01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 8 | 2025-11-20 | 3 |
| Cycle 2 | 2024-10-24 | 8 | 2024-10-24 | 4 |
| Cycle 3 | 2023-11-09 | 13 | 2023-11-09 | 5 |
CMS CCN 2450832026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Villas At The Park
4415 West 36 1/2 Street · Saint Louis Park, MN 55416 · Hennepin County
Certified beds52CMS provider file
Recent citation rows41current CMS citation release
Penalty rows13current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
41 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0583Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0688Severity G · isolated actual harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0811Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · HEALTHF0847Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-20 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-12-232024-10-24 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0909Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Regularly 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.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · FIREK0225Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-202023-11-09 · FIREE0041Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2024-01-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-20 | Fine | $76,140 | 0 |
| 2024-10-24 | Fine | $17,989 | 0 |
| 2023-10-30 | Fine | $4,587 | 0 |
| 2023-10-23 | Fine | $4,587 | 0 |
| 2023-10-17 | Fine | $4,587 | 0 |
| 2023-10-10 | Fine | $4,587 | 0 |
| 2023-10-02 | Fine | $4,587 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-18 | Fine | $4,587 | 0 |
| 2023-09-11 | Fine | $4,587 | 0 |
| 2023-09-05 | Fine | $4,587 | 0 |
| 2023-08-28 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NIJ LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST16% · since 01/01/2023
- SPARTAN HEALTHCARE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST32% · since 01/01/2023
- WBS HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST26% · since 01/01/2023
- YAZOMA HOLDINGS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST26% · since 01/01/2023
- HALPERT, MARCIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST32% · since 01/01/2023
- JAFFA, NOAMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST16% · since 01/01/2023
- LEGUM, JOSHUAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST26% · since 01/01/2023
- STERN, WILLIAMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST26% · since 01/01/2023
- LEGUM, JOSHUAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2023
- JAFFA, NOAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- HALPERT, MARCIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- STERN, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- MONARCH HEALTHCARE OPERATING XII LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- HALPERT, MARCIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.16per resident day
RN hours0.67per resident day
Weekend nurse hours2.93per resident day
Staff turnover36.6%CMS reported field
06 / LOCAL RECORDS
Open the Saint Louis Park ledger →