Spencer, IA
2-star overall rating with 1-star inspections with $90,076 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1301 Saint Luke Drive, Spencer, IA
(712) 262-5931
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
79
Certified beds
Average residents
70
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-07-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.88
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.01
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.04
CMS adjusted RN staffing hours
Adjusted total hours
4.74
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
4,706
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.20
Baseline 19.71% · Performance 19.02% · Measure score 5.20 · Achievement 5.20 · Improvement 2.06
Healthcare-associated infections
2
Baseline 6.92% · Performance 7.24% · Measure score 2 · Achievement 2 · Improvement 0
Total nurse turnover
4.74
Baseline 41.27% · Performance 44.29% · Measure score 4.74 · Achievement 4.74 · Improvement 0
Adjusted total nurse staffing
3.62
Baseline 4.38 hours · Performance 4.11 hours · Measure score 3.62 · Achievement 3.62 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.7% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 7.38% · Lower 95% interval 7.25% |
| Discharge to community | 55.31% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 124 · Observed rate 54.84% · Lower 95% interval 48.63% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 90.8% |
95.27%
4.5 pts worse
|
Numerator 79 · Denominator 87 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 87 |
| Discharge self-care score | 28.21% |
53.69%
25.5 pts worse
|
Numerator 22 · Denominator 78 |
| Discharge mobility score | 15.38% |
50.94%
35.6 pts worse
|
Numerator 12 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 87 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.24% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 5.95% · Lower 95% interval 3.24% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 81 |
| Staff flu vaccination coverage | 26.97% |
42%
15 pts worse
|
Numerator 24 · Denominator 89 |
| Discharge function score | 39.74% |
56.45%
16.7 pts worse
|
Numerator 31 · Denominator 78 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 9.62% |
25.2%
15.6 pts worse
|
Numerator 5 · Denominator 52 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
94.0%
2.6 pts worse
|
93.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 91.5% · Q3 92.4% · Q4 93.7% · 4Q avg 91.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.8% |
95.2%
4.4 pts worse
|
95.5%
4.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.7%
2.6 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.5% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.0%
3.2 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
4.9%
2.4 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.1% · Q3 10.3% · Q4 1.8% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.5% |
20.6%
9.1 pts better
|
19.6%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 12.1% · Q3 15.3% · Q4 10.3% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
19.8%
2.8 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 17.0% · Q3 20.4% · Q4 16.3% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.0% |
18.5%
6.5 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 10.9% · Q3 16.8% · Q4 2.2% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
18.3%
1.3 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 17.5% · Q3 26.3% · Q4 10.5% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.4% |
1.7%
4.7 pts worse
|
1.0%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.4% · Q3 7.3% · Q4 2.2% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.5%
0.2 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.0% · Q3 1.5% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
26.0%
8.5 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 20.0% · Q3 17.8% · Q4 16.4% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
4.3%
1.2 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.0% · Q3 11.0% · Q4 3.3% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
84.3%
3.3 pts better
|
81.7%
5.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 83.8% · Q3 92.1% · Q4 86.8% · 4Q avg 87.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.7% |
13.1%
9.4 pts better
|
12.0%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.7% · Observed 3.1% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.9%
0.8 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.3% |
73.3%
15 pts worse
|
79.7%
21.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
21.3%
1.2 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 15.4% · Expected 18.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-25
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-26
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-09-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-26
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-09-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-23
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-23
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-09-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-05
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-17
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-09-17
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-17
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-09-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-17
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-05
Health
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.
Corrected 2024-09-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-12
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-25
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-09-17
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-09-17
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-09-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-28
Penalties and ownership
Fine · fine $81,679
Fine
Fine · fine $8,397
Fine
Payment Denial · denial start 2024-09-20 · 21 days
21 day denial
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Spencer, IA
1-star overall rating with 2-star inspections with $24,706 in total fines with 14 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Ruthven, IA
4-star overall rating with 4-star inspections with 2 recent health deficiencies
Milford, IA
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
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