Martin Luther Care Center
1401 East 100th Street · Bloomington, MN · 55425 · 9528887751
137 certified beds For profit - Corporation Chain: Ebenezer Senior Living
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.67 | 0.55–0.75 |
| Weekend hours / resident-day | 4.26 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | 2 · $20,625 |
Inspection citations (47 in the current record)
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Immediate jeopardy · J June 12, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · E June 12, 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 July 14, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
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.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · E June 12, 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 July 14, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected July 14, 2025 · Nutrition and Dietary
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Potential for harm · E June 12, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 14, 2025 · Nutrition and Dietary
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No harm found · C June 12, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected June 12, 2025 · Resident Rights
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No harm found · B June 12, 2025
Keep residents' personal and medical records private and confidential.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D January 2, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 31, 2025 · Infection Control
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Immediate jeopardy · J October 24, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected October 16, 2024 · Quality of Life and Care
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Potential for harm · D October 7, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 7, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D June 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D April 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 28, 2024 · Quality of Life and Care
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Potential for harm · D April 18, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 28, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 12, 2025 | Fine | $11,798 |
| October 24, 2024 | Fine | $8,827 |
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 245272 · certified since February 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.