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THE GARDENS AT WINSTED LLC

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THE GARDENS AT WINSTED LLC is a for profit - corporation facility in WINSTED, MN with 70 certified beds and a 2-star overall CMS rating. The facility has 39 deficiency records on file. Total penalties: $8K.

551 FOURTH STREET NORTH, WINSTED, MN 55395

Phone: 3204823135

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
245459
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
70
Residents
37
In Hospital
No
County
Mc Leod
Last Inspection
May 1, 2025

Staffing Data

RN Hours
1.22 (nat'l avg: 0.68)
LPN Hours
0.14
CNA Hours
2.25
Total Nursing Hours
3.61 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
65.3%
RN Turnover
100.0%

What the CMS Record Reveals About THE GARDENS AT WINSTED LLC

THE GARDENS AT WINSTED LLC operates 70 certified beds in WINSTED, MN with approximately 37 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 39 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.61 total nursing hours per resident day (national average 3.89), with RN coverage at 1.22 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, THE GARDENS AT WINSTED LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 65.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (39 most recent)

F — Widespread - Minimal harm Aug 15, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Sep 10, 2025

D — Isolated - Minimal harm Aug 15, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2025

D — Isolated - Minimal harm Aug 15, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 10, 2025

D — Isolated - Minimal harm Aug 15, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2025

D — Isolated - Minimal harm Jun 18, 2025 Tag: 0943

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2025

D — Isolated - Minimal harm Jun 18, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2025

F — Widespread - Minimal harm May 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0740

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 1, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

C — Widespread - No harm May 1, 2025 Tag: 0577

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

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 1, 2025 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 1, 2025 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Jun 18, 2025

E — Pattern - Minimal harm May 1, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Mar 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 14, 2025

E — Pattern - Minimal harm Feb 24, 2025 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Mar 14, 2025

D — Isolated - Minimal harm Feb 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 14, 2025

D — Isolated - Minimal harm Jan 3, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 20, 2025

D — Isolated - Minimal harm May 14, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 18, 2024

D — Isolated - Minimal harm May 14, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jun 12, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 4, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Mar 4, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 4, 2024

J — Isolated - Jeopardy Jan 25, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2024

E — Pattern - Minimal harm Apr 6, 2023 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: May 24, 2023

E — Pattern - Minimal harm Apr 6, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: May 24, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 31.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 78.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 15.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 37.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.5% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Jan 25, 2024 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for THE GARDENS AT WINSTED LLC?
THE GARDENS AT WINSTED LLC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at THE GARDENS AT WINSTED LLC?
THE GARDENS AT WINSTED LLC reports 3.61 total nursing hours per resident day (national average: 3.89). RN hours are 1.22 per resident day (national average: 0.68). Nursing staff turnover is 65.3%.
How many beds does THE GARDENS AT WINSTED LLC have?
THE GARDENS AT WINSTED LLC has 70 certified beds with approximately 37 residents. The facility is located at 551 FOURTH STREET NORTH, WINSTED, MN 55395.
Does THE GARDENS AT WINSTED LLC have any deficiencies on record?
Yes, THE GARDENS AT WINSTED LLC has 39 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has THE GARDENS AT WINSTED LLC received any fines or penalties?
Yes, THE GARDENS AT WINSTED LLC has received 1 penalties totaling $8K.
Who owns THE GARDENS AT WINSTED LLC?
THE GARDENS AT WINSTED LLC is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was THE GARDENS AT WINSTED LLC last inspected?
The most recent health inspection for THE GARDENS AT WINSTED LLC was on May 1, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for THE GARDENS AT WINSTED LLC?
THE GARDENS AT WINSTED LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial