nursing home in Spring Grove, MN
Tweeten Lutheran Health Care Center
125 5th Avenue Southeast, Spring Grove, MN 55974 · (507) 498-3211
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★2
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tweeten Lutheran Health Care Center at a glance
Tweeten Lutheran Health Care Center is a 49-bed non-profit nursing home in Spring Grove, Minnesota (Houston County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 0.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (April 2, 2026) found 23 health citations. The Minnesota average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $14,015.
Nursing staff turnover is 81% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 49
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 1, 1987
- Resident/family council
- Both
- County
- Houston County
- CMS Certification Number
- 245429
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 4.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 0.95 hrs | 4.19 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.16 hrs | 1.06 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 0.53 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 0.76 hrs | 3.71 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 81% | 42.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 23 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 13 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 198 | 63.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,015 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 49 | 71 | 107 | |
| Average residents per day | 36 | 60 | 86 | |
| Occupancy | 72.7% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.5% | 4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.6% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.1% | 17.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.7% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 29.8% | 18.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28.7% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.3% | 4.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.2% | 12.5% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 28% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.7% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 97.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80% | 82.7% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 73.4% | 88.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 8, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected July 17, 2026 |
| June 8, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 17, 2026 |
| June 8, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected July 17, 2026 |
| June 8, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected July 17, 2026 |
| April 2, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected May 11, 2026 |
| April 2, 2026 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected May 11, 2026 |
| April 2, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected May 11, 2026 |
| April 2, 2026 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected May 11, 2026 |
| April 2, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 11, 2026 |
| April 2, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected May 11, 2026 |
| December 19, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 27, 2026 |
| December 19, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 12, 2026 |
| December 19, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected January 23, 2026 |
| December 19, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 19, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 12, 2026 |
| December 19, 2025 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 19, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 19, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected March 12, 2026 |
| December 19, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected January 23, 2026 |
| July 18, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected August 15, 2025 |
| January 9, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | C No harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 25, 2025 |
| January 9, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 25, 2025 |
| January 9, 2025 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected February 25, 2025 |
| December 2, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected January 2, 2025 |
| December 2, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 2, 2025 |
| December 2, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected January 2, 2025 |
| November 21, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 27, 2024 |
| November 21, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 27, 2024 |
| November 21, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 27, 2024 |
| October 26, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 14, 2023 |
| October 26, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 26, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected November 20, 2023 |
| October 26, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 26, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 26, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $14,015 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 19, 2025 | Payment Denial | 62 days from March 10, 2026 |
| December 19, 2025 | Fine | $14,015 |
| November 21, 2024 | Payment Denial | 5 days from December 28, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC Organization | 5% or greater direct ownership interest | 100% | 08/22/1986 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC Organization | 5% or greater indirect ownership interest | 100% | 11/30/2022 |
| BERG, RANDI Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| BRANUM, MARK Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| FOSTER, KAREN Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| HEANEY, AMY Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MOSER, BRENDA Individual | adp of the snf | NOT APPLICABLE | 02/01/2017 |
| NESS, CHARLES Individual | adp of the snf | NOT APPLICABLE | 03/03/2026 |
| RANKIN, TRACER Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| BAKALARS, VICKIE Individual | corporate director | NOT APPLICABLE | 02/01/2017 |
| HEGGE, BRUCE Individual | corporate director | NOT APPLICABLE | 02/01/2022 |
| JOHNSON, CHARLES Individual | corporate director | NOT APPLICABLE | 01/23/2019 |
| MELDE, SARAH Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| PERICAK, AMANDA Individual | corporate director | NOT APPLICABLE | 04/01/2022 |
| MOSER, BRENDA Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| NESS, CHARLES Individual | corporate officer | NOT APPLICABLE | 08/01/2025 |
| SCHUSTER, KRAIG Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC Organization | operational/managerial control | NOT APPLICABLE | 11/30/2022 |
| BERG, RANDI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| BRANUM, MARK Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| DEWALL, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| FOSTER, KAREN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC Organization | operational/managerial control | NOT APPLICABLE | 08/22/1986 |
| NESS, CHARLES Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| RANKIN, TRACER Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| RANZENBERGER, LINDSEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| SCHUSTER, KRAIG Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| SPINDEN, SUE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| WALTON, RENEE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Tweeten Lutheran Health Care Center
Green Lea Senior Living
115 North Lyndale, Rr 2 Box 49, Mabel, MN 55954 · 12.5 mi
For-profit · 41 beds · Part of Accura Healthcare
★★★★★1Much below averageValley View Healthcare & Rehab
510 East Cedar Street, Houston, MN 55943 · 14.4 mi
Non-profit · 40 beds
- CMS high performer
★★★★★5Much above averageGood Shepherd Lutheran Home
800 Home Street, Box 747, Rushford, MN 55971 · 17.6 mi
Non-profit · 65 beds
★★★★★5Much above average- ★★★★★2Below average
- ★★★★★4Above average
Gundersen Harmony Care Center
815 Main Avenue South, Harmony, MN 55939 · 19.1 mi
Non-profit · 42 beds
- CMS high performer
★★★★★5Much above average
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Frequently asked questions
What is Tweeten Lutheran Health Care Center's rating?
Tweeten Lutheran Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did Tweeten Lutheran Health Care Center receive?
Its most recent standard health inspection found 23 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Tweeten Lutheran Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Tweeten Lutheran Health Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tweeten Lutheran Health Care Center and how do I contact it?
Tweeten Lutheran Health Care Center is at 125 5th Avenue Southeast, Spring Grove, MN 55974. Phone: (507) 498-3211.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.