
HALPERT, MARC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Individual -
JAFFA, NOAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Individual -
LEGUM, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Individual -
STERN, WILLIAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2023
NO PERCENTAGE PROVIDED Individual -
HALPERT, MARC
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2023
Individual -
JAFFA, NOAM
CORPORATE DIRECTOR
Since since 01/01/2023
Individual -
HALPERT, MARC
CORPORATE OFFICER
Since since 01/01/2023
Individual -
STERN, WILLIAM
CORPORATE OFFICER
Since since 01/01/2023
Individual -
LEGUM, JOSHUA
CONTRACTED MANAGING EMPLOYEE
Since since 01/01/2023
Individual