Tweeten Lutheran Health Care Center
125 5TH AVENUE SOUTHEAST
SPRING GROVE, MN, 55974
5074983211
CCN: 245429
1
Overall1
Health4
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
HEALTHCARE OPTIONS, INC
1128b8
Excluded 2011-04-20
Ownership
| Name | Role | % |
|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| JOHNSON, CHARLES | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEGGE, BRUCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HERMEIER, ELIZABETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELDE, SARAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| MORKEN, JANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| PERICAK, AMANDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAKALARS, VICKIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| ADANK, KARI | CORPORATE OFFICER | NOT APPLICABLE |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TJOSSEM, GREGORY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WOAHLOE, THOMAS | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2024-11-21 | Payment Denial | 5 days |
| 2023-05-25 | Fine | $121K |
Health Deficiencies (28)
2025-12-19 · Health
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
F
F727 · Nursing and Physician Services Deficiencies
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.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2025-07-18 · Health
J
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2025-01-09 · Health
D
F887 · Infection Control Deficiencies
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.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
2024-12-02 · Health
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-11-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-10-26 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-07-11 · Health
D
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
2023-05-25 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-05-04 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
G
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.88
RN Hrs/Resident/Day0.54
1.26
LPN Hrs/Resident/Day0.81
0.56
CNA Hrs/Resident/Day2.33
3.06
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01