Home›Browse›Minnesota›Spring Grove›Tweeten Lutheran Health Care Center

Nursing homeFAID #6607

Tweeten Lutheran Health Care Center

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

(507) 498-3211

49 licensed beds

CMS rates Tweeten Lutheran Health Care Center 1 out of 5 overall. Federal inspectors issued 50 citations across 12 inspections in the last three years, with $14,015 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

125 5th Avenue Southeast

Spring Grove, MN 55974

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

245429

Care type

Nursing home

County

Houston

Facility name

Tweeten Lutheran Health Care Center

Street address

125 5TH AVENUE SOUTHEAST

City / state / ZIP

Spring Grove, MN 55974

Phone

(507) 498-3211

About this facility — Tweeten Lutheran Health Care Center

Tweeten Lutheran Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Spring Grove, Minnesota. It is licensed for 49 beds — below the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 2 senior care facilities in Spring Grove and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tweeten Lutheran Health Care Center 50 times across 12 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $14,015 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Registered owners & officers

Bellin Gundersen Health System Inc

Indirect owner · Operational control — 100% stake — since 2022

Gundersen Lutheran Health System Inc

Direct owner · Operational control — 100% stake — since 1986

Bakalars, Vickie

Director — since 2017

Berg, Randi

Operational control · Additional disclosable party — since 2025

Branum, Mark

Operational control · Additional disclosable party — since 2025

Dewall, Timothy

Operational control — since 2025

Foster, Karen

Operational control · Additional disclosable party — since 2025

Heaney, Amy

Additional disclosable party — since 2025

Hegge, Bruce

Director — since 2022

Johnson, Charles

Director — since 2019

Melde, Sarah

Director — since 2024

Moser, Brenda

Officer · Additional disclosable party — since 2017

Ness, Charles

Officer · Operational control · Additional disclosable party — since 2025

Pericak, Amanda

Director — since 2022

Rankin, Tracer

Operational control · Additional disclosable party — since 2025

Ranzenberger, Lindsey

Operational control — since 2025

Schuster, Kraig

Officer · Operational control — since 2025

Spinden, Sue

Operational control — since 2025

Walton, Renee

Operational control — since 2025

Regulatory standing

Licensed / certified since

1987-02-01

CMS overall rating

1 of 5 stars

Health deficiencies

23 at the last standard inspection

Federal fines

$14,015 total

Last standard inspection

2026-04-02

Nurse staffing

5.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$390 per day (≈ $11,860/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

53% Medicaid · 4% Medicare · 42% private/other

Occupancy

63% (fiscal year 2023)

Vs. state median

4% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-08Health inspectionComplaint-triggered4 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-07-17

F-0684

J · Immediate jeopardyFrom a complaint

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

Corrected 2026-07-17

F-0726

D · No harm foundFrom a complaint

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 2026-07-17

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-07-17

2026-04-02Health inspection10 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-05-11

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-05-11

F-0656

D · No harm found

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

Corrected 2026-05-11

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-05-11

F-0689

D · No harm found

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

Corrected 2026-05-11

F-0692

D · No harm found

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

Corrected 2026-05-11

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-05-11

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2026-05-11

F-0867

F · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-05-11

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-05-11

9 earlier / fire-safety inspections (36 citations)

2025-12-19Health inspectionComplaint-triggered9 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-03-12

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-03-12

F-0655

D · No harm foundFrom a complaint

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

Corrected 2026-01-23

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-01-23

F-0658

D · No harm foundFrom a complaint

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

Corrected 2026-01-23

F-0686

G · Actual harmFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-27

F-0689

G · Actual harmFrom a complaint

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

Corrected 2026-03-12

F-0727

F · No harm foundFrom a complaint

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 2026-01-23

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2026-01-23

2025-07-18Health inspectionComplaint-triggered1 citation

F-0760

J · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-08-15

2025-01-09Health inspection4 citations

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-02-25

F-0812

E · No harm foundFood safety

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

Corrected 2025-02-25

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-25

F-0887

D · No harm found

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 2025-02-25

2024-12-02Health inspectionComplaint-triggered3 citations

F-0656

D · No harm foundFrom a complaint

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

Corrected 2025-01-02

F-0692

G · Actual harmFrom a complaint

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

Corrected 2025-01-02

F-0757

D · No harm foundFrom a complaint

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

Corrected 2025-01-02

2024-11-21Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-11-27

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-11-27

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-11-27

2023-10-26Health inspection3 citations

F-0554

D · No harm found

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

Corrected 2023-11-20

F-0755

D · No harm found

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

Corrected 2023-11-20

F-0761

D · No harm found

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 2023-11-20

2026-04-02Fire-safety inspection3 citations

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-05-11

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-05-11

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2026-05-11

2025-01-09Fire-safety inspection7 citations

E-0018

C · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-02-25

K-0271

E · No harm found

Have exits that are accessible at all times.

Corrected 2025-02-25

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-25

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-25

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-25

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-02-25

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-25

2023-10-26Fire-safety inspectionComplaint-triggered3 citations

E-0041

C · No harm foundFrom a complaint

Implement emergency and standby power systems.

Corrected 2023-11-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-14

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-20

Federal penalties

2025-12-19Fine$14,015

2025-12-19Medicare payment denial — 62 days

2024-11-21Medicare payment denial — 5 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245429.

Quality of care & staffing

How it compares in Minnesota.

Inspection citations, 3 years

More than 77% of nursing homes in the state

State median: 32

Federal fines, 3 years

$14,015

More than 65% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

5.0

Higher than 86% of nursing homes in the state

State median: 4.2

Nursing staff turnover, annual

92%

Higher than 98% of nursing homes in the state

State median: 40%

Resident outcomes

On 17 federal quality measures, this facility does better than the Minnesota average on 5 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	26.1%	18.2%	13.5%	Worse than state
Lose too much weight	3.3%	3.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	1.7%	0.7%	Better than state
With a urinary tract infection	2.6%	2.6%	1.5%	Near state average
Have depressive symptoms	1.9%	4.1%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	5.2%	4.1%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	96.5%	97.3%	93.7%	Near state average
Ability to walk independently worsened	21.6%	18.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	22.8%	12.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	88.9%	96.4%	95.3%	Near state average
With pressure ulcers	8.2%	5.1%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	27.8%	23.7%	18.3%	Worse than state
Received an antipsychotic medication	16.4%	17.2%	15.4%	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	72.0%	88.1%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.9%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	85.7%	83.3%	80.1%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0607 2 inspections. Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0692 2 inspections. Provide enough food/fluids to maintain a resident's health.

What its owners also hold

Gundersen Lutheran Health System Inc has an ownership stake on file at 3 nursing homes, averaging 3.7 of 5 on CMS's overall rating.
Bellin Gundersen Health System Inc has an ownership stake on file at 3 nursing homes, averaging 3.7 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Minnesota

Licensing: Minnesota Department of Health
File a complaint: 800-369-7994
Long-Term Care Ombudsman: 800-657-3591. A free advocate for residents and families.
Adult Protective Services: 844-880-1574. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Winnmed, about 20 miles. CMS rating 4 of 5.
Veterans Memorial Hospital, about 22 miles.
Gundersen Lutheran Medical Center, about 25 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Green Lea Senior Living, Mabel, about 13 miles. CMS rating 1 of 5.
Valley View Healthcare & Rehab, Houston, about 14 miles. CMS rating 5 of 5.
Good Shepherd Lutheran Home, Rushford, about 18 miles. CMS rating 5 of 5.
The Highlands, Decorah, about 18 miles. CMS rating 2 of 5.
Wellington Place, Decorah, about 19 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 50 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered