Tweeten Lutheran Health Care CenterCMS ratings, inspections and fines
- Address
- 125 5th Avenue Southeast, Spring Grove, MN 55974
- CCN
- 245429
- Ownership type
- Non-profit, corporation
- Certified beds
- 49
- Chain
- None in the CMS record
- Residents per day
- 36
- CMS flags
- Special Focus Facility candidate
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Tweeten Lutheran Health Care Center an overall rating of 1 of 5 stars. The last standard survey was on 2 Apr 2026. The latest survey cycle has 23 health citations. The median for nursing homes in Minnesota is 6. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Houston County median | Minnesota median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 338 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Minnesota median |
|---|---|---|---|
| Cycle 1 (latest) | 2 Apr 2026 | 23 | 6 |
| Cycle 2 | 9 Jan 2025 | 11 | 7 |
| Cycle 3 | No date | 3 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 23 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 17 Jul 2026 |
| 8 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 17 Jul 2026 |
| 8 Jun 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 17 Jul 2026 |
| 8 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Jul 2026 |
| 2 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 11 May 2026 |
| 2 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 May 2026 |
| 19 Dec 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 12 Mar 2026 |
| 19 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Mar 2026 |
| 19 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 23 Jan 2026 |
| 19 Dec 2025 | F0657 | 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 investigation | 23 Jan 2026 |
| 19 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Jan 2026 |
| 19 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 27 Apr 2026 |
| 19 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Mar 2026 |
| 19 Dec 2025 | F0727 | 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 investigation | 23 Jan 2026 |
| 19 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 23 Jan 2026 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 15 Aug 2025 |
| 9 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Feb 2025 |
| 9 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Feb 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Feb 2025 |
| 9 Jan 2025 | F0887 | 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 | Standard survey | 25 Feb 2025 |
| 2 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Jan 2025 |
| 2 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 2 Jan 2025 |
| 2 Dec 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 2 Jan 2025 |
| 21 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Nov 2024 |
| 21 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Nov 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Nov 2024 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Oct 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Nov 2023 |
| 26 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Nov 2023 |
| 26 Oct 2023 | F0761 | 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 | Standard survey | 20 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Nov 2024 | Payment denial | 5 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Minnesota median | Minnesota average (CMS) |
|---|---|---|---|
| All nurse staff | 0.95 | 4.20 | 4.19 |
| Registered nurses (RN) | 0.16 | 1.00 | 1.06 |
| Licensed practical nurses (LPN) | 0.26 | 0.61 | |
| Nurse aides | 0.53 | 2.52 | |
| All nurse staff, weekends | 0.76 | 3.70 | 3.71 |
- Nurse staff turnover in a year
- 81.0%
- Nurse staff turnover, Minnesota median
- 40.0%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.8% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.7% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 15.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Tweeten Lutheran Healthcare Center, Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gundersen Lutheran Health System Inc | 5% or greater direct ownership interest | 100% | 22 Aug 1986 |
| Bellin Gundersen Health System Inc | 5% or greater indirect ownership interest | 100% | 30 Nov 2022 |
| Bellin Gundersen Health System Inc | Operational/managerial control | 30 Nov 2022 | |
| Gundersen Lutheran Health System Inc | Operational/managerial control | 22 Aug 1986 |
The site shows organisations only. It does not show the names of persons.
Other homes in Houston County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Valley View Healthcare & Rehab | Houston | 5 of 5 | 0 | $26,685 | 29 May 2025 | |
| La Crescent Health Services | La Crescent | 1 of 5 | 22 | $0 | 14 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Tweeten Lutheran Health Care Center (CCN 245429). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/tweeten-lutheran-health-care-center-spring-grove-mn-245429/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Tweeten Lutheran Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 8 Jun 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 9 Jan 2025.
- Who operates Tweeten Lutheran Health Care Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names Bellin Gundersen Health System Inc and Gundersen Lutheran Health System Inc for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Tweeten Lutheran Health Care Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Minnesota as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.