TWEETEN LUTHERAN HEALTH CARE CENTER
TWEETEN LUTHERAN HEALTH CARE CENTER operates 49 certified beds in SPRING GROVE, Minnesota. Its Medicare and Medicaid certification dates to 1987-02-01. It averages 35.6 residents a day.
What harm was found in the violations cited at TWEETEN LUTHERAN HEALTH CARE CENTER?
CMS lists 37 health-inspection deficiencies for TWEETEN LUTHERAN HEALTH CARE CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2026-06-08 | F0607, F0726, F0842 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-02 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2026-04-02 | F0561, F0582, F0656, F0686, F0689, F0692, F0699, F0791, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | D |
| 2025-12-19 | F0686, F0689 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-12-19 | F0727 | 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. | F |
| 2025-12-19 | F0607, F0609, F0655, F0657, F0658 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-12-19 | F0732 | Post nurse staffing information every day. | C |
| 2025-07-18 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2025-01-09 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-01-09 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-01-09 | F0645, F0887 | PASARR screening for Mental disorders or Intellectual Disabilities / 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. | D |
| 2024-12-02 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2024-12-02 | F0656, F0757 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-11-21 | F0609, F0610, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide and implement an infection prevention and control program. | D |
| 2023-10-26 | F0554, F0755, F0761 | 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. | D |
Has TWEETEN LUTHERAN HEALTH CARE CENTER had payment denied by Medicare?
| Payment denial start | Length in days |
|---|---|
| 2024-12-28 | 5 |
How is TWEETEN LUTHERAN HEALTH CARE CENTER staffed relative to the MN average?
| Measure | This facility | MN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 0.94785 | 4.19318 |
| Total nursing staff turnover (%) | 81.0 | 42.2 |
| Average number of residents per day | 35.6 | 60.3 |
Who owns TWEETEN LUTHERAN HEALTH CARE CENTER?
TWEETEN LUTHERAN HEALTH CARE CENTER is registered with CMS as Non profit - Corporation, operates under the legal business name TWEETEN LUTHERAN HEALTHCARE CENTER, INC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GUNDERSEN LUTHERAN HEALTH SYSTEM INC | since 08/22/1986 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BELLIN GUNDERSEN HEALTH SYSTEM INC | since 11/30/2022 |
| CORPORATE DIRECTOR | BAKALARS, VICKIE, HEGGE, BRUCE, HERMEIER, ELIZABETH, JOHNSON, CHARLES, MELDE, SARAH, MORKEN, JANE, PERICAK, AMANDA | since 01/01/2024 |
| CORPORATE OFFICER | ADANK, KARI, MOSER, BRENDA, SCHUSTER, KRAIG | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | BELLIN GUNDERSEN HEALTH SYSTEM INC, GUNDERSEN LUTHERAN HEALTH SYSTEM INC, BERG, RANDI, BRANUM, MARK, DEWALL, TIMOTHY, FOSTER, KAREN, NESS, CHARLES, RANKIN, TRACER, RANZENBERGER, LINDSEY, SCHUSTER, KRAIG, SPINDEN, SUE, WALTON, RENEE | since 01/01/2025 |
| ADP OF THE SNF | BERG, RANDI, BRANUM, MARK, FOSTER, KAREN, HEANEY, AMY, MOSER, BRENDA, NESS, CHARLES, RANKIN, TRACER | since 01/01/2025 |
Were you or a family member harmed at TWEETEN LUTHERAN HEALTH CARE CENTER?