Skip to main content
Health Inspection Summary
Tweeten Lutheran Health Care Center
125 5th Avenue Southeast
Spring Grove, MN 55974
(507) 498-3211

Below, swipe left and right to view more info.

Deficiency Category
Inspection Date:
1/9/25
Complaint Reporting Period:
3/1/24 - 2/28/25
Inspection Date:
10/26/23
Complaint Reporting Period:
3/1/23 - 2/29/24
Inspection Date:
5/4/22
Complaint Reporting Period:
3/1/22 - 2/28/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies200
Quality of Life and Care Deficiencies110
Infection Control Deficiencies301
Resident Assessment and Care Planning Deficiencies200
Nursing and Physician Services Deficiencies000
Resident Rights Deficiencies011
Nutrition and Dietary Deficiencies100
Pharmacy Service Deficiencies121
Environmental Deficiencies010
Administration Deficiencies000

Detailed result for inspection on 1/9/25
Date of last standard health inspection:1/9/25Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/24 - 2/28/25
Date(s) of infection control inspection(s) between 3/1/24 - 2/28/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:10
Average number of Health Deficiencies in Minnesota:7.5
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few

Respond appropriately to all alleged violations.

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

12/2/241/2/25
3 - Actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/9/252/25/25
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

1/9/252/25/25
2 - Minimal harm or potential for actual harm
Many

Provide and implement an infection prevention and control program.

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

PASARR screening for Mental disorders or Intellectual Disabilities

1/9/252/25/25
2 - Minimal harm or potential for actual harm
Few

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

12/2/241/2/25
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

1/9/252/25/25
2 - Minimal harm or potential for actual harm
Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

12/2/241/2/25
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 10/26/23
Date of last standard health inspection:10/26/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/23 - 2/29/24
Date(s) of infection control inspection(s) between 3/1/23 - 2/29/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:5
Average number of Health Deficiencies in Minnesota:7.4
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

5/25/236/6/23
4 - Immediate jeopardy to resident health or safety
Few
Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.
Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

10/26/2311/20/23
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

10/26/2311/20/23
2 - Minimal harm or potential for actual harm
Few

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

10/26/2311/20/23
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Keep all essential equipment working safely.

7/11/238/1/23
2 - Minimal harm or potential for actual harm
Few
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 5/4/22
Date of last standard health inspection:5/4/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/22 - 2/28/23
No complaint inspections
Date(s) of infection control inspection(s) between 3/1/22 - 2/28/23
No infection control inspections
Total number of Health Deficiencies for this nursing home:3
Average number of Health Deficiencies in Minnesota:7.1
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
No Quality of Life and Care Deficiencies were found during this inspection period.
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

5/4/225/27/22
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that residents are fully informed and understand their health status, care and treatments.

5/4/225/27/22
3 - Actual harm
Few
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that residents are free from significant medication errors.

5/4/225/27/22
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few

Respond appropriately to all alleged violations.

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few

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

12/2/241/2/25
3 - Actual harm
Few

Provide and implement an infection prevention and control program.

11/21/2411/27/24
2 - Minimal harm or potential for actual harm
Few

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

12/2/241/2/25
2 - Minimal harm or potential for actual harm
Few

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

12/2/241/2/25
2 - Minimal harm or potential for actual harm
Few

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

5/25/236/6/23
4 - Immediate jeopardy to resident health or safety
Few

Keep all essential equipment working safely.

7/11/238/1/23
2 - Minimal harm or potential for actual harm
Few
Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.
Medicare
Find Healthcare Providers: Compare Care Near YouFind Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. Official Medicare site.
What is Healthcare Provider Tool - Quick, Easy InfoLearn about new Medicare provider search tool that helps you choose Medicare providers & facilities & compare quality ratings. Official Medicare site.
Dialysis Facility Quality Of Patient Care RatingCompare dialysis facility performance with dialysis facility quality of patient care rating. Rated between 1-5 stars. Official Medicare site.
Dialysis Facility Patient Star Rating - 5 Star ScaleLearn about dialysis facility patient star ratings & see how patients rate experience between 1-5 stars. More stars, better quality care. Official Medicare site.
Home Health Agency Quality Of Patient Care Star RatingSee how home health agency quality of patient care star ratings are calculated, based on 8 care measures of process & outcome. Official Medicare site.
Patient Survey Rating For Home Health AgenciesUse patient survey rating for home health agencies to better understand quality of care for home health agencies. Learn more. Official Medicare site.
Star Rating For Hospitals - More Stars, Better CareLearn how star rating for hospitals weighs quality measures like mortality, safety of care, readmission, others into rating. Learn more. Official Medicare site.
Hospital Patient Survey Star Rating - 5 Star ScaleSee side-by-side hospital ratings with patient survey star rating. Based on patient experience coming from HCAHPS survey. Learn more. Official Medicare site.
Patient Survey Scores for Physicians & DoctorsGet info on patient survey scores for physicians to make best choice in doctor & care. Compare & see scores on doctors profile page. Official Medicare site.
Understanding MIPS Quality Performance MeasuresSee how doctor performance scores are calculated using MIPS quality performance measures. Know doctor ratings, get best care. Official Medicare site.
Medicare-Certified 4 Levels of Hospice CareUnderstand 4 levels of Medicare-certified hospice care. Routine home care, general inpatient care, continuous home care, respite. Official Medicare site.
Learn About Medicare's Types of Healthcare ProvidersLearn about healthcare provider types Medicare covers & see which care provider is best for you. Compare doctors, nursing homes, more. Official Medicare site.
Browse & Compare Local Healthcare Providers by TypeCompare healthcare providers near you & browse by healthcare specialty. General practitioners, neurologists, optometrists, more. Official Medicare site.