The Villas at Bryn Mawr

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 7, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 7, 2026

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionPast Non-Compliance

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 15, 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.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionPast Non-Compliance

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jun 10, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 18, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 18, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 18, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 18, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 29, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 29, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 29, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 29, 2025

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

• Provide appropriate foot care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 29, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 29, 2025

• Have simulated fire drills held at unexpected times.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 29, 2025

• Keep residents' personal and medical records private and confidential.

  Severity B of L: potential for minimal harm, patternCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 14, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

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

  Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected Sep 4, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024

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

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 4, 2024

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

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 4, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 14, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 14, 2024

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 14, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 14, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 14, 2024

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 14, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 14, 2024

• Create arrangements with other facilities to receive patients.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 8, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 3, 2023

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 3, 2023

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 3, 2023

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 3, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 23, 2023

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 3, 2023

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 3, 2023

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 3, 2023

• Establish staff and initial training requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected May 3, 2023

The Villas at Bryn Mawr offers Skilled Nursing / Long Term Care.

The Villas at Bryn Mawr is located at 275 PENN AVENUE NORTH in MINNEAPOLIS, Minnesota.

Reviews for The Villas at Bryn Mawr are sharply divided: a handful of families praise the staff's kindness and rehab therapy, while a large majority describe serious neglect, unsanitary conditions, and unresponsive management. The community's 2.3 average rating over 40 reviews reflects widespread reports of safety and care lapses alongside occasional praise for compassionate individual caregivers.

The Villas at Bryn Mawr had 13 government inspection visits in the last three years, with 84 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with The Villas at Bryn Mawr and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.