Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LUTHER HAVEN

MONTEVIDEO, MN · 55 certified beds · Last Life Safety survey September 16, 2026

CMS Certification Number 245259 · first certified January 1975

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within MN

11 citations — more than 44% of the 337 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 8 citations; the earlier surveys on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was September 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 641 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility11MN median12National median11
Citations in CMS's current file, compared
MeasureCitations
This facility11
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0902025-0882026-09
Citations at each Life Safety survey
Survey dateCitations
September 12, 20243
August 20, 20250
September 16, 20268

Most-cited tags

Most-cited tags at this facility
K-03212K-09231K-03631K-09261K-03241K-03451K-09291K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-09-16
K-0923Have proper medical gas storage and administration areas.12024-09-12
K-0363Install corridor and hallway doors that block smoke.12026-09-16
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12024-09-12
K-0324Provide properly protected cooking facilities.12026-09-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-09-16
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12026-09-16
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-09-16

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Smoke Deficiencies 5
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Smoke Deficiencies5
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 16, 2026 — 8 citations

Citations issued on September 16, 2026
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has no plan of correction
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has no plan of correction
K-0324Provide properly protected cooking facilities.Deficient, Provider has no plan of correction
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has no plan of correction
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has no plan of correction
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has no plan of correction
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has no plan of correction
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has no plan of correction

September 12, 2024 — 3 citations

Citations issued on September 12, 2024
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 11, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 11, 2024)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (October 11, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.