The Gardens at Winsted LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews

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.
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
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 detailsStrengths
- 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
Distribution · 25 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total 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
8
measures
8
measures
1
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Complaint4
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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, 2025Routine13
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
May 1, 2025Complaint4
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Mar 19, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 24, 2025Complaint2
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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
The Gardens at Winsted LLC
for profit
Chain Affiliation
Monarch Healthcare Management
45 facilities nationwide
Chain avg rating: 2.3/5 · Rank 26 of 45
Ownership & Management
Owners
Nij LLC
Owner · Organization
Spartan Healthcare LLC
Owner · Organization
Wbs Holdings LLC
Owner · Organization
Yazoma Holdings, LLC
Owner · Organization
Halpert, Marc
Owner (parent company)
Jaffa, Noam
Owner (parent company)
Legum, Joshua
Owner (parent company)
Stern, William
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit monarchmn.com
Medicare data downloads
Original nursing home datasets
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.
The Gardens at Winsted AL
< 1 miAssisted Living · Winsted, MN
Good Samaritan Society - Howard Lake
6.5 miNursing Home · Howard Lake, MN
The Lodge of Howard Lake
6.5 miAssisted Living · Howard Lake, MN
Brookridge
10.6 miAssisted Living · Cokato, MN
Cokato Manor
10.6 miNursing Home · Cokato, MN