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A
Very Good

Tweeten Lutheran Health Care Center

125 5TH AVENUE SOUTHEAST · SPRING GROVE, MN 55974

5074983211 · Non profit - Corporation

49 beds31.5 residents80 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Tweeten Lutheran Health Care Center receives an overall staffing grade of A (Very Good). With 4.8892 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.99 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.16% compared to weekdays. The facility relies heavily on temporary agency staff (39.66% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️39.66% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 1.0167). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.8892hrs/resident/day▲ 0.99
CMS benchmark: 3.48
RN HPRD
1.2643hrs/resident/day▲ 0.58
Recommended: 0.75
Weekend Drop-off
12.16%
5.0631 weekday → 4.4477 weekend
Agency Staff
39.66%
49.65% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2965hrs/resident/day
Direct care aides
LPN HPRD
0.5604hrs/resident/day
Licensed practical nurses
Consistency
1.0167std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Houston County Average+0.38 HPRD
4.51
04.89 HPRD
vs. Minnesota State Average+0.65 HPRD
4.24
04.89 HPRD
vs. National Average+0.99 HPRD
3.90
04.89 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Tweeten Lutheran Health Care Center ★
SPRING GROVE · This facility
—
A
4.88921.2643★☆☆☆☆
Good Shepherd Lutheran Home
RUSHFORD
17.6 mi
B
4.23490.5745★★★★★
LA CRESCENT HEALTH SERVICES
LA CRESCENT
24.3 mi
B
3.70251.0841★★★★☆
Lake Winona Manor
WINONA
32.6 mi
B
4.11420.7003★★★★☆
Chosen Valley Care Center
CHATFIELD
33.6 mi
A
4.23180.9104★★★★★
Sauer Health Care
WINONA
34 mi
B
3.94240.8526★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
28
Total Deficiencies
$184,380
Fines Assessed
Dec 19, 2025Health
9 deficiencies cited
▼
Jul 18, 2025Health
1 deficiency cited· Includes actual harm
▼
Jan 9, 2025Health
4 deficiencies cited
▼
Dec 2, 2024Health
3 deficiencies cited· Includes actual harm
▼
Nov 21, 2024Health
3 deficiencies cited
▼
Oct 26, 2023Health
3 deficiencies cited
▼
Jul 11, 2023Health
1 deficiency cited
▼
May 25, 2023Health
1 deficiency cited· Includes actual harm
▼
May 4, 2022Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

Nov 21, 2024Payment Denial
May 25, 2023Fine
$184,380
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.