THE VILLAS AT ST LOUIS PARK

SAINT LOUIS PARK, MN · 100 beds · For profit - Partnership

12 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 2 citation(s) at the highest severity level — immediate risk to residents

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
7
0.9x state avg
Deficiencies
$26,153
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

January 8, 2025

7 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0758 Potential Harm Scope/Severity: D

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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0919 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

December 10, 2024

1 deficiency
F0776 Potential Harm Scope/Severity: D

Administration Deficiencies

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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

November 18, 2024

1 deficiency
F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

August 6, 2024

3 deficiencyies
F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 10, 2024

1 deficiency
F0604 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

January 25, 2024

3 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom 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.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0684 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

November 1, 2023

4 deficiencyies
F0553 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow resident to participate in the development and implementation of his or her person-centered plan of care.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

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.

F0677 Potential Harm Scope/Severity: D

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.

See full violation history →

Staffing

0.73
RN hrs/res/day
0.98
LPN hrs/res/day
2.16
CNA hrs/res/day
3.53
Weekend hrs/res/day
49%
Total nurse turnover
65%
RN turnover

A nurse checks on each resident roughly every 6.2 hours on average.

Fines & Penalties

  • Fine Jan 25, 2024
    $10,229
  • Fine Aug 23, 2023
    $15,924
Total $26,153

Ownership

For profit - Partnership Chain: MONARCH HEALTHCARE MANAGEMENT
  • 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

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