Luther Haven
Nursing Home · Montevideo, MN
CMS certification number245259
Contact & location
1109 East Highway 7Montevideo, MN 56265
Chippewa County
- Phone
- (320) 269-6517
- ZIP code
- 56265 – all care providers
Facility details
- Certified beds
- 55
- Residents per day
- 50.2 (91% occupied)
- Ownership
- Non profit - Church related
- Medicare certified since
- January 1, 1975
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.22 (state 4.19 · U.S. 3.86)
- Registered nurses (RN)
- 0.73 (state 1.06 · U.S. 0.69)
- Licensed practical nurses
- 0.78 (state 0.61 · U.S. 0.86)
- Nurse aides
- 2.71 (state 2.52 · U.S. 2.32)
- Weekend total
- 3.79 (state 3.71 · U.S. 3.42)
- Nursing staff turnover
- 51.6 (state 42.2 · U.S. 45.8)%
- RN turnover
- 46.2 (state 38.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 20, 2025
- Health deficiencies (last cycle)
- 2.0 (state 7.0 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 29 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-20 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-09 |
| 2025-08-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-09 |
| 2025-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-07-07 |
| 2025-03-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-11 |
| 2025-01-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-28 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-10-11 |
| 2024-09-12 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | 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. F0838 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-15 |
| 2024-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-28 |
| 2024-09-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-12 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-02-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-02-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2023-09-20 | 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. F0761 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $101,268 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-13 | Fine | $77,705 |
| 2024-09-12 | Payment Denial | 18 days payment denial |
| 2024-09-12 | Fine | $23,563 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| All Temporaries Midwest, INC. (organization) | Administrator · NOT APPLICABLE | |
| Dynamic Staffing Solutions (organization) | Administrator · NOT APPLICABLE | |
| Grape Tree Medical Staffing LLC (organization) | Administrator · NOT APPLICABLE | |
| Hughes, Justin (individual) | Administrator · NOT APPLICABLE | |
| Krueger, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Wipfli LLP (organization) | Administrator · NOT APPLICABLE | |
| Bednar, Shelly (individual) | Corporate Director · NOT APPLICABLE | |
| Dezeeuw, Paul (individual) | Corporate Director · NOT APPLICABLE | |
| Eckberg, Marie (individual) | Corporate Director · NOT APPLICABLE | |
| Kurtzbien, Jason (individual) | Corporate Director · NOT APPLICABLE | |
| Kvam, Kim (individual) | Corporate Director · NOT APPLICABLE | |
| Landmark, Diane (individual) | Corporate Director · NOT APPLICABLE | |
| Sachariason, Diane (individual) | Corporate Director · NOT APPLICABLE | |
| Snell, Kelly (individual) | Corporate Director · NOT APPLICABLE | |
| Tammen, Kathy (individual) | Corporate Director · NOT APPLICABLE | |
| Winter, Sue (individual) | Corporate Director · NOT APPLICABLE | |
| Hughes, Justin (individual) | Corporate Officer · NOT APPLICABLE | |
| All Temporaries Midwest, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dynamic Staffing Solutions (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Grape Tree Medical Staffing LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hughes, Justin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Krueger, Nicholas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nordstrom, Ann (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wipfli LLP (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Luther Haven?
Luther Haven has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.
How many beds does Luther Haven have?
It has 55 certified beds and cares for about 50 residents per day.
Has Luther Haven been fined?
Yes. CMS lists 3 penalties totaling $101,268 in the last three years.
What is the phone number of Luther Haven?
(320) 269-6517. The facility is located at 1109 East Highway 7, Montevideo, MN 56265.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.