Skilled Nursing

Villas At Bryn Mawr LLC

275 PENN AVENUE NORTH, MINNEAPOLIS, MN 55405

105beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

2.5h

Hrs/resident · weekday

Expected: 4.0h

3.6h

Hrs/resident · weekend

vs 2.5h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
46%
LPNs
CNAs
30%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0684Severity JMar 13, 2026

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

Corrected: Apr 7, 2026

SeriousImmediate Jeopardy0600Severity JSep 29, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Oct 15, 2025

SeriousImmediate Jeopardy0578Severity JSep 11, 2025

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.

SeriousImmediate Jeopardy0689Severity JJun 24, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Jun 10, 2025

SeriousImmediate Jeopardy0689Severity LAug 12, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Sep 4, 2024

38 standard deficiencies in the last 3 years

View all
0692Severity DMar 13, 2026

Provide enough food/fluids to maintain a resident's health.

0686Severity GFeb 27, 2026

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0755Severity DJun 24, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0742Severity DJun 24, 2025

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.

0657Severity DJun 24, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0609Severity DJun 24, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0692Severity DApr 15, 2025

Provide enough food/fluids to maintain a resident's health.

0921Severity EMar 27, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity DMar 27, 2025

Provide and implement an infection prevention and control program.

0812Severity FMar 27, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0758Severity DMar 27, 2025

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.

0740Severity DMar 27, 2025

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0688Severity DMar 27, 2025

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.

0687Severity DMar 27, 2025

Provide appropriate foot care.

0685Severity DMar 27, 2025

Assist a resident in gaining access to vision and hearing services.

0684Severity EMar 27, 2025

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

0677Severity DMar 27, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DMar 27, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0645Severity DMar 27, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0638Severity DMar 27, 2025

Assure that each resident’s assessment is updated at least once every 3 months.

0583Severity BMar 27, 2025

Keep residents' personal and medical records private and confidential.

0576Severity DMar 27, 2025

Ensure residents have reasonable access to and privacy in their use of communication methods.

0755Severity DJan 23, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0684Severity DJan 14, 2025

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

0949Severity DAug 12, 2024

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0944Severity BAug 12, 2024

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0941Severity BAug 12, 2024

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

0914Severity DAug 12, 2024

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0883Severity DMay 2, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EMay 2, 2024

Provide and implement an infection prevention and control program.

0812Severity FMay 2, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732Severity CMay 2, 2024

Post nurse staffing information every day.

0699Severity DMay 2, 2024

Provide care or services that was trauma informed and/or culturally competent.

0693Severity DMay 2, 2024

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.

0677Severity DMay 2, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0584Severity DMay 2, 2024

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.

0554Severity DMay 2, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

0686Severity DFeb 26, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

VILLAS AT BRYN MAWR LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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