The Gardens at Winsted LLC
551 FOURTH STREET NORTH, Winsted, MN, 55395
Yes. Federal inspectors cited 18 deficiencies against The Gardens at Winsted LLC in Winsted, Minnesota at its most recent standard inspection on 2025-05-01, 9 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $8,021. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2026-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-05-01 · from a complaint · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0838 · 2025-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · F0576 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · F0565 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · F0740 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · F0577 · 2025-05-01 · standard survey · No actual harm, potential for minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns The Gardens at Winsted LLC
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| NIJ LLC | Organization | 14% | since 04/01/2020 |
| SPARTAN HEALTHCARE LLC | Organization | 32% | since 04/01/2020 |
| WBS HOLDINGS LLC | Organization | 22% | since 04/01/2020 |
| YAZOMA HOLDINGS, LLC | Organization | 32% | since 04/01/2020 |
| HALPERT, MARC | Individual | 32% | since 04/01/2020 |
| JAFFA, NOAM | Individual | 14% | since 04/01/2020 |
| LEGUM, JOSHUA | Individual | 32% | since 04/01/2020 |
| STERN, WILLIAM | Individual | 22% | since 04/01/2020 |
| JAFFA, NOAM | Individual | NOT APPLICABLE | since 04/01/2020 |
| HALPERT, MARC | Individual | NOT APPLICABLE | since 04/01/2020 |
| STERN, WILLIAM | Individual | NOT APPLICABLE | since 04/01/2020 |
| MONARCH HEALTHCARE OPERATING X LLC | Organization | NOT APPLICABLE | since 04/01/2020 |
Part of the MONARCH HEALTHCARE MANAGEMENT group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245459.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction