Elder Care Record

Minnesota › Mc Leod County › Winsted

The Gardens At Winsted LLC

551 Fourth Street North, Winsted, MN 55395

CCN 245459 · For-profit, corporation · 70 certified beds · chain Monarch Healthcare Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 70 beds, The Gardens At Winsted LLC serves Winsted in Mc Leod County, Minnesota and has taken Medicare and Medicaid residents since 1987.

CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 3 and quality measures 2.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (18, 9, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 58.6 per 100 beds, more than the state median of 30.0.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.4 hours per resident per day (1.1 RN), below the Minnesota median of 4.2; nursing staff turnover is 55.6%.

41health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 4.2
56%occupancy (residents ÷ beds)39 residents a day

Compared with county, state and nation

MeasureThis facilityMc Leod Co. medianMinnesota medianUS average
Overall star rating2433.0
Health citations, 3 cycles41122028.7
Citations per 100 beds58.610.030.026.8
Total nurse hours per resident day3.44.14.23.9
RN hours per resident day1.11.11.00.7
Nursing staff turnover55.6%55.6%40.0%45.8%
Fines listed$8,021$8,021$0—

County and state figures are medians across facilities (3 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)18
Cycle 29
Cycle 314

Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2025, 7 Feb 2024.

Severity mix: J ×1 D ×30 E ×7 F ×2 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 May 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation8 Jun 2026
1 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation8 Jun 2026
15 Aug 2025F0838Conduct 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.FComplaint investigation10 Sep 2025
15 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation10 Sep 2025
15 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Sep 2025
15 Aug 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation10 Sep 2025
18 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Jul 2025
18 Jun 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint investigation11 Jul 2025
1 May 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation6 Jun 2025
1 May 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard survey6 Jun 2025
1 May 2025F0679Provide activities to meet all resident's needs.EStandard survey6 Jun 2025
1 May 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey18 Jun 2025
1 May 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey6 Jun 2025
1 May 2025F0585Honor 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.DStandard survey6 Jun 2025
1 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Jun 2025
1 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Jun 2025
1 May 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey6 Jun 2025
1 May 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation6 Jun 2025
1 May 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey6 Jun 2025
1 May 2025F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey6 Jun 2025
1 May 2025F0584Honor 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.EComplaint investigation6 Jun 2025
19 Mar 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation14 Apr 2025
24 Feb 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation14 Mar 2025
24 Feb 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation14 Mar 2025
3 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Jan 2025
14 May 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Jun 2024
14 May 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation18 Jun 2024
7 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey4 Mar 2024
7 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey4 Mar 2024
7 Feb 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation4 Mar 2024
25 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation22 Jan 2024
6 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey24 May 2023
6 Apr 2023F0887Educate 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.EStandard survey24 May 2023
6 Apr 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey24 May 2023
6 Apr 2023F0583Keep residents' personal and medical records private and confidential.DStandard survey24 May 2023
6 Apr 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey24 May 2023
6 Apr 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 May 2023
6 Apr 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 May 2023
6 Apr 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey24 May 2023
6 Apr 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 May 2023
6 Apr 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 May 2023

Penalties

DateTypeAmountDetail
25 Jan 2024Fine$8,021

Staffing

Total nursing3.36 h
Nurse aides1.87 h
LPN0.42 h
RN1.07 h
Weekend total3.03 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 55.6%, RNs 83.3%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMinnesota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay23.2%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.4%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.8%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.0%1.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay37.1%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.0%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.5%15.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Gardens At Winsted Llc. Chain: Monarch Healthcare Management (45 facilities).

OrganisationRole in the CMS recordInterestSince
Nij LLC5% or greater direct ownership interest14%04/01/2020
Spartan Healthcare LLC5% or greater direct ownership interest32%04/01/2020
Wbs Holdings LLC5% or greater direct ownership interest22%04/01/2020
Yazoma Holdings, LLC5% or greater direct ownership interest32%04/01/2020
Monarch Healthcare Operating X LLCOperational/managerial controlNOT APPLICABLE04/01/2020

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mc Leod County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Glenfields Living With CareGlencoe10844487.4—5 Jun 2025
Harmony River Living CenterHutchinson1204351210.0$14K10 Jun 2026

All 3 facilities in Mc Leod County

Questions and answers

How many deficiencies has The Gardens At Winsted LLC been cited for?

41 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.

Has The Gardens At Winsted LLC been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at The Gardens At Winsted LLC compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.

Who operates The Gardens At Winsted LLC?

It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nij LLC, Spartan Healthcare LLC and Wbs Holdings LLC. Individual owners and managers are not listed on this site.

When was The Gardens At Winsted LLC last inspected?

The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 1 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.