Nursing HomeInspections

The Gardens at Winsted LLC

Nursing home in Winsted, MN

Medicare & Medicaid certified2★ overall (CMS)

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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
4 of 5
Quality measures rating
2 of 5
Certified beds
70
Average residents per day
35
Ownership
For-profit, limited Liability company
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 council
Sprinklers in all required areas
Yes

CMS certification number 245459. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 24, 2026. CMS lists 39 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 25, 2024 to Jul 24, 2026): 20 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 24, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 24, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 24, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 24, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 24, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 24, 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		E
Potential for more than minimal harm, pattern
Jul 24, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 24, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control		E
Potential for more than minimal harm, pattern
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

Showing the 12 most recent of 39. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.60 hours
Registered nurse (RN) time per resident per day
1.23 hours
Nurse aide time per resident per day
2.01 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
67%
Administrators who left in the past year
2

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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error