F60

Tweeten Lutheran Health Care Center

Grade F 60/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

49

Ownership

Non profit - Corporation

Total Fines

$184,380

Last Survey

N/A

125 5TH AVENUE SOUTHEAST, SPRING GROVE, MN 55974
5074983211

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.46h
LPN
0.65h
CNA
3.54h
Total
5.64h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GUNDERSEN LUTHERAN HEALTH SYSTEM INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 1986

100%

BELLIN GUNDERSEN HEALTH SYSTEM INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2022

100%

BELLIN GUNDERSEN HEALTH SYSTEM INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2022

GUNDERSEN LUTHERAN HEALTH SYSTEM INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 1986

BAKALARS, VICKIE

IndividualCORPORATE DIRECTORSince Feb 2017

HEGGE, BRUCE

IndividualCORPORATE DIRECTORSince Feb 2022

HERMEIER, ELIZABETH

IndividualCORPORATE DIRECTORSince Jan 2024

JOHNSON, CHARLES

IndividualCORPORATE DIRECTORSince Jan 2019

MELDE, SARAH

IndividualCORPORATE DIRECTORSince Jan 2024

MORKEN, JANE

IndividualCORPORATE DIRECTORSince Feb 2022

PERICAK, AMANDA

IndividualCORPORATE DIRECTORSince Apr 2022

ADANK, KARI

IndividualCORPORATE OFFICERSince Feb 2024

TJOSSEM, GREGORY

IndividualW-2 MANAGING EMPLOYEESince Feb 2024

WOAHLOE, THOMAS

IndividualW-2 MANAGING EMPLOYEESince Mar 2024

Penalties & Fines (2)

$184,380total fines
DateTypeDescriptionAmount
Nov 21, 2024Payment Denial
May 25, 2023Fine$184,380

Health Inspection Deficiencies (19)

July 18, 2025Health1 deficiency1 severe
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Aug 15, 2025
January 9, 2025Health4 deficiencies
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Feb 25, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Feb 25, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 25, 2025
0887DMinimal harm, Isolated

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

Corrected Feb 25, 2025
December 2, 2024Health3 deficiencies1 severe
0656DMinimal harm, Isolated

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

Corrected Jan 2, 2025
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jan 2, 2025
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jan 2, 2025
November 21, 2024Health3 deficiencies
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 27, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 27, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 27, 2024
October 26, 2023Health3 deficiencies
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Nov 20, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Nov 20, 2023
0761DMinimal harm, Isolated

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

Corrected Nov 20, 2023
July 11, 2023Health1 deficiency
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 1, 2023
May 25, 2023Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 6, 2023
May 4, 2022Health3 deficiencies1 severe
0552GActual harm, Isolated

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

Resident Rights Deficiencies

Corrected May 27, 2022
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected May 27, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 27, 2022

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Frequently Asked Questions

What is the CareGrader rating for Tweeten Lutheran Health Care Center?

Tweeten Lutheran Health Care Center in SPRING GROVE, Minnesota has a CareGrader grade of F (Poor), with a composite score of 59.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Tweeten Lutheran Health Care Center?

Tweeten Lutheran Health Care Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Tweeten Lutheran Health Care Center have?

Tweeten Lutheran Health Care Center has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Tweeten Lutheran Health Care Center been fined?

Yes. Tweeten Lutheran Health Care Center has $184,380 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Tweeten Lutheran Health Care Center have?

Tweeten Lutheran Health Care Center has 49 certified beds with approximately 31 current residents (63% occupancy). The facility is located at 125 5TH AVENUE SOUTHEAST, SPRING GROVE, Minnesota 55974. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.