Minnesota › Chippewa County › Montevideo
Luther Haven
1109 East Highway 7, Montevideo, MN 56265
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 55 beds, Luther Haven serves Montevideo in Chippewa County, Minnesota and has taken Medicare and Medicaid residents since 1975.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (2, 13, 14 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 52.7 per 100 beds, more than the state median of 30.0.
CMS lists 3 penalties in the period covered: fines totalling $101K and 1 payment denial.
Reported nurse staffing is 4.2 hours per resident per day (0.7 RN), close to the Minnesota median of 4.2; nursing staff turnover is 51.6%.
Compared with county, state and nation
| Measure | This facility | Chippewa Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 20 | 28.7 |
| Citations per 100 beds | 52.7 | 52.7 | 30.0 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 1.0 | 0.7 |
| Nursing staff turnover | 51.6% | 51.6% | 40.0% | 45.8% |
| Fines listed | $101,268 | $101,268 | $0 | — |
County and state figures are medians across facilities (2 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Aug 2025, 12 Sep 2024.
Severity mix: J ×2 G ×1 D ×14 E ×4 F ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Sep 2025 |
| 20 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 9 Sep 2025 |
| 5 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Jul 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Apr 2025 |
| 13 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Jan 2025 |
| 12 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0585 | 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 investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0726 | 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 investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Oct 2024 |
| 12 Sep 2024 | F0838 | 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 investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 15 Oct 2024 |
| 12 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0761 | 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 | Standard survey | 28 Oct 2024 |
| 12 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Oct 2024 |
| 12 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Oct 2024 |
| 7 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 28 Feb 2024 |
| 7 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Feb 2024 |
| 20 Sep 2023 | F0761 | 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 | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0758 | 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 | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0849 | 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 | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Nov 2023 |
| 20 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 20 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Jan 2025 | Fine | $77,705 | |
| 12 Sep 2024 | Payment denial | — | 18 days |
| 12 Sep 2024 | Fine | $23,563 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 51.6%, RNs 46.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.9% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.3% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.6% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| All Temporaries Midwest, Inc. | Operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| Dynamic Staffing Solutions | Operational/managerial control | NOT APPLICABLE | 01/09/2025 |
| Grape Tree Medical Staffing LLC | Operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| All Temporaries Midwest, Inc. | Adp of the snf | NOT APPLICABLE | 01/24/2025 |
| Dynamic Staffing Solutions | Adp of the snf | NOT APPLICABLE | 01/24/2025 |
| Grape Tree Medical Staffing LLC | Adp of the snf | NOT APPLICABLE | 01/24/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 01/24/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Chippewa County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clara City Care Center | Clara City | 48 | 1 | 1 | 1 | 12 | 25.0 | $13K | 1 Apr 2026 |
All 2 facilities in Chippewa County
Questions and answers
How many deficiencies has Luther Haven been cited for?
29 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Luther Haven been fined?
Yes. CMS lists fines totalling $101K in the period covered, plus 1 payment denial.
How does staffing at Luther Haven compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Luther Haven?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include All Temporaries Midwest, Inc., Dynamic Staffing Solutions and Grape Tree Medical Staffing LLC. Individual owners and managers are not listed on this site.
When was Luther Haven last inspected?
The most recent survey or investigation in the CMS record is dated 20 Aug 2025; the most recent standard health survey was 20 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.