Tweeten Lutheran Health Care Center
Tweeten Lutheran Health Care Center is a 1-star rated nursing home in Spring Grove, MN with 49 beds. CMS sub-ratings: health inspections 1/5, staffing 4/5, quality measures 2/5.
The facility has 47 health violations on record. Federal fines total $150,383 across 6 enforcement actions. Most recent inspection: January 9, 2025.
Staff turnover rate: 67.3% — significantly above the national average.
Data synthesized from CMS.gov and Minnesota public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2022 1 penalties totaling $20,625
Fine
2021 2 penalties totaling $14,154
Fine
Fine
2019 3 penalties totaling $115,604
Fine
Fine
Fine
Health Violations by Year
2025 4 violations
PASARR screening for Mental disorders or Intellectual Disabilities
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
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.
2023 5 violations
Allow residents to self-administer drugs if determined clinically appropriate.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Keep all essential equipment working safely.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022 3 violations
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
2021 1 violations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2020 1 violations
Provide and implement an infection prevention and control program.
2019 20 violations
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that residents are free from significant medication errors.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide routine and 24-hour emergency dental care for each resident.
Employ staff that are licensed, certified, or registered in accordance with state laws.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
2017 13 violations
The resident has the right to receive notices in a format and a language he or she understands.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Assess the resident when there is a significant change in condition
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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.
Have a plan that describes the process for conducting QAPI and QAA activities.
Provide and implement an infection prevention and control program.
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Frequently Asked Questions About Tweeten Lutheran Health Care Center
- What violations has Tweeten Lutheran Health Care Center received?
- Tweeten Lutheran Health Care Center has 47 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Tweeten Lutheran Health Care Center?
- Tweeten Lutheran Health Care Center has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
- When was Tweeten Lutheran Health Care Center last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Tweeten Lutheran Health Care Center safe?
- Safety at Tweeten Lutheran Health Care Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Tweeten Lutheran Health Care Center?
- Phone: (507) 498-3211. Address: 125 5th Avenue Southeast, Spring Grove, MN. For visiting hours and admission information, call the facility directly.
- What services does Tweeten Lutheran Health Care Center offer?
- Tweeten Lutheran Health Care Center is a skilled nursing facility with 49 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Spring Grove, MN?
- Compare Tweeten Lutheran Health Care Center with other nursing homes in Spring Grove, MN on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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