Luther Haven
1109 EAST HIGHWAY 7, MONTEVIDEO, MN 56265 · CCN 245259
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 55
- Avg residents/day
- 45.7
- Phone
- 3202696517
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-20 | 4 | 8.1 | 9.5 | -4.1 better |
| 2 | 2024-09-12 | 11 | 7.8 | 9.8 | +3.2 worse |
| 3 | 2023-09-20 | 15 | 7.4 | 9.3 | +7.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.22 | 56.2% |
| RN staffing (reported) | 0.83 | 42.9% |
| Total nurse staffing (adjusted) | 5.45 | — |
Fines & penalties
- Total fines
- $143,108
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Inspection citations (30)2 immediate jeopardy1 actual harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-09-09
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-08-20 · Health · corrected 2025-09-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-05 · Health · corrected 2025-07-07
Actual harm
- DF0880Provide and implement an infection prevention and control program.2025-03-19 · Health · corrected 2025-04-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-13 · Health · corrected 2025-01-28
Immediate jeopardy
- FF0585Honor 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.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-12 · Health · corrected 2024-10-11
Immediate jeopardy
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- EF0761Ensure 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.2024-09-12 · Health · corrected 2024-10-28
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- FF0838Conduct 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.2024-09-12 · Health · corrected 2024-10-11
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-12 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0758Implement 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.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- FF0761Ensure 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.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-20 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-04 · Health · corrected 2023-04-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ALL TEMPORARIES MIDWEST, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-09 |
| DYNAMIC STAFFING SOLUTIONS | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-09 |
| GRAPE TREE MEDICAL STAFFING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-20 |
| WIPFLI LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-20 |
| HUGHES, JUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-09 |
| KRUEGER, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-09 |
| NORDSTROM, ANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-09 |
| BEDNAR, SHELLY | Individual | CORPORATE DIRECTOR | — | 2019-05-01 |
| DEZEEUW, PAUL | Individual | CORPORATE DIRECTOR | — | 2024-05-01 |
| ECKBERG, MARIE | Individual | CORPORATE DIRECTOR | — | 2024-05-01 |
| KURTZBIEN, JASON | Individual | CORPORATE DIRECTOR | — | 2022-05-01 |
| KVAM, KIM | Individual | CORPORATE DIRECTOR | — | 2021-05-01 |
| LANDMARK, DIANE | Individual | CORPORATE DIRECTOR | — | 2023-05-01 |
| SACHARIASON, DIANE | Individual | CORPORATE DIRECTOR | — | 2022-05-01 |
| SNELL, KELLY | Individual | CORPORATE DIRECTOR | — | 2023-05-01 |
| TAMMEN, KATHY | Individual | CORPORATE DIRECTOR | — | 2022-05-01 |
| WINTER, SUE | Individual | CORPORATE DIRECTOR | — | 2024-05-01 |
| HUGHES, JUSTIN | Individual | CORPORATE OFFICER | — | 2024-03-19 |
Other facilities in MONTEVIDEO
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.