Skilled nursing facility · CMS certification number 245429
TWEETEN LUTHERAN HEALTH CARE CENTER
SPRING GROVE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 49
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 3 · Fines: 1 · Fines, total amount: $14,015.00 · Payment denials: 2. The most recent penalty on file: December 19, 2025, Fine, $14,015. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,446,616 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $81,155 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,365,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,486,971 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,121,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $460,400 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$661,110 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$661,110 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 627 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,812 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,514 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,953 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420418, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for January 1, 2023 to September 30, 2023 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,371,052 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $44,336 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,326,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,416,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$90,095 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $149,869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $59,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $59,774 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,640 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375581, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,459,789 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $132,207 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,327,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,018,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$691,102 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $479,182 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$211,920 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$218,082 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 229.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 56.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358469, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,451,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $278,331 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,172,908 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,829,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$656,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $286,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$369,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$369,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,053 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332494, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,069,952 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $155,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,914,263 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,401,851 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$487,588 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $788,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $301,264 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $225,370 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301259, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,089,060 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $322,625 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,766,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,178,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$411,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $438,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $26,390 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,180 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 934.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 231.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274607, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,190,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $278,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,912,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,948,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$36,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $402,645 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $366,385 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $366,385 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,111 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241575, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,475,884 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $316,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,159,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,843,602 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $315,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $559,217 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $559,217 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 439.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210935, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,992,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $274,702 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,717,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,468,169 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $249,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $266,032 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $515,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $515,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,307 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,076.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 280.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175505, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for October 1, 2015 to December 31, 2015 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $868,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $81,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $786,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $881,623 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,093 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,481 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$53,612 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$53,612 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143047, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,609,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $233,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,376,796 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,516,171 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$139,375 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277,890 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $138,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $138,515 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 282.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088406, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,457,978 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $205,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,252,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,373,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$120,719 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,193 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $64,474 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $64,474 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,160 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 659.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 260.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057592, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,316,192 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $182,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,133,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,267,359 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$133,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $179,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,293 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 644.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 280.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027520, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 8, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,303,679 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,225,489 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $78,190 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $187,843 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $266,033 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,601 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 674.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 276.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428734, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
None of these figures is carried on this report.
CMS report record 397217, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,403,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,225,324 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $178,055 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $166,602 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $344,657 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,990 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,114 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367269, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,876,683 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,927,141 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$50,458 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $218,326 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $167,868 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,435.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 450.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336933, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,716,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,753,637 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$36,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $205,956 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $169,254 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,548 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 385.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307498, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,716,261 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,589,553 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,708 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $191,924 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $318,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 776.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 257.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302116, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 31, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,458,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,449,028 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $9,572 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,072 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $194,644 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,435 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,103.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 349.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271409, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2005.
None of these figures is carried on this report.
CMS report record 238932, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 8, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,245,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,314,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$68,934 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,552 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $93,618 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,662 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,167.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 477.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206569, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,208,904 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,761,628 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$552,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $227,918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$324,806 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,870 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,122.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 279.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191188, read from the public cost report file SNFFY2002.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/22/1986 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/30/2022 |
| BERG, RANDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2025 |
| BRANUM, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| FOSTER, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| HEANEY, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOSER, BRENDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2017 |
| NESS, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/03/2026 |
| RANKIN, TRACER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| BAKALARS, VICKIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2017 |
| HEGGE, BRUCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2022 |
| JOHNSON, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2019 |
| MELDE, SARAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| PERICAK, AMANDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2022 |
| MOSER, BRENDA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| NESS, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2025 |
| SCHUSTER, KRAIG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/30/2022 |
| BERG, RANDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| BRANUM, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| DEWALL, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| FOSTER, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/22/1986 |
| NESS, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| RANKIN, TRACER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| RANZENBERGER, LINDSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SCHUSTER, KRAIG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SPINDEN, SUE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| WALTON, RENEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of TWEETEN LUTHERAN HEALTHCARE CENTER, INC (enrollment ID O20040818000874).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/22/1986 | Private equity company: No Real estate investment trust: No Holding company: No |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/30/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMY HEANEY | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENDA S MOSER | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES P NESS | Individual | ADP OF THE SNF | Not stated in the filing | 3/3/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN L FOSTER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK BRANUM | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDI K BERG | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRACER RANKIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 6/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/19/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA PERICAK | Individual | CORPORATE DIRECTOR | 0 | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRUCE HEGGE | Individual | CORPORATE DIRECTOR | 0 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES L JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 1/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH HERMEIER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANE MORKEN | Individual | CORPORATE DIRECTOR | 0 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH MELDE | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VICKIE M BAKALARS | Individual | CORPORATE DIRECTOR | 0 | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENDA S MOSER | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARI B ADANK | Individual | CORPORATE OFFICER | 0 | 2/21/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRAIG SCHUSTER | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BELLIN GUNDERSEN HEALTH SYSTEM INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/30/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES P NESS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 8/22/1986 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAREN L FOSTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRAIG SCHUSTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSEY RANZENBERGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK BRANUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDI K BERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RENEE WALTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUE SPINDEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY DEWALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRACER RANKIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: ADANK, KARI no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MORKEN, JANE no longer appears as CORPORATE DIRECTOR in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: HERMEIER, ELIZABETH no longer appears as CORPORATE DIRECTOR in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: NESS, CHARLES appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- April 1, 2026: GREGORY N TJOSSEM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: THOMAS WOAHLOE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARK BRANUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARK BRANUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AMY HEANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDSEY RANZENBERGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KRAIG SCHUSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KRAIG SCHUSTER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY DEWALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENDA S MOSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENDA S MOSER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRACER RANKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRACER RANKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDI K BERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDI K BERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RENEE WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KAREN L FOSTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KAREN L FOSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUE SPINDEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES P NESS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES P NESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- May 1, 2024: MICHELLE R BORRESON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: THOMAS WOAHLOE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- April 1, 2024: JENNIFER BERENDES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MICHELLE R BORRESON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JANET S KRAABEL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: KARI B ADANK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 21, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: GUNDERSEN LUTHERAN HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 22, 1986. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: ELIZABETH HERMEIER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SARAH MELDE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: GREGORY N TJOSSEM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- January 1, 2023: BELLIN GUNDERSEN HEALTH SYSTEM, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: BELLIN GUNDERSEN HEALTH SYSTEM, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- September 1, 2026: ADANK, KARI no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MORKEN, JANE no longer appears as CORPORATE DIRECTOR in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: HERMEIER, ELIZABETH no longer appears as CORPORATE DIRECTOR in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: NESS, CHARLES appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- April 1, 2026: GREGORY N TJOSSEM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: THOMAS WOAHLOE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARK BRANUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARK BRANUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AMY HEANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDSEY RANZENBERGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KRAIG SCHUSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KRAIG SCHUSTER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY DEWALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENDA S MOSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENDA S MOSER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRACER RANKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TRACER RANKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDI K BERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDI K BERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RENEE WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KAREN L FOSTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KAREN L FOSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUE SPINDEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES P NESS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHARLES P NESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- December 19, 2025: A penalty was recorded: Payment Denial. NH_Penalties_Sep2026_2.csv
- December 19, 2025: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- April 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 1, 2024: MICHELLE R BORRESON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: THOMAS WOAHLOE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since March 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- April 1, 2024: JENNIFER BERENDES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MICHELLE R BORRESON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JANET S KRAABEL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: KARI B ADANK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 21, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: GUNDERSEN LUTHERAN HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 22, 1986. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: ELIZABETH HERMEIER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SARAH MELDE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: GREGORY N TJOSSEM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- March 26, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 2, 2026 | April 2, 2026 | 23 | 3 |
| 2 | January 9, 2025 | January 9, 2025 | 11 | 7 |
| 3 | October 26, 2023 | October 26, 2023 | 3 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
37 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 8, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| June 8, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| June 8, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| June 8, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| April 2, 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | May 11, 2026 |
| April 2, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 11, 2026 |
| December 19, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| December 19, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| December 19, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 19, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 19, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 19, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| December 19, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| December 19, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 19, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| July 18, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | Yes | Deficient, Provider has date of correction | August 15, 2025 |
| January 9, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | February 25, 2025 |
| January 9, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 25, 2025 |
| January 9, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | February 25, 2025 |
| January 9, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | February 25, 2025 |
| December 2, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | January 2, 2025 |
| December 2, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | Yes | Deficient, Provider has date of correction | January 2, 2025 |
| December 2, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | January 2, 2025 |
| November 21, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| November 21, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| November 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| October 26, 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 26, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 26, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 19, 2025 | Fine | $14,015 | 143639 | ||
| December 19, 2025 | Payment Denial | March 10, 2026 | 62 | ||
| November 21, 2024 | Payment Denial | December 28, 2024 | 5 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | TWEETEN LUTHERAN HEALTHCARE CENTER, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Houston |
| Telephone Number | 5074983211 |
| Special Focus Status | SFF Candidate |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 49 |
| Average Number of Residents per Day | 35.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on TWEETEN LUTHERAN HEALTH CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 19, 2025: A penalty was recorded: Payment Denial. That is one line of the alert.
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The citable document for TWEETEN LUTHERAN HEALTH CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245429.