Tweeten Lutheran Health C C
Nursing home · 125 5TH AVENUE SE, Spring Grove, MN 55974 · Houston County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · Nonprofit Corporation
- Capacity
- 49
- State license
- 421561
- Medicare CCN
- 245429
- Licensed entity
- TWEETEN LUTHERAN HEALTHCARE CENTER, INC
- Ownership
- Non profit - Corporation
- Phone
- (507) 498-3211
- Nurse staffing
- 0.95 hours per resident per day; 81.0% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 1★ · Quality 2★
- CMS status
- SFF Candidate
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Nov 21, 2024 — Payment Denial · payment denial 5 days
Inspection findings
-
Jul 27, 2026 MDH complaint investigation · 1 finding
-
Severity not stated
H54293057C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 23, 2026 MDH complaint investigation · 1 finding
-
Severity not stated
H54292523C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 8, 2026 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Jul 17, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 17, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Jul 17, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jul 17, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 2, 2026 Health · 13 findings
-
Not serious
Scope/severity D
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0699 Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0867 Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 11, 2026 · CMS health inspection
-
Not serious
Scope/severity F
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected May 11, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 11, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0926 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected May 11, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Jan 2, 2026 MDH complaint investigation · 1 finding
-
Severity not stated
H54291720C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 19, 2025 Health · 9 findings
-
Not serious
Scope/severity D
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Mar 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Jan 23, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
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 23, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jan 23, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 27, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 12, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Jan 23, 2026 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Jan 23, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 31, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H54298127C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 18, 2025 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Aug 15, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Jan 9, 2025 Fire Safety · 11 findings
-
Not serious
Scope/severity C
E0018 Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Feb 25, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 25, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Feb 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0887 Infection Control Deficiencies
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 · CMS health inspection
-
Not serious
Scope/severity E
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Feb 25, 2025 · CMS fire safety
-
Not serious
Scope/severity C
-
Dec 13, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H54291663C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 2, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jan 2, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jan 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Jan 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 21, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 27, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 27, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 27, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 26, 2024 MDH complaint investigation · 2 findings
-
Severity not stated
H54297550C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H54297552C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 26, 2023 Fire Safety · 6 findings
-
Not serious
Scope/severity C
Complaint
E0041 Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Corrected Nov 20, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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 · CMS health inspection
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Nov 14, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Nov 20, 2023 · CMS fire safety
-
Not serious
Scope/severity C
Complaint
-
Jun 21, 2023 MDH complaint investigation · 2 findings
-
Severity not stated
H54292710C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H54292809C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 1, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H54292278C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- ADANK, KARI — corporate officer, NOT APPLICABLE, since 02/21/2024
- BAKALARS, VICKIE — corporate director, NOT APPLICABLE, since 02/01/2017
- BERG, RANDI — adp of the snf, NOT APPLICABLE, since 04/11/2025
- BERG, RANDI — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- BRANUM, MARK — adp of the snf, NOT APPLICABLE, since 01/01/2025
- BRANUM, MARK — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- DEWALL, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- FOSTER, KAREN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- FOSTER, KAREN — adp of the snf, NOT APPLICABLE, since 01/01/2025
- HEANEY, AMY — adp of the snf, NOT APPLICABLE, since 01/01/2025
- HEGGE, BRUCE — corporate director, NOT APPLICABLE, since 02/01/2022
- HERMEIER, ELIZABETH — corporate director, NOT APPLICABLE, since 01/01/2024
- JOHNSON, CHARLES — corporate director, NOT APPLICABLE, since 01/23/2019
- MELDE, SARAH — corporate director, NOT APPLICABLE, since 01/01/2024
- MORKEN, JANE — corporate director, NOT APPLICABLE, since 02/01/2022
- MOSER, BRENDA — corporate officer, NOT APPLICABLE, since 01/01/2025
- MOSER, BRENDA — adp of the snf, NOT APPLICABLE, since 02/01/2017
- NESS, CHARLES — operational/managerial control, NOT APPLICABLE, since 08/01/2025
- NESS, CHARLES — adp of the snf, NOT APPLICABLE, since 03/03/2026
- PERICAK, AMANDA — corporate director, NOT APPLICABLE, since 04/01/2022
- RANKIN, TRACER — adp of the snf, NOT APPLICABLE, since 01/01/2025
- RANKIN, TRACER — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- RANZENBERGER, LINDSEY — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- SCHUSTER, KRAIG — corporate officer, NOT APPLICABLE, since 01/01/2025
- SCHUSTER, KRAIG — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- SPINDEN, SUE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- WALTON, RENEE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- BELLIN GUNDERSEN HEALTH SYSTEM INC — 5% or greater indirect ownership interest, 100%, since 11/30/2022
- BELLIN GUNDERSEN HEALTH SYSTEM INC — operational/managerial control, NOT APPLICABLE, since 11/30/2022
- GUNDERSEN LUTHERAN HEALTH SYSTEM INC — operational/managerial control, NOT APPLICABLE, since 08/22/1986
- GUNDERSEN LUTHERAN HEALTH SYSTEM INC — 5% or greater direct ownership interest, 100%, since 08/22/1986
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.