Nursing homes › Minnesota › Luther Haven
1109 East Highway 7, Montevideo, MN 56265 · 3202696517 · 55 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Church related.
Total nurse staffing: 4.22 (Minnesota median: 4.16). RN hours: 0.73. Weekend total: 3.79. Nursing staff turnover: 52%.
All-time on record: 29 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-20 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | 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. | G | complaint | corrected 2025-07-07 |
| 2025-03-19 | Provide and implement an infection prevention and control program. | D | complaint | 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. | J | complaint | 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. | J | complaint | 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. | F | complaint | 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. | F | complaint | 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. | F | Health | 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. | F | complaint | 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. | F | Health | corrected 2024-10-15 |
| 2024-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | Health | corrected 2024-10-28 |
| 2024-09-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-10-11 |
| 2024-09-12 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-10-11 |
| 2024-02-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-02-28 |
| 2024-02-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | F | Health | 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. | F | Health | corrected 2023-11-20 |
| 2023-09-20 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | 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. | E | Health | corrected 2023-11-20 |
| 2023-09-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-11-20 |
| 2023-09-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-11-20 |
| 2023-09-20 | Ensure medication error rates are not 5 percent or greater. | D | Health | 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. | D | Health | corrected 2023-11-20 |
| 2023-09-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | 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. | D | Health | corrected 2023-11-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-13 | Fine | $77,705 |
| 2024-09-12 | Fine | $23,563 |
| 2024-09-12 | Payment Denial | 18 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BEDNAR, SHELLY | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2019 |
| DEZEEUW, PAUL | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2024 |
| ECKBERG, MARIE | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2024 |
| KURTZBIEN, JASON | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2022 |
| KVAM, KIM | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2021 |
| LANDMARK, DIANE | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2023 |
| SACHARIASON, DIANE | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2022 |
| SNELL, KELLY | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2023 |
| TAMMEN, KATHY | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2022 |
| WINTER, SUE | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2024 |
| HUGHES, JUSTIN | Corporate Officer | Individual | NOT APPLICABLE | since 03/19/2024 |
| ALL TEMPORARIES MIDWEST, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/09/2025 |
| DYNAMIC STAFFING SOLUTIONS | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/09/2025 |
| GRAPE TREE MEDICAL STAFFING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/20/2025 |
| WIPFLI LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/20/2025 |
| HUGHES, JUSTIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/09/2025 |
| KRUEGER, NICHOLAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/09/2025 |
| NORDSTROM, ANN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/09/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245259. Corrections: data@carerecords.org.