Luther Haven in Montevideo, MN has a 1-star overall rating, with a 1-star health inspection rating but stronger staffing at 4 stars; reported nurse staffing is 3.97 hours per resident per day, slightly below the federal benchmark of 4.1. The facility also has a recent federal penalty and $101,268 in fines over the last 24 months.
Last inspection: August 20, 2025Penalties, last 24 months: $101,268recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9668.
Staffing detail
Registered nurses
0.69
Licensed practical nurses
0.83
Nurse aides
2.45
Weekend nursing
3.59
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 46%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
17.2%26.5%Worsening
Residents with a fall causing major injury
6.7%4.5%Improving
Residents with pressure ulcers (bedsores)
1.8%4.1%Worsening
Residents with a urinary tract infection
8.9%7.1%Improving
Residents who lost too much weight
19%2.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%22%Worsening
Residents whose ability to walk got worse
—29.7%—
Long-stay residents on antianxiety or sleep medication
14.3%14.3%No change
Short-stay residents newly given an antipsychotic
3.7%0%Improving
Residents with a long-term catheter
5.5%0%Improving
Residents with new or worsening incontinence
4.7%11.1%Worsening
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).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
95.6%97.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $77,705 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $23,563 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $101,268 in total fines · 1 payment denial.
Federal fine
Jan 13, 2025
$77,705
Medicare/Medicaid payment denial
Sep 12, 2024
18 days
Federal fine
Sep 12, 2024
$23,563
Operator & ownership
Ownership
Non profit - Church related
Occupancy
50.5 residents on an average day (92% of 55 beds)
Resident voice
Resident council
Medicare history
Certified for 51 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.