Nursing HomeInspections

Luther Haven

Nursing home in Montevideo, MN

Medicare & Medicaid certified1★ overall (CMS)

Call (320) 269-6517Send a messageMap ↗

Public-record details

Address
1109 East Highway 7, Montevideo, MN 56265
Phone
(320) 269-6517
Listed under
Nonprofit
Medicare CCN
245259
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
55
Average residents per day
50
Ownership
Nonprofit, church related
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1975
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 245259. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 20, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 20, 2023 to Aug 20, 2025): 12 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 20, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 20, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated
Jun 5, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 19, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Sep 12, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 12, 2024Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Sep 12, 2024Honor 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.
Resident Rights · complaint inspection		F
Potential for more than minimal harm, widespread
Sep 12, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Sep 12, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $101,268 and 1 denial of Medicare payment for new admissions in the last three years.

Jan 13, 2025Fine: $77,705
Sep 12, 2024Fine: $23,563
Sep 12, 2024Payment denial for 18 days from Oct 10, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.22 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
2.71 hours
Total nurse staffing on weekends
3.79 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
46%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.