Nursing homeActive
Luther Haven
1109 East Highway 7, Montevideo, MN 56265320269651755 certified beds · 50 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
29
● 0● 26● 3
Penalties · 3 yrs
$101,268
2 fines · 1 action
Last survey
2025-08-20
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-20 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-05 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-13 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Standard | 091 | CMS-2567 (Care Compare) | — |
| 2024-02-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Standard | 0120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 245259-20250820-F641
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 245259-20250820-F921
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-07Record 245259-20250605-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 245259-20250319-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-28Record 245259-20250113-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-10-11Record 245259-20240912-F689
F585Honor 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F677
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F726
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-28Record 245259-20240912-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F812
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 245259-20240912-F838
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-15Record 245259-20240912-F867
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 245259-20240207-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 245259-20240207-F609
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F686
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F759
F761Ensure 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.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F849
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F865
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F883
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 245259-20230920-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-13 | Civil money penalty | $77,705 | CMS · Penalties |
| 2024-09-12 | Civil money penalty | $23,563 | CMS · Penalties |
| 2024-09-12 | Denial of payment for new admissions Payment denial for 18 days, from 2024-10-10 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.22
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.79
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover52%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover46%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.4% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 27.6% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 7.3% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.9% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.1% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.3% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| 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 | — | — |
| All Temporaries Midwest, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bednar, Shelly Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dezeeuw, Paul Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dynamic Staffing Solutions Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eckberg, Marie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grape Tree Medical Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hughes, Justin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hughes, Justin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krueger, Nicholas Individual | ADP OF THE SNF | 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 | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Chippewa.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Clarkfield Care Center Clarkfield | 12.0 mi | 2026-04-08 | 090 |
| Parkview Home Belview | 12.6 mi | 2026-05-06 | 0191 |
| Avera Granite Falls Care Center Granite Falls | 13.4 mi | 2025-09-19 | 0122 |
| Clara City Care Center Clara City | 16.7 mi | 2026-04-01 | 093 |
| Johnson Memorial Hospital & Home Dawson | 17.3 mi | 2026-04-22 | 0101 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |