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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
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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.