• CMS rates this facility 1/5 stars (below average)
• Has 49 certified beds with an average of 31.5 residents per day (64% occupancy)
• Last health inspection found 14 deficiencies (inspected Jan 9, 2025)
• Has been fined a total of $184,380 across 1 fine(s)
• Total nursing staff: 4.88 hours per resident per day
• Staff turnover rate: 71.7% (high)
Tweeten Lutheran Health Care Center is a 1-star Medicare and Medicaid certified nursing home in Spring Grove, Minnesota with 49 certified beds. It has been operating since 1987. The facility scored below average compared to Minnesota facilities.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Post nurse staffing information every day.
Ensure that residents are free from significant medication errors.
PASARR screening for Mental disorders or Intellectual Disabilities
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide enough food/fluids to maintain a resident's health.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide and implement an infection prevention and control program.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Keep all essential equipment working safely.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 22, 1986 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 30, 2022 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 30, 2022 |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 22, 1986 |
| BAKALARS, VICKIE | CORPORATE DIRECTOR | Individual | N/A | Feb 1, 2017 |
| HEGGE, BRUCE | CORPORATE DIRECTOR | Individual | N/A | Feb 1, 2022 |
| HERMEIER, ELIZABETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| JOHNSON, CHARLES | CORPORATE DIRECTOR | Individual | N/A | Jan 23, 2019 |
| MELDE, SARAH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| MORKEN, JANE | CORPORATE DIRECTOR | Individual | N/A | Feb 1, 2022 |
| PERICAK, AMANDA | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2022 |
| ADANK, KARI | CORPORATE OFFICER | Individual | N/A | Feb 21, 2024 |
| TJOSSEM, GREGORY | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 19, 2024 |
| WOAHLOE, THOMAS | W-2 MANAGING EMPLOYEE | Individual | N/A | Mar 17, 2024 |