nursing home in Montevideo, MN
Luther Haven
1109 East Highway 7, Montevideo, MN 56265 · (320) 269-6517
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Luther Haven at a glance
Luther Haven is a 55-bed non-profit nursing home in Montevideo, Minnesota (Chippewa County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 4.2 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (August 20, 2025) found 2 health citations. The Minnesota average is 7.1.
Federal regulators fined it 2 times in the past three years, totaling $101,268.
Nursing staff turnover is 51.6% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1975
- Resident/family council
- Resident
- County
- Chippewa County
- CMS Certification Number
- 245259
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.22 hrs | 4.19 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.73 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.71 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.79 hrs | 3.71 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 51.6% | 42.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 113.3 | 63.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $101,268 | $24,507 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 55 | 71 | 107 | |
| Average residents per day | 50 | 60 | 86 | |
| Occupancy | 91.3% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.4% | 4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 27.6% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 7.3% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2% | 1.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 14.9% | 18.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.2% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 4.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.3% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.6% | 24.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.9% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 95.7% | 82.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.8% | 88.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 20, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected September 9, 2025 |
| August 20, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 9, 2025 |
| June 5, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 7, 2025 |
| March 19, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 11, 2025 |
| January 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 28, 2025 |
| September 12, 2024 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 12, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected October 11, 2024 |
| September 12, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 11, 2024 |
| September 12, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected October 15, 2024 |
| September 12, 2024 Complaint | 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 · Tag F0585 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 12, 2024 Complaint | 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 · Tag F0838 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 12, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 12, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected October 28, 2024 |
| September 12, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected October 11, 2024 |
| September 12, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 12, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 11, 2024 |
| February 7, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 28, 2024 |
| February 7, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 28, 2024 |
| September 20, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected October 20, 2023 |
| September 20, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 20, 2023 |
| September 20, 2023 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected November 20, 2023 |
| September 20, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected November 20, 2023 |
| September 20, 2023 Standard | 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 · Tag F0656 | E Potential harm, pattern | Corrected November 20, 2023 |
| September 20, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 20, 2023 |
| September 20, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 20, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $101,268 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 13, 2025 | Fine | $77,705 |
| September 12, 2024 | Payment Denial | 18 days from October 10, 2024 |
| September 12, 2024 | Fine | $23,563 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ALL TEMPORARIES MIDWEST, INC. Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| DYNAMIC STAFFING SOLUTIONS Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| GRAPE TREE MEDICAL STAFFING LLC Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| HUGHES, JUSTIN Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| KRUEGER, NICHOLAS Individual | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| WIPFLI LLP Organization | adp of the snf | NOT APPLICABLE | 01/24/2025 |
| BEDNAR, SHELLY Individual | corporate director | NOT APPLICABLE | 05/01/2019 |
| DEZEEUW, PAUL Individual | corporate director | NOT APPLICABLE | 05/01/2024 |
| ECKBERG, MARIE Individual | corporate director | NOT APPLICABLE | 05/01/2024 |
| KURTZBIEN, JASON Individual | corporate director | NOT APPLICABLE | 05/01/2022 |
| KVAM, KIM Individual | corporate director | NOT APPLICABLE | 05/01/2021 |
| LANDMARK, DIANE Individual | corporate director | NOT APPLICABLE | 05/01/2023 |
| SACHARIASON, DIANE Individual | corporate director | NOT APPLICABLE | 05/01/2022 |
| SNELL, KELLY Individual | corporate director | NOT APPLICABLE | 05/01/2023 |
| TAMMEN, KATHY Individual | corporate director | NOT APPLICABLE | 05/01/2022 |
| WINTER, SUE Individual | corporate director | NOT APPLICABLE | 05/01/2024 |
| HUGHES, JUSTIN Individual | corporate officer | NOT APPLICABLE | 03/19/2024 |
| ALL TEMPORARIES MIDWEST, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| DYNAMIC STAFFING SOLUTIONS Organization | operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| GRAPE TREE MEDICAL STAFFING LLC Organization | operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| HUGHES, JUSTIN Individual | operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| KRUEGER, NICHOLAS Individual | operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| NORDSTROM, ANN Individual | operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| WIPFLI LLP Organization | operational/managerial control | NOT APPLICABLE | 01/20/2025 |
Other nursing homes near Luther Haven
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- ★★★★★3Average
Avera Granite Falls Care Center
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Non-profit · 48 beds · Part of Avera Health
★★★★★3AverageClara City Care Center
1012 North Division Street, Clara City, MN 56222 · 16.7 mi
Government · 48 beds
★★★★★1Much below average- ★★★★★3Average
- ★★★★★3Average
Frequently asked questions
What is Luther Haven's rating?
Luther Haven has 1 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did Luther Haven receive?
Its most recent standard health inspection found 2 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Luther Haven accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Luther Haven?
It is non profit - church related. The ownership section on this page lists the owners and managers reported to CMS.
Where is Luther Haven and how do I contact it?
Luther Haven is at 1109 East Highway 7, Montevideo, MN 56265. Phone: (320) 269-6517.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.