Tweeten Lutheran Health Care Center
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-12-19 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-12-19 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-07-18 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-12-02 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
Staffing, from payroll records
Nursing hours / resident / day
0.80
state median 3.48
Weekend staffing gap
−23%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.16
registered nurses only
Contract (agency) staff
17%
share of all nursing hours
Days with zero RN hours reported
43
with residents present
Nursing staff turnover
81%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $0 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-21 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-02 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-02 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-02 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-02 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-02 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-02 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-02 | F0867 | Administration Deficiencies | F | not recorded |
| 2026-04-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-19 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-19 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-19 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-19 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-12-19 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-12-19 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-12-19 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-07-18 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-01-09 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-01-09 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-12-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-02 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-12-02 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-21 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-10-26 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-26 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-26 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-11 | F0908 | Environmental Deficiencies | D | not recorded |