The nursing home failed to ensure residents were free from significant medication errors. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Living Meadows At Luther - Madelia
MADELIA, MN · Medicare-certified · 40 beds
In good standing
Non-profit
4 of 5 overall
Living Meadows At Luther - Madelia has an overall rating of 4 out of 5 stars, with strong health inspection and staffing scores, and no fines in the last 24 months. Its reported nurse staffing is 3.80 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included medication errors, food handling, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.7995 hrs/resident/day
Quality measures
Last inspection: March 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7995.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.25
- Weekend nursing
- 3.60
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%9.1%Improving
Residents with a fall causing major injury
3.2%3.3%No change
Residents with pressure ulcers (bedsores)
5.4%0%Improving
Residents with a urinary tract infection
6.5%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%29.2%Worsening
Residents whose ability to walk got worse
—21.7%—
Long-stay residents on antianxiety or sleep medication
3.8%15.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.8%6.8%Worsening
Residents with new or worsening incontinence
27.2%22.5%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,627 in total fines.
- $13,627
Federal fine
Apr 25, 2024
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 33.9 residents on an average day (85% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.