F

The Villas At Bryn Mawr LLC

275 PENN AVENUE NORTH, MINNEAPOLIS, MN 55405
Score: 33 / 100
⚠️ SFF Candidate

The Villas At Bryn Mawr Llc has received an F grade based on CMS data, with a score of 33/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Minneapolis facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at The Villas At Bryn Mawr Llc, with 2.69 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 58 deficiencies at The Villas At Bryn Mawr Llc, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.69 3.8 Below Average
Registered Nurses (RN) 0.66 0.7 Average
Licensed Practical Nurses (LPN) 0.58 0.7 Below Average
Certified Nursing Assistants (CNA) 1.45 2.4 Below Average
Weekend Total Nursing 2.42 3.8 Below Average
Weekend RN Hours 0.44 0.7 Below Average

🔍 Inspection & Deficiency History

58
Total Deficiencies
Sep 28, 2025
Most Recent Inspection
⚪ 4 Minor 🟠 50 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0578 Severity J
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Sep 10, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 23, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jun 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jun 23, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.8% 4.5% Better
Falls with major injury 2.7% 3.0% Better
On antipsychotic medication 24.4% 14.5% Worse
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 10.4% 14.0% Better
Excessive weight loss 3.2% 7.5% Better
New/worsened incontinence 8.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $35,260

How This Grade Was Calculated

This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
105
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 26, 2025
Deficiencies (Cycle 1)
23