Nursing Homes · Medicare certified
Tweeten Lutheran Health Care Center
125 5th Avenue Southeast · Spring Grove, MN 55974 · 49 certified beds
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About Tweeten Lutheran Health Care Center
Tweeten Lutheran Health Care Center is a nursing home in Spring Grove, Minnesota. Its capacity is 49 beds, below the Minnesota median of 60 for nursing homes. It is run by a nonprofit operator and is part of Gundersen Lutheran Health System INC. It is Medicare certified. Its public inspection record shows 34 citations, the most recent on April 2, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 5.03 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (34)
Records from July 2023 to April 2026.
April 2, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0791Provide or obtain dental services for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
April 2, 2026
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2026.
December 19, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected March 12, 2026.
December 19, 2025
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 19, 2025
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected January 23, 2026.
December 19, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 19, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 12, 2026.
December 19, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected April 27, 2026.
December 19, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 12, 2026.
December 19, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
December 19, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
July 18, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity J: isolated, immediate jeopardy. Corrected August 15, 2025.
Penalties (3)
December 19, 2025 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 10, 2026, lasting 62 days (triggered by inspection on December 19, 2025).
December 19, 2025 · Fine
CMS recorded a civil money penalty of $14,015 against this nursing home on December 19, 2025.
November 21, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 28, 2024, lasting 5 days (triggered by inspection on November 21, 2024).
Staffing
5.03 nurse hours per resident per day in Q2 2026, up from 4.46 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
- Parent company: Gundersen Lutheran Health System INC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Minnesota.
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