Federal inspection record · CMS data as of October 1, 2026
The Gardens At Winsted LLC
551 Fourth Street North, Winsted, MN · (320) 482-3135
- Certified beds
- 70
- Residents per day
- 35
- Ownership
- For-Profit
- Chain
- Monarch Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1987
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
The Gardens At Winsted LLC carries 82 inspection points. That is fewer than 24% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights11E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care8E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
Infection Control5F
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Pharmacy Service3D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning2D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1F
- F
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.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-07-24
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-05-01
23 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2024-02-07
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 1 h 14 min of it from a registered nurse.
This home
3 h 36 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 67% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,021 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-25 | Fine | $8,021 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 100.0% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts worse | 89.2% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.9 pts worse | 10.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 5.4% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 10.8% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts worse | 22.9% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10 pts worse | 28.8% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts worse | 20.2% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 2.9% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.9% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 26.8% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.9% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 91.7% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.3 pts worse | 27.9% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 2.2% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts worse | 75.4% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission15.6 pts better | 7.4% | 23.0% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Halpert, Marc | 5% Or Greater Indirect Ownership Interest · Individual | 32% | 45 facilities |
| Legum, Joshua | 5% Or Greater Indirect Ownership Interest · Individual | 32% | 45 facilities |
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 32% | 45 facilities |
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 32% | 44 facilities |
| Stern, William | 5% Or Greater Indirect Ownership Interest · Individual | 22% | 45 facilities |
| Wbs Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 22% | 26 facilities |
| Jaffa, Noam | 5% Or Greater Indirect Ownership Interest · Individual | 14% | 45 facilities |
| Nij LLC | 5% Or Greater Direct Ownership Interest · Organization | 14% | 44 facilities |
| Halpert, Marc | Corporate Officer · Individual | 0% | 45 facilities |
| Jaffa, Noam | Corporate Director · Individual | 0% | 45 facilities |
| Legum, Joshua | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Monarch Healthcare Operating X LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Stern, William | Corporate Officer · Individual | 0% | 45 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- B
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
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- F
- Nursing / resident / day
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- Fines
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-
The Estates At Delano LLC
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- G
- Nursing / resident / day
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- Fines
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-
Cokato Manor
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- Nursing / resident / day
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