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Nursing homes › Minnesota › Tweeten Lutheran Health Care Center

Tweeten Lutheran Health Care Center

125 5th Avenue Southeast, Spring Grove, MN 55974 · (507) 498-3211 · 49 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

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Same-type reference in MN

CMS overall star rating: this provider 1/5; median among 336 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Tweeten Lutheran Health Care Center

  • CMS lists SFF Candidate. Ask for the latest inspection and current designation; historical list status is not a statement about conditions today.
  • The published staff-turnover figure is 81%. Ask which reporting period it covers and how the current staffing team compares.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 0.95 (Minnesota median: 4.16). RN hours: 0.16. Weekend total: 0.76. Nursing staff turnover: 81%.

Inspection deficiencies

In the downloaded CMS dataset: 37 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-06-08Provide appropriate treatment and care according to orders, resident’s preferences and goals. Jcomplaintcorrected 2026-07-17
2026-06-08Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2026-07-17
2026-06-08Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Dcomplaintcorrected 2026-07-17
2026-06-08Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2026-07-17
2026-04-02Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. FHealthcorrected 2026-05-11
2026-04-02Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2026-05-11
2026-04-02Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2026-05-11
2026-04-02Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2026-05-11
2026-04-02Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2026-05-11
2026-04-02Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-05-11
2026-04-02Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2026-05-11
2026-04-02Provide care or services that was trauma informed and/or culturally competent. DHealthcorrected 2026-05-11
2026-04-02Provide or obtain dental services for each resident. DHealthcorrected 2026-05-11
2026-04-02Provide and implement an infection prevention and control program. DHealthcorrected 2026-05-11
2025-12-19Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2026-04-27
2025-12-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2026-03-12
2025-12-19Have 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. Fcomplaintcorrected 2026-01-23
2025-12-19Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2026-03-12
2025-12-19Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-03-12
2025-12-19Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Dcomplaintcorrected 2026-01-23
2025-12-19Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2026-01-23
2025-12-19Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2026-01-23
2025-12-19Post nurse staffing information every day. Ccomplaintcorrected 2026-01-23
2025-07-18Ensure that residents are free from significant medication errors. Jcomplaintcorrected 2025-08-15
2025-01-09Provide and implement an infection prevention and control program. FHealthcorrected 2025-02-25
2025-01-09Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-02-25
2025-01-09PASARR screening for Mental disorders or Intellectual Disabilities DHealthcorrected 2025-02-25
2025-01-09Educate 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. DHealthcorrected 2025-02-25
2024-12-02Provide enough food/fluids to maintain a resident's health. Gcomplaintcorrected 2025-01-02
2024-12-02Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-01-02
2024-12-02Ensure each resident’s drug regimen must be free from unnecessary drugs. Dcomplaintcorrected 2025-01-02
2024-11-21Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-11-27
2024-11-21Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-11-27
2024-11-21Provide and implement an infection prevention and control program. Dcomplaintcorrected 2024-11-27
2023-10-26Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2023-11-20
2023-10-26Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2023-11-20
2023-10-26Ensure 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. DHealthcorrected 2023-11-20

Federal penalties

DateTypeAmount
2024-11-21Payment Denial5 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
GUNDERSEN LUTHERAN HEALTH SYSTEM INC5% Or Greater Direct Ownership InterestOrganization100%since 08/22/1986
BELLIN GUNDERSEN HEALTH SYSTEM INC5% Or Greater Indirect Ownership InterestOrganization100%since 11/30/2022
BAKALARS, VICKIECorporate DirectorIndividualNOT APPLICABLEsince 02/01/2017
HEGGE, BRUCECorporate DirectorIndividualNOT APPLICABLEsince 02/01/2022
HERMEIER, ELIZABETHCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2024
JOHNSON, CHARLESCorporate DirectorIndividualNOT APPLICABLEsince 01/23/2019
MELDE, SARAHCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2024
MORKEN, JANECorporate DirectorIndividualNOT APPLICABLEsince 02/01/2022
PERICAK, AMANDACorporate DirectorIndividualNOT APPLICABLEsince 04/01/2022
ADANK, KARICorporate OfficerIndividualNOT APPLICABLEsince 02/21/2024
MOSER, BRENDACorporate OfficerIndividualNOT APPLICABLEsince 01/01/2025
SCHUSTER, KRAIGCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2025
BELLIN GUNDERSEN HEALTH SYSTEM INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 11/30/2022
GUNDERSEN LUTHERAN HEALTH SYSTEM INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/22/1986
BERG, RANDIOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
BRANUM, MARKOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
DEWALL, TIMOTHYOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
FOSTER, KARENOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
NESS, CHARLESOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/01/2025
RANKIN, TRACEROperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
RANZENBERGER, LINDSEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
SCHUSTER, KRAIGOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
SPINDEN, SUEOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
WALTON, RENEEOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025

Compare nearby (Houston County)

How to cite this page: CareRecords, “Tweeten Lutheran Health Care Center — compliance, penalty and ownership record” (CCN 245429), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/tweeten-lutheran-health-care-center-spring-grove-mn/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245429. Corrections: data@carerecords.org.