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Nursing HomeMedicaid

The Gardens at Foley LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

253 Pine Street, Foley, MN 5632978 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 23 Google reviews

5
4
3
2
1
The Gardens at Foley LLC Nursing Home in Foley, MN — Street View
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What this means for your family

While the facility previously held a strong reputation for compassionate care, recent reports from 2025 and 2026 indicate a concerning decline in staffing levels and responsiveness. If you are considering this facility, we strongly recommend conducting an unannounced visit during evening hours to observe staffing levels and asking management directly about their protocols for responding to call lights and patient falls.

Google Reviews

Google Reviews

23 reviews on Google
The Gardens at Foley LLC presents a stark contrast in experiences, with older reviews praising the facility for its cleanliness and compassionate care, while recent reviews from late 2025 and 2026 highlight severe concerns regarding neglect and staffing shortages. Families considering this facility should be aware of recent reports involving ignored call lights, delayed responses to patient falls, and difficulty with administrative communication.

Quality Themes

Tap a score for details
Food10.0Staff5.0Clean8.0ActivitiesN/AMedsN/AMemory10.0Comms3.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Clean and well-maintained facility
  • Effective communication regarding resident care
  • Helpful administrative staff for family visits

Concerns

  • Neglect and failure to respond to call lights (mentioned by 2 reviewers)
  • Understaffing, particularly in the evenings (mentioned by 2 reviewers)
  • Poor administrative responsiveness and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(1)'22(3)'25(2)'26(3)

Distribution · 23 analyzed

5
14
4
2
3
0
2
0
1
7

How They Respond to Reviews

22%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed your administrative team is very helpful with family visits; how do you typically keep families updated on a resident's day-to-day progress?
  • 2What specific steps are in place to ensure call lights are answered promptly, especially during the evening hours?
  • 3With the recent health inspections, what specific improvements has the facility made to address previous staffing or care deficiencies?
  • 4How does the nursing team manage medical emergencies or changes in condition during the night shift?
  • 5Could you tell me more about the daily activities and social engagement opportunities available for the residents here?
  • 6How does the facility ensure that communication between the nursing staff and the families remains consistent and clear?

Personalized based on this facility's data


Key Review Excerpts

My aunt is a resident in the memory care unit and she is treated very well by the staff. I am kept up with any and all concerns that they have regarding her care.

Memory care family member · 2019★★★★★

My grandmother is a patient here, and has recieved horrendous care. She fell onto the floor and they LEFT HER there for 2hrs. They ignored the call light and tried convincing us that she was confused.

Long-term resident's family · 2025☆☆☆☆

My wife has been in 4 stilled nursing facilities since here fall in March of 2024. This facility is far and away the best, most compassionate facility she has been in.

Long-term resident's family · 2025★★★★★
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.79hrs
OK
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
15.4%
MN
17.0%
Benton
10.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
19.4%
MN
24.5%
Benton
21.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.3%
MN
21.4%
Benton
18.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
14.4%
MN
18.6%
Benton
15.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.6%
Mixed vs Avgs
Here
3.6%
US
12.1%
MN
4.3%
Benton
2.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.5%
MN
12.5%
Benton
17.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
81.8%
MN
88.3%
Benton
90.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.9%
Better than Avg
Here
89.9%
US
79.7%
MN
82.7%
Benton
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
MN
1.8%
Benton
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Above state avg (8.0)
10 complaint-triggered
$8,824 in fines

This facility has concerning patterns with seven complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems involve medication management, treatment and care quality, and infection control, with these issues appearing repeatedly across multiple surveys from 2023 to 2025. While the facility has correction plans for all deficiencies, the persistence of similar problems over time suggests ongoing challenges with maintaining consistent care standards.

Mar 18, 2026Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Oct 29, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Sep 17, 2025Routine
8
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Nov 14, 2024Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Aug 29, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 8, 2024Routine
5
0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Apr 16, 2024

$8,824

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Gardens at Foley LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Monarch Healthcare Management

Chain Size

45 facilities nationwide

Chain avg rating: 2.3/5 · Rank 11 of 45

Ownership & Management

Owners

Nij LLC

Owner · Organization

14%

Spartan Healthcare LLC

Owner · Organization

32%

Wbs Holdings LLC

Owner · Organization

22%

Yazoma Holdings, LLC

Owner · Organization

32%

Halpert, Marc

Owner (parent company)

32%

Jaffa, Noam

Owner (parent company)

14%

Legum, Joshua

Owner (parent company)

32%

Stern, William

Owner (parent company)

22%

Key personnel

Legum, JoshuaContracted Managing EmployeeJaffa, NoamOfficer / DirectorHalpert, MarcOfficer / DirectorStern, WilliamOfficer / DirectorMonarch Healthcare Operating Ix LLCManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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