See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

The Gardens at Winsted LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

551 Fourth Street North, Winsted, MN 5539570 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 22 Google reviews

5
4
3
2
1
The Gardens at Winsted LLC Nursing Home in Winsted, MN — Street View
Street View

Watch The Gardens at Winsted LLC

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (20 vs median 6.5)
  • High staff turnover (65%)
  • High RN turnover (100%)

Below average in MN · Meets national RN staffing standard · $8,021 in fines

Source: Medicare data

What this means for your family

While the therapy team is highly regarded, the facility has a consistent pattern of severe issues regarding hygiene and medication administration. Families should be extremely cautious and are advised to perform frequent, unannounced visits to monitor the quality of care and cleanliness of their loved one's room.

Google Reviews

Google Reviews

22 reviews on Google
Reviews for The Gardens at Winsted LLC are highly polarized, with significant concerns regarding basic hygiene, staff responsiveness, and medication management. While some rehab patients praise the therapy team, multiple families report serious neglect, including delayed assistance with toileting, unaddressed medical issues, and unsanitary living conditions.

Quality Themes

Tap a score for details
Food8.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective physical therapy team
  • Generally positive feedback for kitchen staff
  • Some nursing staff members described as attentive

Concerns

  • Slow or non-existent response to call lights and toileting assistance (mentioned by 4 reviewers)
  • Medication management errors and delays (mentioned by 2 reviewers)
  • Unsanitary facility conditions (mentioned by 3 reviewers)
  • Staff dismissiveness or lack of compassion (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(3)'22(1)'24(2)'26(3)

Distribution · 25 analyzed

5
10
4
2
3
4
2
0
1
9

How They Respond to Reviews

59%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has had some recent challenges with response times; could you walk me through your current protocol for ensuring call lights are answered promptly and toileting needs are met consistently?
  • 2Given the importance of accurate medication administration, what specific oversight or double-check systems do you have in place to ensure residents receive the right dosage at the right time?
  • 3Cleanliness is a top priority for our family; what is your daily housekeeping schedule, and how do you ensure the facility maintains a high standard of sanitation throughout the common areas and resident rooms?
  • 4I see that your team engages with feedback online, which we appreciate; how do you use that input to improve the day-to-day experience and communication with families?
  • 5Since the physical therapy team is a noted strength here, how do you integrate their work into the daily life and activity schedule for residents who are looking to stay active?
  • 6In the event of a medical concern or an emergency, what is the specific chain of communication to ensure our family is notified immediately and kept informed of the care plan?

Personalized based on this facility's data


Key Review Excerpts

It is truly unacceptable for patients to be subjected to such unsanitary living conditions like fecal from a previous patient on this patient's call light, lack of staff attention where the patient's call light was not answered multiple times throughout the day.

Post-op patient's family member · 2023☆☆☆☆

The only reason that could not give a 5 star rating is that I was not getting vital medications that I needed to take daily and 3 times per day. This made me feel worse than when I was discharged after being admitted to the hospital.

Rehab patient · 2022★★★★

My mom has had a UTI for almost a week, urinating blood, and they haven’t done anything about it. They keep saying waiting on the orders for her antibiotics.

Long-term resident's family · 2025☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.99hrs
OK
Registered nurses for medical care
Total Nursing
3.38hrs
82%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
92%
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
1/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.4%
Worse than Avg
Here
35.4%
US
15.3%
MN
21.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.7%
Worse than Avg
Here
33.7%
US
19.4%
MN
24.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
19.5%
MN
12.5%
🛏️

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%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.8%
Worse than Avg
Here
11.8%
US
4.9%
MN
5.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MN
97.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.2%
Better than Avg
Here
90.2%
US
81.8%
MN
88.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.7%
Worse than Avg
Here
78.7%
US
79.8%
MN
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
MN
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Well above state avg (8.0)
18 complaint-triggered
$8,021 in fines

This facility has a concerning pattern with 18 complaint-triggered deficiencies out of 46 total, indicating families have repeatedly filed reports about care issues. The most recurring problems involve infection control, medication management, and resident rights violations including failure to properly notify families of incidents. While all deficiencies show correction dates, the persistent complaints across multiple surveys suggest ongoing care quality challenges that warrant careful scrutiny during any visit.

Aug 15, 2025Complaint
4
0838Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Jun 18, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

May 1, 2025Routine
13
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0576Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

May 1, 2025Complaint
4
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Mar 19, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 24, 2025Complaint
2
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jan 25, 2024

$8,021

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Gardens at Winsted LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Monarch Healthcare Management

Chain Size

45 facilities nationwide

Chain avg rating: 2.3/5 · Rank 26 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

Jaffa, NoamOfficer / DirectorHalpert, MarcOfficer / DirectorStern, WilliamOfficer / DirectorMonarch Healthcare Operating X LLCManagerLegum, JoshuaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call