Crest View Lutheran Home
4444 Reservoir Boulevard Northeast · Columbia Heights, MN · 55421 · 7637821611
106 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: not rated Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $16,720 |
Inspection citations (48 in the current record)
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Actual harm · G March 19, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2025 · Quality of Life and Care
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Potential for harm · F June 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D June 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide activities to meet all resident's needs.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
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.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · E June 26, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · E June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · E June 26, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 22, 2025 · Environmental
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Potential for harm · E June 26, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · E June 26, 2025 · found via complaint
Put firmly secured handrails on each side of hallways.
Corrected August 22, 2025 · Environmental
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No harm found · C June 26, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected August 22, 2025 · Resident Rights
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No harm found · C June 26, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 30, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 23, 2024 · Quality of Life and Care
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Potential for harm · D October 30, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 23, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2026 | Fine | $16,720 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245018 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.