Tweeten Lutheran Health Care Center has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Spring Grove facility should carefully review its inspection history and quality metrics.
Staffing levels at Tweeten Lutheran Health Care Center exceed national averages, with 4.88 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.26 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 28 deficiencies at Tweeten Lutheran Health Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.88 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.26 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.56 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.06 | 2.4 | Above Average |
| Weekend Total Nursing | 4.44 | 3.8 | Above Average |
| Weekend RN Hours | 0.85 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0727 Severity FHave 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.Dec 18, 2025 · Nursing and Physician Services Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Dec 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDec 18, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.6% | 4.5% | Worse |
| Falls with major injury | 7.4% | 3.0% | Worse |
| On antipsychotic medication | 8.9% | 14.5% | Better |
| Urinary tract infections | 3.7% | 2.5% | Worse |
| ADL decline (daily activities) | 22.7% | 14.0% | Worse |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 33.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $120,876
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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