Tweeten Lutheran Health Care Center

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

Tweeten Lutheran Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 10 citations (the Minnesota average is 7.1). It was fined 1 time in the last three years, $14,015 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 2, 2026 found 10 citations. What an inspection citation means

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.April 2, 2026 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.April 2, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.April 2, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 2, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 2, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 2, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.April 2, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.April 2, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.April 2, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 2, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 20 citations.

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 8, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 8, 2026 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• 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.June 8, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 8, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.December 19, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 19, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDecember 19, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 19, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 19, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 19, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 19, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.December 19, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Post nurse staffing information every day.December 19, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Ensure that residents are free from significant medication errors.July 18, 2025 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 2, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.December 2, 2024 · F0692 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.December 2, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.November 21, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.November 21, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $14,015December 19, 2025
• Medicare payment denial for 62 daysStarting March 10, 2026
• Medicare payment denial for 5 daysStarting December 28, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home