Inspection History Overview

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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.

December 19, 2025 Complaint Investigation

Fines and Penalties by Year

2022 1 penalties totaling $20,625

$20,625
May 4, 2022

Fine

2021 2 penalties totaling $14,154

$650
Sep 13, 2021

Fine

$13,504
Jun 29, 2021

Fine

2019 3 penalties totaling $115,604

$34,009
Nov 21, 2019

Fine

$18,370
Mar 4, 2019

Fine

$63,225
Jan 14, 2019

Fine

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Health Violations by Year

2025 4 violations

Tag 0645 D Jan 9, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Feb 25, 2025
Tag 0812 E Jan 9, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 25, 2025
Tag 0880 F Jan 9, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 25, 2025
Tag 0887 D Jan 9, 2025

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.

✓ Corrected: Feb 25, 2025

2023 5 violations

Tag 0554 D Oct 26, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Nov 20, 2023
Tag 0755 D Oct 26, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 20, 2023
Tag 0761 D Oct 26, 2023

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.

✓ Corrected: Nov 20, 2023
Tag 0908 D Jul 11, 2023

Keep all essential equipment working safely.

✓ Corrected: Aug 1, 2023
Tag 0689 J May 25, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 6, 2023

2022 3 violations

Tag 0552 G May 4, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 27, 2022
Tag 0760 D May 4, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: May 27, 2022
Tag 0880 D May 4, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: May 27, 2022

2021 1 violations

Tag 0600 J Jun 29, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 21, 2021

2020 1 violations

Tag 0880 F Nov 17, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 23, 2020

2019 20 violations

Tag 0658 D Nov 21, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 3, 2020
Tag 0661 D Nov 21, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Jan 3, 2020
Tag 0677 D Nov 21, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jan 3, 2020
Tag 0684 G Nov 21, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 3, 2020
Tag 0755 D Nov 21, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 24, 2020
Tag 0600 E Jul 26, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 25, 2019
Tag 0741 E Jul 26, 2019

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

✓ Corrected: Aug 25, 2019
Tag 0600 L Jan 14, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 21, 2019
Tag 0609 D Jan 14, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 21, 2019
Tag 0610 D Jan 14, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Feb 21, 2019
Tag 0625 D Jan 14, 2019

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.

✓ Corrected: Feb 20, 2019
Tag 0655 D Jan 14, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 20, 2019
Tag 0677 D Jan 14, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 20, 2019
Tag 0684 D Jan 14, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 20, 2019
Tag 0695 D Jan 14, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 25, 2019
Tag 0760 D Jan 14, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 20, 2019
Tag 0770 D Jan 14, 2019

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Feb 20, 2019
Tag 0790 D Jan 14, 2019

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Feb 21, 2019
Tag 0839 D Jan 14, 2019

Employ staff that are licensed, certified, or registered in accordance with state laws.

✓ Corrected: Feb 21, 2019
Tag 0849 D Jan 14, 2019

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.

✓ Corrected: Feb 21, 2019

2017 13 violations

Tag 0574 F Dec 4, 2017

The resident has the right to receive notices in a format and a language he or she understands.

✓ Corrected: Dec 27, 2017
Tag 0609 D Dec 4, 2017

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 12, 2018
Tag 0637 D Dec 4, 2017

Assess the resident when there is a significant change in condition

✓ Corrected: Jan 12, 2018
Tag 0656 D Dec 4, 2017

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 12, 2018
Tag 0657 D Dec 4, 2017

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 12, 2018
Tag 0676 D Dec 4, 2017

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jan 12, 2018
Tag 0677 D Dec 4, 2017

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jan 12, 2018
Tag 0689 D Dec 4, 2017

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 12, 2018
Tag 0741 D Dec 4, 2017

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

✓ Corrected: Jan 12, 2018
Tag 0761 D Dec 4, 2017

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.

✓ Corrected: Jan 12, 2018
Tag 0865 F Dec 4, 2017

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Jan 12, 2018
Tag 0880 E Dec 4, 2017

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 12, 2018
Tag 0431 E May 4, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jun 1, 2017
🏥 Facility Summary

Tweeten Lutheran Health Care Center is a 1-star nursing home in SPRING GROVE, MN with 49 beds.

Most recent inspection: Data not available. No current violations on record.

📞 5074983211
📍 125 5TH AVENUE SOUTHEAST, SPRING GROVE, MN
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Tweeten Lutheran Health Care Center

What violations has Tweeten Lutheran Health Care Center received?
Tweeten Lutheran Health Care Center has 0 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: 5074983211. 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.