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
🏥 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
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect 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 JHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andSep 10, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity JEnsure 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 DTimely 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 DDevelop 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
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