Tweeten Lutheran Health Care Center: Staffing, Turnover, and Inspection Record
Tweeten Lutheran Health Care Center is a 49-bed nonprofit nursing home in Spring Grove, Minnesota. In the CMS August 2026 release it reported 0.53 nurse aide hours per resident per day, 79% below the Minnesota average of 2.52, and 81.0% nursing staff turnover (Minnesota average 42.2%).
Tweeten Lutheran Health Care Center
125 5th Avenue SoutheastSpring Grove, MN 55974
Houston County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Tweeten Lutheran Health Care Center, nurse aides logged 0.53 hours per resident per day, 79% below the Minnesota average. With about 36 residents a day, that works out to roughly 19 aide hours a day, or about 2 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 0.53 | 2.52 | 2.32 |
| Licensed practical nurses | 0.26 | 0.61 | 0.86 |
| Registered nurses | 0.16 | 1.06 | 0.69 |
| All nursing staff | 0.95 | 4.19 | 3.86 |
| All nursing staff, weekends | 0.76 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
81.0% of nursing staff at Tweeten Lutheran Health Care Center left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 23 health deficiencies (Minnesota average 7.0). CMS lists 0 fines and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 21, 2024 | Payment Denial | 5 days from Dec 28, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Tweeten Lutheran Health Care Center holds 1 of 5 overall; the Minnesota average is 3.2.
About Tweeten Lutheran Health Care Center
- Ownership: Non profit - Corporation
- Legal name: Tweeten Lutheran Healthcare Center, Inc
- Medicare and Medicaid certified since: Feb 1, 1987
- Councils: resident and family councils
- Area: urban
Nursing homes near Tweeten Lutheran Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Green Lea Senior Living Mabel · many days without an RN | 12.5 | 41 | 1.72 | 2.37 | — | 1 | None |
| Valley View Healthcare & Rehab Houston | 14.4 | 40 | 2.94 | 4.20 | 19.1% | 5 | $26,685 |
| Good Shepherd Lutheran Home Rushford | 17.6 | 65 | 2.51 | 3.98 | 50.0% | 5 | None |
| The Highlands Decorah | 18.2 | 86 | 2.79 | 3.90 | 53.3% | 2 | $93,839 |
| Wellington Place Decorah | 18.9 | 56 | 2.30 | 3.47 | 48.1% | 3 | None |
| Gundersen Harmony Care Center Harmony | 19.1 | 42 | 1.94 | 3.38 | 51.4% | 5 | $12,649 |
| Northgate Care Center Waukon · SFF candidate | 20.7 | 50 | 2.04 | 2.97 | 34.3% | 1 | $87,160 |
| Good Samaritan - Waukon Waukon | 21.5 | 60 | 1.81 | 3.17 | 43.5% | 2 | $8,281 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.