Luther Haven
Nursing home · 1109 HIGHWAY 7 EAST, Montevideo, MN 56265 · Chippewa County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · Church Related
- Capacity
- 55
- State license
- 424900
- Medicare CCN
- 245259
- Licensed entity
- LUTHER HAVEN
- Ownership
- Non profit - Church related
- Phone
- (320) 269-6517
- Nurse staffing
- 4.22 hours per resident per day; 51.6% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 4★ · Quality 3★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Jan 13, 2025 — Fine ($77,705)
- Sep 12, 2024 — Fine ($23,563)
- Sep 12, 2024 — Payment Denial · payment denial 18 days
Inspection findings
-
Aug 20, 2025 Health · 2 findings
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Sep 9, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Sep 9, 2025 · CMS health inspection
-
Not serious
Scope/severity D
-
Jun 24, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H52594818C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 5, 2025 Health · 1 finding
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 7, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Mar 19, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 24, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H52593703C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 13, 2025 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 28, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Sep 12, 2024 Health · 13 findings
-
Not serious
Scope/severity F
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 11, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Oct 28, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0838 Administration Deficiencies
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.
Corrected Oct 11, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0867 Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Oct 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Oct 11, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Oct 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0926 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected Oct 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
-
Mar 29, 2024 MDH complaint investigation · 2 findings
-
Severity not stated
H52592200C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H52592201C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Feb 7, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 20, 2023 Health · 13 findings
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0761 Pharmacy Service Deficiencies
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.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
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.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0865 Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
-
Apr 10, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H52599938C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Feb 17, 2023 MDH complaint investigation · 2 findings
-
Severity not stated
H52598356C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H52598360C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 13, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H52591993C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Apr 21, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5259033C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Nov 19, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5259029C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 3, 2020 MDH complaint investigation · 2 findings
-
Severity not stated
H5259018C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5259019C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- BEDNAR, SHELLY — corporate director, NOT APPLICABLE, since 05/01/2019
- DEZEEUW, PAUL — corporate director, NOT APPLICABLE, since 05/01/2024
- ECKBERG, MARIE — corporate director, NOT APPLICABLE, since 05/01/2024
- HUGHES, JUSTIN — adp of the snf, NOT APPLICABLE, since 01/24/2025
- HUGHES, JUSTIN — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- HUGHES, JUSTIN — corporate officer, NOT APPLICABLE, since 03/19/2024
- KRUEGER, NICHOLAS — adp of the snf, NOT APPLICABLE, since 01/24/2025
- KRUEGER, NICHOLAS — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- KURTZBIEN, JASON — corporate director, NOT APPLICABLE, since 05/01/2022
- KVAM, KIM — corporate director, NOT APPLICABLE, since 05/01/2021
- LANDMARK, DIANE — corporate director, NOT APPLICABLE, since 05/01/2023
- NORDSTROM, ANN — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- SACHARIASON, DIANE — corporate director, NOT APPLICABLE, since 05/01/2022
- SNELL, KELLY — corporate director, NOT APPLICABLE, since 05/01/2023
- TAMMEN, KATHY — corporate director, NOT APPLICABLE, since 05/01/2022
- WINTER, SUE — corporate director, NOT APPLICABLE, since 05/01/2024
- ALL TEMPORARIES MIDWEST, INC. — adp of the snf, NOT APPLICABLE, since 01/24/2025
- ALL TEMPORARIES MIDWEST, INC. — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- DYNAMIC STAFFING SOLUTIONS — operational/managerial control, NOT APPLICABLE, since 01/09/2025
- DYNAMIC STAFFING SOLUTIONS — adp of the snf, NOT APPLICABLE, since 01/24/2025
- GRAPE TREE MEDICAL STAFFING LLC — operational/managerial control, NOT APPLICABLE, since 01/20/2025
- GRAPE TREE MEDICAL STAFFING LLC — adp of the snf, NOT APPLICABLE, since 01/24/2025
- WIPFLI LLP — operational/managerial control, NOT APPLICABLE, since 01/20/2025
- WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 01/24/2025
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.