Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

August 15, 2025 Complaint Investigation

Fines and Penalties by Year

2022 2 penalties totaling $14,225

$10,000
May 6, 2022

Fine

$4,225
Jan 10, 2022

Fine

2021 7 penalties totaling $20,637

$4,258
Feb 15, 2021

Fine

$4,258
Feb 8, 2021

Fine

$3,931
Feb 1, 2021

Fine

$3,603
Jan 25, 2021

Fine

$3,276
Jan 18, 2021

Fine

$2,948
Jan 11, 2021

Fine

$2,621
Jan 4, 2021

Fine

2020 6 penalties totaling $8,844

$2,293
Dec 28, 2020

Fine

$1,965
Dec 21, 2020

Fine

$1,638
Dec 14, 2020

Fine

$1,310
Dec 7, 2020

Fine

$983
Nov 30, 2020

Fine

$655
Nov 23, 2020

Fine

2019 1 penalties totaling $11,278

$11,278
Feb 8, 2019

Fine

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Health Violations by Year

2025 17 violations

Tag 0554 D May 1, 2025

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

✓ Corrected: Jun 18, 2025
Tag 0565 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0576 E May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0577 C May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0584 E May 1, 2025

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.

✓ Corrected: Jun 6, 2025
Tag 0585 D May 1, 2025

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.

✓ Corrected: Jun 6, 2025
Tag 0679 E May 1, 2025

Provide activities to meet all resident's needs.

✓ Corrected: Jun 6, 2025
Tag 0684 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0689 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0698 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0740 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0880 F May 1, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 6, 2025
Tag 0883 D May 1, 2025

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

✓ Corrected: Jun 6, 2025
Tag 0880 D Mar 19, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 14, 2025
Tag 0880 D Feb 24, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 14, 2025
Tag 0921 E Feb 24, 2025

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

✓ Corrected: Mar 14, 2025
Tag 0755 D Jan 3, 2025

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

✓ Corrected: Jan 20, 2025

2024 7 violations

Tag 0580 D May 14, 2024

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

✓ Corrected: Jun 12, 2024
Tag 0686 D May 14, 2024

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

✓ Corrected: Jun 18, 2024
Tag 0580 D Feb 7, 2024

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

✓ Corrected: Mar 4, 2024
Tag 0692 D Feb 7, 2024

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

✓ Corrected: Mar 4, 2024
Tag 0760 D Feb 7, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Mar 4, 2024
Tag 0851 F Feb 7, 2024

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

✓ Corrected: Mar 4, 2024
Tag 0689 J Jan 25, 2024

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

✓ Corrected: Jan 22, 2024

2023 11 violations

Tag 0580 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0583 D Apr 6, 2023

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 24, 2023
Tag 0686 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0690 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0692 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0755 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0756 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0812 E Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0883 D Apr 6, 2023

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

✓ Corrected: May 24, 2023
Tag 0887 E Apr 6, 2023

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.

✓ Corrected: May 24, 2023
Tag 0609 D Jan 31, 2023

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

✓ Corrected: Feb 27, 2023

2022 6 violations

Tag 0552 D May 6, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jun 30, 2022
Tag 0677 D May 6, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 30, 2022
Tag 0684 D May 6, 2022

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

✓ Corrected: Jun 30, 2022
Tag 0758 D May 6, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jun 30, 2022
Tag 0804 D May 6, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 30, 2022
Tag 0880 F May 6, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 30, 2022

2021 2 violations

Tag 0578 D Apr 27, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 28, 2021
Tag 0867 F Apr 27, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: May 26, 2021

2020 1 violations

Tag 0610 D Oct 22, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Nov 25, 2020

2019 9 violations

Tag 0561 E Aug 1, 2019

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Sep 10, 2019
Tag 0607 C Aug 1, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 10, 2019
Tag 0656 D Aug 1, 2019

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

✓ Corrected: Sep 10, 2019
Tag 0677 D Aug 1, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 10, 2019
Tag 0684 D Aug 1, 2019

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

✓ Corrected: Sep 10, 2019
Tag 0692 D Aug 1, 2019

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

✓ Corrected: Sep 10, 2019
Tag 0806 D Aug 1, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Sep 10, 2019
Tag 0880 F Aug 1, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 10, 2019
Tag 0908 C Aug 1, 2019

Keep all essential equipment working safely.

✓ Corrected: Sep 10, 2019

2018 1 violations

Tag 0625 D Jun 21, 2018

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jul 31, 2018

2017 7 violations

Tag 0157 D Apr 27, 2017

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

✓ Corrected: May 12, 2017
Tag 0241 D Apr 27, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Jun 1, 2017
Tag 0282 E Apr 27, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Jun 1, 2017
Tag 0312 D Apr 27, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jun 1, 2017
Tag 0315 D Apr 27, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Jun 1, 2017
Tag 0323 D Apr 27, 2017

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

✓ Corrected: Jun 1, 2017
Tag 0412 D Apr 27, 2017

Provide or obtain dental services for each resident.

✓ Corrected: Jun 1, 2017
🏥 Facility Summary

THE GARDENS AT WINSTED LLC is a 1-star nursing home in WINSTED, MN with 70 beds.

Most recent inspection: Data not available. No current violations on record.

📞 3204823135
📍 551 FOURTH STREET NORTH, WINSTED, MN
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About THE GARDENS AT WINSTED LLC

What violations has THE GARDENS AT WINSTED LLC received?
THE GARDENS AT WINSTED LLC has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of THE GARDENS AT WINSTED LLC?
THE GARDENS AT WINSTED LLC has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was THE GARDENS AT WINSTED LLC last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is THE GARDENS AT WINSTED LLC safe?
Safety at THE GARDENS AT WINSTED LLC should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact THE GARDENS AT WINSTED LLC?
Phone: 3204823135. Address: 551 FOURTH STREET NORTH, WINSTED, MN. For visiting hours and admission information, call the facility directly.
What services does THE GARDENS AT WINSTED LLC offer?
THE GARDENS AT WINSTED LLC is a skilled nursing facility with 70 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near WINSTED, MN?
Compare THE GARDENS AT WINSTED LLC with other nursing homes in WINSTED, MN on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.