Nursing homes › Minnesota › Tweeten Lutheran Health Care Center
125 5Th Avenue Southeast, Spring Grove, MN 55974 · 5074983211 · 49 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 0.95 (Minnesota median: 4.16). RN hours: 0.16. Weekend total: 0.76. Nursing staff turnover: 81%.
All-time on record: 34 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-02 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2026-05-11 |
| 2026-04-02 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Provide or obtain dental services for each resident. | D | Health | corrected 2026-05-11 |
| 2026-04-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-11 |
| 2025-12-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-04-27 |
| 2025-12-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-03-12 |
| 2025-12-19 | 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. | F | complaint | corrected 2026-01-23 |
| 2025-12-19 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2026-03-12 |
| 2025-12-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-03-12 |
| 2025-12-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2026-01-23 |
| 2025-12-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-01-23 |
| 2025-12-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-23 |
| 2025-12-19 | Post nurse staffing information every day. | C | complaint | corrected 2026-01-23 |
| 2025-07-18 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-08-15 |
| 2025-01-09 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-02-25 |
| 2025-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-02-25 |
| 2025-01-09 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-02-25 |
| 2025-01-09 | 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. | D | Health | corrected 2025-02-25 |
| 2024-12-02 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2025-01-02 |
| 2024-12-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-01-02 |
| 2024-12-02 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2025-01-02 |
| 2024-11-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-27 |
| 2024-11-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-11-27 |
| 2024-11-21 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-11-27 |
| 2023-10-26 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-11-20 |
| 2023-10-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-11-20 |
| 2023-10-26 | 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. | D | Health | corrected 2023-11-20 |
| 2023-07-11 | Keep all essential equipment working safely. | D | complaint | corrected 2023-08-01 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-21 | Payment Denial | 5 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/22/1986 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 11/30/2022 |
| BAKALARS, VICKIE | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2017 |
| HEGGE, BRUCE | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2022 |
| HERMEIER, ELIZABETH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| JOHNSON, CHARLES | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2019 |
| MELDE, SARAH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| MORKEN, JANE | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2022 |
| PERICAK, AMANDA | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2022 |
| ADANK, KARI | Corporate Officer | Individual | NOT APPLICABLE | since 02/21/2024 |
| MOSER, BRENDA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2025 |
| SCHUSTER, KRAIG | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2025 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/30/2022 |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/22/1986 |
| BERG, RANDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| BRANUM, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| DEWALL, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| FOSTER, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| NESS, CHARLES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| RANKIN, TRACER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| RANZENBERGER, LINDSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| SCHUSTER, KRAIG | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| SPINDEN, SUE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| WALTON, RENEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245429. Corrections: data@carerecords.org.