THE GARDENS AT WINSTED LLC
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$8,021
Outcome
THE GARDENS AT WINSTED LLC in WINSTED, MN was fined $8,021 by CMS following 39 deficiency citations identified during federal surveys.
Details
THE GARDENS AT WINSTED LLC (WINSTED, MN) — $8,021 in CMS Fines
Outcome: THE GARDENS AT WINSTED LLC in WINSTED, MN was fined $8,021 by CMS following 39 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 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.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- 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.
- Provide and implement an infection prevention and control program.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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