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Living Meadows at Luther - Madelia

503 Benzel Avenue Sw, Madelia, MN 56062 · Watonwan County · (507) 642-3271

40 certified beds, about 37 residents a day · Non profit - Church related · Medicare and Medicaid since 1987

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245522 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 28, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 10 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,627 in the last three years; the largest was $13,627, and the latest is dated April 25, 2024.

Nurses and nurse aides worked 3.39 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

30.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
July 17, 2026Complaint inspection · 4 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 15, 2026
    Inspectors wroteBased on interview and record review, the facility failed to revise a person-centered care plan following significant changes in condition related to hydration status to reflect hospital discharge instructions for hydration management, fluid intake, and monitoring for 1 of 3 residents (R1) reviewed for hydration .R1's face sheet identified diagnoses of benign prostatic hyperplasia with lower urinary tract symptoms, obstructive and reflux uropathy, nutritional deficiency, moderate protein-calorie malnutrition, and hemiplegia and hemiparesis affecting left non-dominant side. R1's Nutrition Assessment Worksheet dated 4/14/26 identified R1's estimated nutritional needs of 1,560 kcal/day (30 kcal/kg) and 52-62 grams of protein/day. The section labeled Fluid Needs contained an arrow pointing to the adjacent box; however, the box was blank and no daily fluid requirement was documented. [...]
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 15, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and assess a fluid intake to ensure a physician-ordered fluid restriction was implemented as prescribed for 1 of 1 residents (R2) reviewed for hydrationFindings include:R2's face sheet identified diagnoses of hypokalemia, hypo-osmolality and hyponatremia. R2's annual MDS dated [DATE], identified R2 had mild cognitive impairment. R2 had no difficulties with hearing, vision, or speech. R2 had a mechanically altered diet. R2 had impairment on one side of upper extremity and both sides of lower extremities. R2 used a walker and wheelchair for mobility. R2 was independent eating. R2's dehydration/fluid care plan dated 1/8/25, identified R2 had a potential for fluid volume deficit. Interventions included to observe/document/report signs/symptoms of dehydration including: [...]
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 15, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to assess, monitor, and implement interventions to maintain adequate hydration for 1 of 3 residents (R1) reviewed for hydration.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 15, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to complete hand hygiene for 1 of 1 resident (R1) who was observed for quality of care.
April 28, 2026Standard inspection · 0 citations
March 26, 2025Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure dish machine chemical sanitization solution was monitored to ensure dishes were properly sanitized. In addition, the facility failed to ensure temperatures were monitored in 1 of 2 kitchen freezers and 1 of 3 refrigerators (coolers). This had the potential to affect all 36 residents who resided in the facility.
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to provide timely repositioning for 1 of 1 resident (R13) who was dependent upon staff for repositioning and high risk for pressure ulcers.
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure range of motion (ROM) services were provided according to the assessed need for 1 of 1 resident (R24) reviewed for positioning and mobility.
April 25, 2024Standard inspection, Complaint inspection · 1 citation
  1. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and document review, the facility failed to ensure hydromorphone (opioid medication used to treat moderate to severe pain) was administered as prescribed for 1 of 1 resident (R7) reviewed for medication error. This deficient practice resulted in an immediate jeopardy (IJ) for R7 who received a hydromorphone (narcotic opioid) dose ten times greater than what was prescribed and required Narcan (used for the emergency treatment of known or suspected opioid overdose) administration. The IJ began on 4/16/24, at approximately 9:00 a.m. when R7 was administered hydromorphone which was ten times greater than what was prescribed. R7 had to very little to no responsiveness, eyes glossy, respiratory rate 10 breaths per minute (normal 12-20 per minute), oxygen saturations varied and dropped to 87% (normal 95% or greater) on room air. [...]
September 25, 2023Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLiving meadows F609 Based on observation, interview and document review, the facility failed to immediately report allegations of verbal abuse to the State agency (SA) for 1 of 1 resident (R1) who reported allegations of physical abuse while in the facility.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 10, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure hand hygiene was maintained during cares for 1 of 1 resident (R1) observed during personal cares.

Fire safety inspections

13 fire safety citations on file: 3 on April 28, 2026, 4 on March 26, 2025, 6 on April 25, 2024.

Every fire safety citation13 citations
  1. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · April 28, 2026 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 28, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 28, 2026 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 26, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 26, 2025 · Corrected (the home has a date of correction)
  6. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · March 26, 2025 · Corrected (the home has a date of correction)
  7. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 26, 2025 · Corrected (the home has a date of correction)
  8. F
    Have exits that are accessible at all times.
    K 271 · April 25, 2024 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 25, 2024 · Corrected (the home has a date of correction)
  10. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 25, 2024 · Corrected (the home has a date of correction)
  11. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 25, 2024 · Corrected (the home has a date of correction)
  12. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · April 25, 2024 · Corrected (the home has a date of correction)
  13. C
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · April 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 25, 2024Fine $13,627

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)3.394.193.86
Registered nurses0.681.060.69
All nursing staff on weekends3.193.713.42
Nurse aides1.93
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)30.0%42.2%45.8%
Registered nurse turnover50.0%38.6%42.9%
Administrators who leftnot reported

CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.48 on weekdays and 3.19 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.683.483.19 0.0%0 of 9037
Oct to Dec 20253.800.623.883.60 10.9%0 of 9234
Jul to Sep 20253.800.693.883.58 2.3%0 of 9232
Apr to Jun 20253.720.593.833.45 3.4%0 of 9132
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Minnesota

JobMedianMiddle halfEmployed
Minnesota, all employers
CNAs (nursing assistants)$22.44$19.39 to $23.7229,120
LPNs and LVNs$30.65$28.83 to $34.2612,840
Registered nurses$48.80$42.76 to $55.1770,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Living Meadows at Luther - Madelia. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
29.418.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.71.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.82.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.44.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.120.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.05.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.517.115.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Living Meadows at Luther - Madelia's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.2% this home

No different from the national rate

US median of homes 51.5% · Minnesota: 66 better, 14 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 25 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Minnesota: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Minnesota: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 20 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota57.8% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 19 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 19 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LUTHER MEMORIAL HOME.

NameRoleTypeShareSince
Passel, LarryW-2 managing employeeIndividual01/06/2020
Goodburn, BethCorporate directorIndividual02/28/2017
Olson, CharlesCorporate directorIndividual02/28/2017
Swenson, DennisCorporate directorIndividual02/26/2013
Feder, MaryCorporate officerIndividual02/26/2013
Hanson, CalvinCorporate officerIndividual02/28/2012
Jacobs, ColleenCorporate officerIndividual02/25/2014

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 17, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 17, 2026: "Provide and implement an infection prevention and control program."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 17, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

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Common questions

What is Living Meadows at Luther - Madelia's Medicare star rating?
CMS rates Living Meadows at Luther - Madelia 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Living Meadows at Luther - Madelia get at its last inspection?
0 health deficiencies at the standard inspection on April 28, 2026. The Minnesota average is 7.1.
Has Living Meadows at Luther - Madelia been fined?
Yes. CMS lists 1 fine totaling $13,627 in the last three years.
Does Living Meadows at Luther - Madelia accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Living Meadows at Luther - Madelia?
CMS lists 7 owners and managers. Legal business name: LUTHER MEMORIAL HOME.

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