Nursing homes › Minnesota › The Gardens at Winsted LLC
551 Fourth Street North, Winsted, MN 55395 · 3204823135 · 70 certified beds
Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 states. Group record: average rating 2.3/5, 5 abuse citation icons, 0 facilities on the Special Focus list, $1,559,048 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.36 (Minnesota median: 4.16). RN hours: 1.07. Weekend total: 3.03. Nursing staff turnover: 56%.
All-time on record: 41 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2026-06-08 |
| 2026-05-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-06-08 |
| 2025-08-15 | 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. | F | complaint | corrected 2025-09-10 |
| 2025-08-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-09-10 |
| 2025-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-09-10 |
| 2025-08-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-09-10 |
| 2025-06-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-11 |
| 2025-06-18 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | complaint | corrected 2025-07-11 |
| 2025-05-01 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2025-06-06 |
| 2025-05-01 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2025-06-06 |
| 2025-05-01 | Provide activities to meet all resident's needs. | E | Health | corrected 2025-06-06 |
| 2025-05-01 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-06-18 |
| 2025-05-01 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Health | corrected 2025-06-06 |
| 2025-05-01 | 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. | D | Health | corrected 2025-06-06 |
| 2025-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-06 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-06-06 |
| 2025-05-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-06-06 |
| 2025-05-01 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-06-06 |
| 2025-05-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-06-06 |
| 2025-05-01 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2025-06-06 |
| 2025-05-01 | 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. | E | complaint | corrected 2025-06-06 |
| 2025-03-19 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-04-14 |
| 2025-02-24 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2025-03-14 |
| 2025-02-24 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-03-14 |
| 2025-01-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-01-20 |
| 2024-05-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-12 |
| 2024-05-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-06-18 |
| 2024-02-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-03-04 |
| 2024-02-07 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-03-04 |
| 2024-02-07 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-03-04 |
| 2024-01-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-01-22 |
| 2023-04-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-05-24 |
| 2023-04-06 | 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. | E | Health | corrected 2023-05-24 |
| 2023-04-06 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-05-24 |
| 2023-04-06 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-05-24 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-25 | Fine | $8,021 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NIJ LLC | 5% Or Greater Direct Ownership Interest | Organization | 14% | since 04/01/2020 |
| SPARTAN HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 32% | since 04/01/2020 |
| WBS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 22% | since 04/01/2020 |
| YAZOMA HOLDINGS, LLC | 5% Or Greater Direct Ownership Interest | Organization | 32% | since 04/01/2020 |
| HALPERT, MARC | 5% Or Greater Indirect Ownership Interest | Individual | 32% | since 04/01/2020 |
| JAFFA, NOAM | 5% Or Greater Indirect Ownership Interest | Individual | 14% | since 04/01/2020 |
| LEGUM, JOSHUA | 5% Or Greater Indirect Ownership Interest | Individual | 32% | since 04/01/2020 |
| STERN, WILLIAM | 5% Or Greater Indirect Ownership Interest | Individual | 22% | since 04/01/2020 |
| JAFFA, NOAM | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2020 |
| HALPERT, MARC | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2020 |
| STERN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2020 |
| MONARCH HEALTHCARE OPERATING X LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2020 |
| LEGUM, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245459. Corrections: data@carerecords.org.