Houston County, Minnesota · Nursing home
Tweeten Lutheran Health Care Center
1 of 5 overall from CMS
125 5th Avenue Southeast, Spring Grove, MN 55974
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 0.95 hours Below the state average of 4.19
- Nursing staff who left in a year 81.0% Above the state average of 42.2%
- Health citations, last 3 inspection cycles 37 5 at the harm level or above
- Fines in 3 years $14,015 1 fine
- Certified beds in use 72.7% of 49 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Tweeten Lutheran Health Care Center is a 49-bed nursing home in Spring Grove, Minnesota (Houston County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 0.95 nurse staffing hours per resident per day, below the Minnesota average of 4.19. CMS lists 1 fine totaling $14,015 in the past three years.
- Certified beds
- 49
- Residents per day (average)
- 35.6
- Certified since
- 1987 (39 yrs)
Non profit - Corporation Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Tweeten Lutheran Health Care Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $14,015 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 23 health deficiencies in the latest inspection cycle (the standard inspection on Apr 2, 2026 plus complaint and infection-control inspections); the Minnesota average is 7.1. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Minnesota average 3.2
- Health inspections 1 of 5 Minnesota average 2.8
- Staffing 1 of 5 Minnesota average 4.1
- Quality measures 2 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 0.95 h Minnesota average 4.19
- Nurse aides 0.53 h Minnesota average 2.52
- Licensed practical nurses 0.26 h Minnesota average 0.61
- Registered nurses 0.16 h Minnesota average 1.06
- All staff, weekends 0.76 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover81.0%
- Minnesota average42.2%
- Registered nurse turnover66.7%
- Minnesota average38.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 29.8% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.3% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.7% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.0% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 28.7% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.6% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.1% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.4% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 37 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 8, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 2, 2026 | 23 | 3 |
| Jan 9, 2025 | 11 | 7 |
| Oct 26, 2023 | 3 | 3 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (37)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 17, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 17, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 17, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 17, 2026)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 11, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal 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 · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (May 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 11, 2026)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 27, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 12, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 12, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 12, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 23, 2026)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 23, 2026)
-
JImmediate jeopardy, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 15, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 25, 2025)
-
EPotential for more than minimal 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 · Deficient, Provider has date of correction (Feb 25, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 25, 2025)
-
DPotential for more than minimal 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 · Deficient, Provider has date of correction (Feb 25, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 2, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 2, 2025)
Showing the 30 most recent of 37.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 19, 2025 | Fine | $14,015 |
| Dec 19, 2025 | Payment Denial | 62 days |
| Nov 21, 2024 | Payment Denial | 5 days |
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
- Size227 of 338 by certified beds
- Minnesota average residents per day60.3
- ChainNone listed
- Resident or family councilBoth
- Homes in Houston County3
Common questions
What is the CMS star rating for Tweeten Lutheran Health Care Center?
Tweeten Lutheran Health Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Tweeten Lutheran Health Care Center have?
Tweeten Lutheran Health Care Center has 49 certified beds. It averages 35.6 residents per day, about 72.7% of its certified beds.
How much nursing care do residents get at Tweeten Lutheran Health Care Center?
The home reports 0.95 hours of nurse staffing per resident per day, including 0.16 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Tweeten Lutheran Health Care Center been fined?
Yes. CMS lists 1 fine totaling $14,015 in the past three years. It also lists 2 payment denials.
Does Tweeten Lutheran Health Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Green Lea Senior Living 41beds 70.5%in use 2.37nurse hours a day
- 5 of 5 Valley View Healthcare & Rehab 40beds 94.3%in use 4.20nurse hours a day
- 5 of 5 Good Shepherd Lutheran Home 65beds 77.2%in use 3.98nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Houston County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 245429. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.