Tweeten Lutheran Health Care Center
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$120,876
Outcome
Tweeten Lutheran Health Care Center in SPRING GROVE, MN was fined $120,876 by CMS following 28 deficiency citations identified during federal surveys.
Details
Tweeten Lutheran Health Care Center (SPRING GROVE, MN) — $120,876 in CMS Fines
Outcome: Tweeten Lutheran Health Care Center in SPRING GROVE, MN was fined $120,876 by CMS following 28 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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