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Data / Nursing homes / Minnesota / Tweeten Lutheran Health Care Center

Tweeten Lutheran Health Care Center, Spring Grove, MN: 1 star rating, fined $14,015 across 1 fine and had 2 payment denials

Tweeten Lutheran Health Care Center in Spring Grove, MN is owned by Gundersen Lutheran Health System Inc, is rated 1 of 5 stars by Medicare, and was fined $14,015 across 1 fine and had 2 payment denials in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on June 8, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Minnesota
Address
125 5th Avenue Southeast, Spring Grove, MN 55974
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
3 of 5
Certified beds
49
Residents per day
30 on average
Ownership type
Nonprofit, corporation
Legal business name
Tweeten Lutheran Healthcare Center, Inc
Special focus
Special focus candidate
Fines
$14,015 across 1 fine, three years to October 1, 2026
Payment denials
2
Health citations
37, of which 5 with actual harm or immediate jeopardy
Latest survey
June 8, 2026
CMS Certification Number
245429
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 19, 2025Fine$14,015Not listeddata.cms.gov
December 19, 2025Payment denialNot listedMarch 10, 202662data.cms.gov
November 21, 2024Payment denialNot listedDecember 28, 20245data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 8, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedJuly 17, 2026data.cms.gov
June 8, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2026data.cms.gov
June 8, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2026data.cms.gov
June 8, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2026data.cms.gov
April 2, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
April 2, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 11, 2026data.cms.gov
December 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 12, 2026data.cms.gov
December 19, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedApril 27, 2026data.cms.gov
December 19, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 23, 2026data.cms.gov
December 19, 2025F727Have 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: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2026data.cms.gov
December 19, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2026data.cms.gov
December 19, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2026data.cms.gov
December 19, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2026data.cms.gov
December 19, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 12, 2026data.cms.gov
December 19, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 12, 2026data.cms.gov
July 18, 2025F760Ensure that residents are free from significant medication errors.J: isolated, immediate jeopardyCorrectedAugust 15, 2025data.cms.gov
January 9, 2025F887Educate 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2025data.cms.gov
January 9, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2025data.cms.gov
January 9, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2025data.cms.gov
January 9, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2025data.cms.gov
December 2, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedJanuary 2, 2025data.cms.gov
December 2, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2025data.cms.gov
December 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2025data.cms.gov
November 21, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2024data.cms.gov
November 21, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2024data.cms.gov
November 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2024data.cms.gov
October 26, 2023F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2023data.cms.gov
October 26, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2023data.cms.gov
October 26, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (10 managers, 8 officers, directors or trustees, 7 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Gundersen Lutheran Health System IncDirect owner100%August 22, 1986data.cms.gov
Bellin Gundersen Health System IncIndirect owner100%November 30, 2022data.cms.gov
Bellin Gundersen Health System IncOperational or managerial controlNot listedNovember 30, 2022data.cms.gov
Gundersen Lutheran Health System IncOperational or managerial controlNot listedAugust 22, 1986data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.