All citations for Tweeten Lutheran Health Care Center
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
April 2, 2026
Showing 1 to 25 of 50 citations
Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (July 17, 2026).
Immediate jeopardy to resident health or safety
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (August 15, 2025).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
The home gave a date the problem would be corrected (April 27, 2026).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
The home gave a date the problem would be corrected (March 12, 2026).
Harm to a resident
Provide enough food/fluids to maintain a resident's health.
The home gave a date the problem would be corrected (January 2, 2025).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (January 23, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (November 14, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
The home gave a date the problem would be corrected (February 25, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
The home gave a date the problem would be corrected (July 17, 2026).
No harm, with potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
The home gave a date the problem would be corrected (July 17, 2026).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
The home gave a date the problem would be corrected (July 17, 2026).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
The home gave a date the problem would be corrected (May 11, 2026).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
The home gave a date the problem would be corrected (May 11, 2026).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.