The Villa At Bryn Mawr
275 Penn Avenue North, Minneapolis, MN 55405


The Villa At Bryn Mawr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245203. The address is 275 Penn Avenue North, Minneapolis, MN 55405. The zip code is 55405. The phone number is 6123774723.


The Villa At Bryn Mawr · 275 Penn Avenue North, Minneapolis, MN 55405

Federal Provider Number 245203
Provider Name THE VILLA AT BRYN MAWR
Address 275 PENN AVENUE NORTH
MINNEAPOLIS, MN 55405
Phone Number 6123774723
SSA County Code 260
County Name Hennepin
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 111
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VILLA AT BRYN MAWR LLC
Date First Approved to Provide Medicare Medicaid Services 10/01/1978
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.57297
Reported LPN Staffing Hours per Resident per Day 0.69459
Reported RN Staffing Hours per Resident per Day 0.52973
Reported Licensed Staffing Hours per Resident per Day 1.22432
Reported Total Nurse Staffing Hours per Resident per Day 2.79729
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03288
Expected CNA Staffing Hours per Resident per Day 1.83732
Expected LPN Staffing Hours per Resident per Day 0.53423
Expected RN Staffing Hours per Resident per Day 0.81063
Expected Total Nurse Staffing Hours per Resident per Day 3.18218
Adjusted CNA Staffing Hours per Resident per Day 2.10067
Adjusted LPN Staffing Hours per Resident per Day 1.07914
Adjusted RN Staffing Hours per Resident per Day 0.48828
Adjusted Total Nurse Staffing Hours per Resident per Day 3.54336
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 08/05/2016
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 22
Cycle 1 Total Health Score 66
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 05/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 23
Cycle 3 Number of Standard Health Deficiencies 23
Cycle 3 Health Deficiency Score 140
Cycle 3 Standard Health Survey Date 06/13/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 140
Total Weighted Health Survey Score 65.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Villa At Bryn Mawr

Owner Name Role Association Date
ABM LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
since 08/01/2013
BERGER, MENACHEM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
since 08/01/2013
BERGER, MENACHEM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2013
ISRAEL, BENJAMIN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
since 08/01/2013
ISRAEL, BENJAMIN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2013
STERN, RAPHAELA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
since 08/01/2013
SWEDBERG, KARL (Individual) MANAGING EMPLOYEE since 08/01/2013

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