Federal inspection record · CMS data as of October 1, 2026
St Luke Lutheran Nursing Home
1301 Saint Luke Drive, Spencer, IA · (712) 262-5931
- Certified beds
- 79
- Residents per day
- 72
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 7, 2003
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
St Luke Lutheran Nursing Home carries 120 inspection points. That is fewer than 10% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation5E
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care3E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
2025-09-04
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-08-22
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-08-17
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 40 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 15% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$90,076 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-04 | Fine | $81,679 |
| 2024-08-22 | Fine | $8,397 |
| 2024-08-22 | Payment Denial · 21 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.1 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 96.2% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts worse | 91.7% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 4.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.4 pts better | 8.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts better | 16.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 12.2% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 17.3% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 3.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.8% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better | 20.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.7% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 88.7% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts worse | 16.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine64.6 pts worse | 9.8% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 21.1% | 20.7% | 23.4% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Chindlund, Katie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clausen, Jerry | Corporate Director · Individual | 0% | 1 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Gcs Tech Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Halverson, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Hoye, David | Corporate Director · Individual | 0% | 1 facilities |
| Hughes, Mary | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hunziker, Kenneth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hunziker, Kenneth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Jacobsen, Jenna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kading, Doug | Corporate Director · Individual | 0% | 1 facilities |
| Klein, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koenecke, Mike | Corporate Director · Individual | 0% | 1 facilities |
| Kruse, Jane | Corporate Officer · Individual | 0% | 1 facilities |
| Mechler, Deborah | Corporate Officer · Individual | 0% | 1 facilities |
| Millennium Rehab & Consulting Inc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Mills, Nancy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelson, Ken | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelson, Ken | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pingel, Dean | Corporate Director · Individual | 0% | 1 facilities |
| Schmidt, Sandi | Corporate Officer · Individual | 0% | 1 facilities |
| Stein, Dean | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thrifty Drug Stores Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Winther Stave & Co Llp | Adp Of The SNF · Organization | 0% | 2 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure proper usage of power strips and extension cords.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke4F
- F
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
-
Spencer Post Acute Rehabilitation Center
Spencer, IA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $24,706
-
Ruthven Community Care Center
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Accura Healthcare of Milford
Milford, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0