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Nursing home report

Luther Haven

MONTEVIDEO, MN · Medicare-certified · 55 beds

Needs attention
Non-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.9668 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $77,705 was recorded.

  6. PENALTY

    A federal payment denial was recorded.

  7. 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.