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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMinnesotaTweeten Lutheran Health Care Center

Tweeten Lutheran Health Care Center

125 5th Avenue Southeast, Spring Grove, MN 559745074983211
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
2/5
Beds
49
certified
1 fine(s) totaling $184,380

Key Findings

• 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.

Beds
49
Avg Residents/Day
31.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 1, 1987
Sprinklers
Yes
Council
Both
County
Houston
Last Inspection
Jan 9, 2025
Deficiencies (Cycle 1)
14
Weighted Score
146.0
Infection Citations
0

Deficiency Citations (28)

F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0887Potential for Harm

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.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 2, 2024Corrected: NoCycle: 2
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 2, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Dec 2, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Jul 11, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 25, 2023Corrected: NoCycle: 3
F0552Actual Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: May 4, 2022Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 4, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 4, 2022Corrected: NoCycle: 3
Total Fines
$184,380
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineMay 25, 2023
$184,380
Payment DenialNov 21, 2024
5 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.06 hrs
National avg: 2.35 hrs
LPN0.56 hrs
National avg: 0.86 hrs
RN1.26 hrs
National avg: 0.68 hrs
Total Nursing4.88 hrs
National avg: 3.89 hrs
Weekend Total4.44 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
71.7%
RN Turnover
72.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
GUNDERSEN LUTHERAN HEALTH SYSTEM INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 22, 1986
BELLIN GUNDERSEN HEALTH SYSTEM INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Nov 30, 2022
BELLIN GUNDERSEN HEALTH SYSTEM INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 30, 2022
GUNDERSEN LUTHERAN HEALTH SYSTEM INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 22, 1986
BAKALARS, VICKIECORPORATE DIRECTORIndividualN/AFeb 1, 2017
HEGGE, BRUCECORPORATE DIRECTORIndividualN/AFeb 1, 2022
HERMEIER, ELIZABETHCORPORATE DIRECTORIndividualN/AJan 1, 2024
JOHNSON, CHARLESCORPORATE DIRECTORIndividualN/AJan 23, 2019
MELDE, SARAHCORPORATE DIRECTORIndividualN/AJan 1, 2024
MORKEN, JANECORPORATE DIRECTORIndividualN/AFeb 1, 2022
PERICAK, AMANDACORPORATE DIRECTORIndividualN/AApr 1, 2022
ADANK, KARICORPORATE OFFICERIndividualN/AFeb 21, 2024
TJOSSEM, GREGORYW-2 MANAGING EMPLOYEEIndividualN/AFeb 19, 2024
WOAHLOE, THOMASW-2 MANAGING EMPLOYEEIndividualN/AMar 17, 2024

Frequently Asked Questions

What is the CMS rating for Tweeten Lutheran Health Care Center?▾
Tweeten Lutheran Health Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Tweeten Lutheran Health Care Center had any health inspection violations?▾
Tweeten Lutheran Health Care Center had 14 deficiency citations in its most recent health inspection (Jan 9, 2025). The facility has been fined a total of $184,380 across 1 fine(s).
What are the staffing levels at Tweeten Lutheran Health Care Center?▾
Tweeten Lutheran Health Care Center provides 4.88 total nursing staff hours per resident per day, including 1.26 RN hours, 0.56 LPN hours, and 3.06 nurse aide hours. The total staff turnover rate is 71.7%.
How many beds does Tweeten Lutheran Health Care Center have?▾
Tweeten Lutheran Health Care Center has 49 certified beds with an average of 31.5 residents per day, resulting in approximately 64% occupancy. The facility is Non profit - Corporation owned.