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Nursing home report

THE GARDENS AT WINSTED LLC

WINSTED, MN · Medicare-certified · 70 beds

Needs attention
For-profitChain member
1 of 5 overall

THE GARDENS AT WINSTED LLC has a 1 out of 5 overall rating, with a 2-star health inspection rating, 3-star staffing rating, and 1-star quality measures rating. It has the lowest overall rating flag, no fines in the last 24 months, and reported nurse staffing of 3.38 hours per resident per day versus the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.3813 hrs/resident/day

Quality measures

Last inspection: August 15, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3813.

Staffing detail

Registered nurses
0.99
Licensed practical nurses
0.32
Nurse aides
2.07
Weekend nursing
3.12

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 92%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

20.6%Steady

Residents with a fall causing major injury

3.3%Steady

Residents with pressure ulcers (bedsores)

11.8%Improving

Residents with a urinary tract infection

0.8%Steady

Residents who lost too much weight

3%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

22.9%Worsening

Residents whose ability to walk got worse

35.4%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

7.9%Improving

Short-stay residents newly given an antipsychotic

2.9%Improving

Residents with a long-term catheter

3.9%Worsening

Residents with new or worsening incontinence

33.7%Improving

Residents with depressive symptoms

8.6%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

78.7%Steady

Short-stay residents given the pneumonia vaccine

90.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited August 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 576 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $8,021 in total fines.

  • Federal fine

    Jan 25, 2024

    $8,021

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
Occupancy
39 residents on an average day (56% of 70 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 39 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.