Living Meadows at Luther - Madelia
Madelia, Minnesota · CCN 245522
20 surveys since 2011, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 98
- Surveys
- 20
- Harm or worse
- 5
- Immediate jeopardyall corrected before survey
- 2
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 40
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Watonwan · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=15, floor 20).
Last survey on record
Jul 17, 2026
115 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.39 | 4.22 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 30.0% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $13,627 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J110.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D880.0% | E— | F110.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6571×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Living Meadows at Luther - Madelia, in the surveyor’s own words.
- Immediate jeopardy, isolatedF760Apr 25, 2024
Based 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. […]
- No harm, potential for more than minimal, widespreadF812Mar 26, 2025
Based 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. Findings include: Initial kitchen tour was conducted on 3/24/25 at 10:38 a.m., with cook (C-A) and dietary manager (DM)-A. Informed during the tour that the dish machine used chemicals for disinfection (low temperature dish machine). No chemical monitoring logs were visible in or around the dish machine area. Dietary aide (DA)-A was asked to provide the logs. […]
- No harm, potential for more than minimal, widespreadF812Jun 28, 2023
Based on observation, interview and document review, the facility failed to ensure dishwashing sanitization for 1 of 1 dishwashing machine and 1 of 1 three-compartment sink was appropriately monitored. Findings include: During an interview and observation on 6/26/23 at 11:30 a.m., dietary manager (DM)-A stated the kitchen had been without hot water for two days (since Saturday 6/24/23) and the plumber had been there to fix the problem. DM-A stated in the meantime the kitchen was using disposable dishes, tableware and cups for residents, and staff were cleaning and disinfecting cookware in the three-compartment sink. Dietary supervisor (DS)-B was observed standing at the three-compartment sink washing a large pot in the first sink. […]
- No harm, potential for more than minimal, widespreadF812Mar 31, 2022
Based on observation, interview and document review, the facility failed to date opened containers of food stored in two kitchen refrigerators and in walk-in freezer, failed to ensure expired food and damaged containers of food were identified and removed, failed to ensure proper maintenance for structural defects of an ice maker machine. This had the potential to affect all 35 residents who were served food and beverages from the facility kitchen. Findings include: During interview and observation of kitchen on [DATE], at 12:27 p.m. with cook (C)-A, observed food items in the stand-up refrigerator, walk in refrigerator /freezer that were not dated or marked and/or were expired. […]
- No harm, potential for more than minimal, isolatedF657Jul 17, 2026
Based 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. […]
Read 24 findings in full →The most serious and the most recent: 24 of 98 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 17, 2026Complaint4 findings
- Mar 26, 2025Standard3 findings
- Apr 25, 2024Standard and complaint1 finding · 1 harm
- Sep 25, 2023Complaint2 findings
- Jun 28, 2023Standard2 findings
- Jun 21, 2023Complaint1 finding
- Mar 31, 2022Standard2 findings
- Nov 7, 2019Standard and complaint4 findings
Show the 12 earlier surveys
- Mar 15, 2019Complaint1 finding
- Oct 25, 2018Standard8 findings · 1 harm
- May 2, 2018Complaint1 finding · 1 harm
- Nov 3, 2017Standard12 findings
- Feb 9, 2017Standard9 findings
- Dec 16, 2015Standard9 findings
- Feb 20, 2015Standard11 findings
- Jun 26, 2014Standard7 findings · 1 harm
- Aug 22, 2013—7 findings
- May 24, 2012—2 findings
- Mar 7, 2011—4 findings · 1 harm
- Mar 4, 2011—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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