THE GARDENS AT WINSTED LLC
551 FOURTH STREET NORTH, WINSTED, MN 55395 · CCN 245459
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 37.2
- Phone
- 3204823135
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-01 | 20 | 8.1 | 9.5 | +11.9 worse |
| 2 | 2024-02-07 | 7 | 7.8 | 9.8 | -0.8 better |
| 3 | 2023-04-06 | 12 | 7.4 | 9.3 | +4.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 7 |
| Administration | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.61 | 65.3% |
| RN staffing (reported) | 1.22 | 100.0% |
| Total nurse staffing (adjusted) | 4.14 | — |
Fines & penalties
- Total fines
- $8,021
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Facilities in chain
- 45
- Chain avg overall
- 2.30 / 5
Inspection citations (39)1 immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-15 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-15 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-15 · Health · corrected 2025-09-10
Potential for more than minimal harm
- FF0838Conduct 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.2025-08-15 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-18 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-06-18 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-01 · Health · corrected 2025-06-18
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-05-01 · Health · corrected 2025-06-06
Potential for minimal harm
- EF0584Honor 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.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0585Honor 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.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-05-01 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-19 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-02-24 · Health · corrected 2025-03-14
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-02-24 · Health · corrected 2025-03-14
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-03 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-14 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-14 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-07 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-07 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-07 · Health · corrected 2024-03-04
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-01-22
Immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0887Educate 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.2023-04-06 · Health · corrected 2023-05-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LEGUM, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 |
| HALPERT, MARC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 |
| STERN, WILLIAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2020-04-01 |
| WBS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | 2020-04-01 |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2020-04-01 |
| JAFFA, NOAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2020-04-01 |
| MONARCH HEALTHCARE OPERATING X LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-04-01 |
| LEGUM, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-04-01 |
| JAFFA, NOAM | Individual | CORPORATE DIRECTOR | — | 2020-04-01 |
| HALPERT, MARC | Individual | CORPORATE OFFICER | — | 2020-04-01 |
| STERN, WILLIAM | Individual | CORPORATE OFFICER | — | 2020-04-01 |
Other facilities in WINSTED
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.