The Villa At Bryn Mawr - Minneapolis Nursing Home
General Information
UPDATEFederal Provider Number
245203
Provider Name
THE VILLA AT BRYN MAWR
Provider Address
275 PENN AVENUE NORTH
MINNEAPOLIS, MN 55405
MINNEAPOLIS, MN 55405
Provider Phone Number
6123774723
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA AT BRYN MAWR LLC
Date First Approved to Provide Medicare and Medicaid services
1978-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.51697
Reported LPN Staffing Hours per Resident per Day
0.45275
Reported RN Staffing Hours per Resident per Day
0.61560
Reported Licensed Staffing Hours per Resident per Day
1.06835
Reported Total Nurse Staffing Hours per Resident per Day
2.58532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01835
Expected CNA Staffing Hours per Resident per Day
1.96086
Expected LPN Staffing Hours per Resident per Day
0.56744
Expected RN Staffing Hours per Resident per Day
0.92279
Expected Total Nurse Staffing Hours per Resident per Day
3.45109
Adjusted CNA Staffing Hours per Resident per Day
1.89824
Adjusted LPN Staffing Hours per Resident per Day
0.66224
Adjusted RN Staffing Hours per Resident per Day
0.49846
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01967
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
23
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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