Tweeten Lutheran Health Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1987-02-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (507) 498-3211 or your local Medicaid office to verify current eligibility.

Tweeten Lutheran Health Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 62.3/100, placing it #11326 of 14703 facilities nationally and #268 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Tweeten Lutheran Health Care Center receives a reported average of 4 hours 53 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 16 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 3 hours 3 minutes. On weekends, total nurse staffing is 4 hours 27 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 71.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $120,876. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $120,876, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 158.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Tweeten Lutheran Health Care Center ranks 11326th out of 14,703 facilities (composite score: 62.3/100), placing it in the bottom 25% nationwide. Within MN, it ranks 268th out of 338 nursing homes. For 2026 staffing: total nurse hours rank #1,434 nationally and RN hours rank #964 nationally (#75 in MN). Our composite quality score of 62.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Spring Grove, visit: https://nursinghomesnearme.org/minnesota/spring-grove/