The Gardens At Winsted LLC
Nursing home · 551 4TH STREET NORTH, Winsted, MN 55395 · Mcleod County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · For-Profit Limited Liability Company
- Capacity
- 70
- State license
- 425112
- Medicare CCN
- 245459
- Licensed entity
- GARDENS AT WINSTED LLC
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Ownership
- For profit - Corporation
- Phone
- (320) 485-3135
- Nurse staffing
- 3.36 hours per resident per day; 55.6% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 3★ · Quality 2★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Jan 25, 2024 — Fine ($8,021)
Inspection findings
-
May 1, 2026 Health · 2 findings
-
Not serious
Scope/severity E
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Jun 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jun 8, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Aug 27, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H54592260C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 15, 2025 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Sep 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Sep 10, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0838 Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Sep 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 18, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 1, 2025 Health · 17 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Jun 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0565 Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity C
F0577 Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0740 Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jun 6, 2025 · CMS health inspection
-
Not serious
Scope/severity F
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jun 6, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Jun 6, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 6, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Jun 6, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Mar 19, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 14, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 6, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H54597223C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Feb 24, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Mar 14, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 6, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H54593741C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 3, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 14, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jun 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jun 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 7, 2024 Fire Safety · 7 findings
-
Not serious
Scope/severity F
E0041 Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Corrected Mar 4, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Mar 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Mar 4, 2024 · CMS health inspection
-
Severity not stated
H54598959C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Not serious
Scope/severity B
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Feb 29, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Feb 29, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 25, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 22, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Sep 25, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H54595371C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 24, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H54592204C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Apr 6, 2023 Health · 10 findings
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0887 Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected May 24, 2023 · CMS health inspection
-
Not serious
Scope/severity D
-
Apr 26, 2022 MDH complaint investigation · 4 findings
-
Severity not stated
H5459067C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459068C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459071C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459072C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 12, 2022 MDH complaint investigation · 3 findings
-
Severity not stated
H5459054C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459057C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459058C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 9, 2021 MDH complaint investigation · 3 findings
-
Severity not stated
H5459051C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459052C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459053C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 25, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5459050C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 13, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5459045C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 29, 2020 MDH complaint investigation · 5 findings
-
Severity not stated
H5459035C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459036C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459037C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459038C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5459039C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- HALPERT, MARC — corporate officer, NOT APPLICABLE, since 04/01/2020
- HALPERT, MARC — 5% or greater indirect ownership interest, 32%, since 04/01/2020
- JAFFA, NOAM — 5% or greater indirect ownership interest, 14%, since 04/01/2020
- JAFFA, NOAM — corporate director, NOT APPLICABLE, since 04/01/2020
- LEGUM, JOSHUA — 5% or greater indirect ownership interest, 32%, since 04/01/2020
- LEGUM, JOSHUA — operational/managerial control, NOT APPLICABLE, since 04/01/2020
- STERN, WILLIAM — corporate officer, NOT APPLICABLE, since 04/01/2020
- STERN, WILLIAM — 5% or greater indirect ownership interest, 22%, since 04/01/2020
- MONARCH HEALTHCARE OPERATING X LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2020
- NIJ LLC — 5% or greater direct ownership interest, 14%, since 04/01/2020
- SPARTAN HEALTHCARE LLC — 5% or greater direct ownership interest, 32%, since 04/01/2020
- WBS HOLDINGS LLC — 5% or greater direct ownership interest, 22%, since 04/01/2020
- YAZOMA HOLDINGS, LLC — 5% or greater direct ownership interest, 32%, since 04/01/2020
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.