Your report for The Villas at the Park
Overall Score
CMS Five-Star Quality RatingBelow averageCMS Five-Star overall rating
- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
- MinnesotaAbove only 18% of peers337 rated homes · average 3.2★
- Hennepin CountyAbove only 21% of peers53 rated homes · average 3.1★
- United StatesAbove only 20% of peers14,574 rated homes · average 3.0★
How the rating is built
- Health inspectionsStarting point2★−0.8 vs MN avg
- StaffingCan add or remove a star3★−1.1 vs MN avg
- Quality measuresCan add or remove a star4★+0.8 vs MN avg
CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles2★Above only 19% of peersMN avg2.8★U.S. avg2.8★
What is health inspection rating?
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
Why it matters
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 9% of peersMN avg4.1★U.S. avg2.9★
What is staffing rating?
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
Why it matters
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above 61% of peersMN avg3.2★U.S. avg3.6★
What is quality measures rating?
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
Why it matters
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff3.23hrsAbove only 7% of peersMN avg4.23Benchmark4.10
What is total nurse hours?
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Why it matters
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only0.69hrsAbove only 16% of peersMN avg1.06Benchmark0.75
What is rn hours?
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
Why it matters
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better45%Above only 37% of peersMN avg42%RN turnover44%
What is nursing staff turnover?
The share of nursing staff who left within the past year, from the same payroll data.
Why it matters
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$105,301Above only 6% of peersMN avg$19,953Fines · denials19 · 0
What is fines in the last three years?
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Why it matters
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cycles30citations
4inspection dates
2actual harm (G–I)
0immediate jeopardy (J–L)
Nov 20, 2025most recent
Citations by monthMay 2023 – Nov 2025
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Click to filter the findings below
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Nov 20, 2025Cycle 1worst G · actual harm
- F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.Nutrition and DietaryD · isolatedCorrected Dec 23, 2025
- F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.AdministrationD · isolatedCorrected Dec 23, 2025
- F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrected Dec 23, 2025
- F552Ensure that residents are fully informed and understand their health status, care and treatments.Resident RightsD · isolatedCorrected Dec 23, 2025
- F583Keep residents' personal and medical records private and confidential.Resident RightsE · patternCorrected Dec 23, 2025
- F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Dec 23, 2025
- F679Provide activities to meet all resident's needs.Quality of Life and CareD · isolatedCorrected Dec 23, 2025
- F688Provide 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.Quality of Life and CareG · isolatedCorrected Dec 23, 2025
Oct 24, 2024Cycle 2worst G · actual harm$27,675
- Provide appropriate treatment and care according to orders, residentâs preferences and goals.Quality of Life and CareD · isolatedCorrected Nov 20, 2024
- F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsD · isolatedCorrected Nov 20, 2024
- F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Nov 20, 2024
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Nov 20, 2024
- F688Provide 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.Quality of Life and CareD · isolatedCorrected Nov 20, 2024
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Nov 20, 2024
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Nov 20, 2024
- F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EnvironmentalD · isolatedCorrected Nov 20, 2024
Nov 9, 2023Cycle 3worst E · no actual harm
- F770Provide timely, quality laboratory services/tests to meet the needs of residents.AdministrationD · isolatedCorrected Jan 9, 2024
- F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jan 9, 2024
- F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsD · isolatedCorrected Jan 9, 2024
- F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Jan 9, 2024
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Jan 9, 2024
- F758Implement 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.Pharmacy ServiceD · isolatedCorrected Jan 9, 2024
- F791Provide or obtain dental services for each resident.Quality of Life and CareD · isolatedCorrected Jan 9, 2024
- Provide appropriate treatment and care according to orders, residentâs preferences and goals.Quality of Life and CareD · isolatedCorrected Jan 9, 2024
- F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Nutrition and DietaryD · isolatedCorrected Jan 9, 2024
- F908Keep all essential equipment working safely.EnvironmentalC · widespreadCorrected Jan 9, 2024
- F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Jan 9, 2024
- F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceE · patternCorrected Jan 9, 2024
- F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Jan 9, 2024
May 5, 2023Cycle 3worst D · no actual harm$3,174
- F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningD · isolatedCorrected Jun 9, 2023
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined3.23hrs
- Registered nursesRN hours only0.69hrs
- Licensed practical nursesLPN hours0.39hrs
- Nurse aidesCNA hours2.15hrs
- Weekend nursingAll staff on Saturdays and Sundays2.92hrs
- Minnesota average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better45%Above only 37% of peersMN avg 42%
- RN turnoverRegistered nurses only44%Not ranked by CMS
- Administrators who leftIn the past year3Leadership changed
- Occupancy52 certified beds · ~47 residents a day91%Above 72% of peersMN avg 83%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $105,301In fines
- 19Fines
- 0Payment denials
- $19,953MN avg in fines
Above only 6% of peersFewer fines than 6% of rated homes in Minnesota
Actions on record
- Oct 24, 2024Civil money penalty$27,675
- Oct 30, 2023Civil money penalty$4,587
- Oct 23, 2023Civil money penalty$4,587
- Oct 17, 2023Civil money penalty$4,587
- Oct 10, 2023Civil money penalty$4,587
- Oct 2, 2023Civil money penalty$4,587
- Sep 25, 2023Civil money penalty$4,587
- Sep 18, 2023Civil money penalty$4,587
- Sep 11, 2023Civil money penalty$4,587
- Sep 5, 2023Civil money penalty$4,587
- Aug 28, 2023Civil money penalty$4,587
- Aug 21, 2023Civil money penalty$4,587
- Aug 14, 2023Civil money penalty$4,235
- Aug 7, 2023Civil money penalty$3,882
- Jul 17, 2023Civil money penalty$9,527
- Jun 26, 2023Civil money penalty$2,470
- Jun 20, 2023Civil money penalty$2,117
- Jun 12, 2023Civil money penalty$1,764
- May 23, 2023Civil money penalty$3,174
Ownership
As filed with CMSStructure
- Ownership type
- For profit - Corporation
- Chain
- Monarch Healthcare Management45 facilities in the chain2.3★ chain average
- Certification
- Medicare and Medicaid
- Location type
- Urban
- Ownership change
- None in the last 12 months
People and entities on file
Direct owners (5%+)
- Nij LLC
- Spartan Healthcare LLC
- Wbs Holdings LLC
- Yazoma Holdings, LLC
Indirect owners (5%+)
- Marc Halpert
- Noam Jaffa
- Joshua Legum
- William Stern
Operational or managerial control
- Monarch Healthcare Operating Xii LLC
- Marc Halpert
Corporate directors
- Noam Jaffa
Corporate officers
- Marc Halpert
- William Stern
Contracted managers
- Joshua Legum
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 245083 · 4415 WEST 36 1/2 STREET, SAINT LOUIS PARK, MN, 55416.
- Percentiles compare this facility with every rated nursing home in Minnesota and Hennepin County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.
