Nursing HomeInspections

The Gardens at Winsted LLC

Nursing home in Winsted, MN

Medicare & Medicaid certified2★ overall (CMS)

Call (320) 482-3135Send a messageMap ↗

Public-record details

Address
551 Fourth Street North, Winsted, MN 55395
Phone
(320) 482-3135
Listed under
For-profit
Medicare CCN
245459
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
70
Average residents per day
39
Ownership
For-profit, corporation
Legal business name
Gardens at Winsted LLC
Chain
Monarch Healthcare Management (45 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245459. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 1, 2025. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 6, 2023 to May 1, 2026): 20 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 1, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 1, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 15, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 15, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 15, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 15, 2025Conduct 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…
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 18, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2025Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 1, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		C
Potential for minimal harm, widespread
May 1, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
May 1, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		D
Potential for more than minimal harm, isolated
May 1, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 41. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,021 in the last three years.

Jan 25, 2024Fine: $8,021

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.36 hours
Registered nurse (RN) time per resident per day
1.07 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
3.03 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
83%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.