Spencer, IA

St Luke Lutheran Nursing Home

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

Compare this facility

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

Facility snapshot

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

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.63

Licensed practical nurse staffing

Aide hours / resident day

2.51

Nurse aide staffing

Weekend hours

3.42

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

9 health deficiencies

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)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-08-17 · Fire 2023-08-17

5 health 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 citations

F · Potential for more than minimal harm 2025-09-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-25

F · Potential for more than minimal harm 2025-09-04

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-25

F · Potential for more than minimal harm 2025-09-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-09-25

F · Potential for more than minimal harm 2024-08-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-26

F · Potential for more than minimal harm 2024-08-22

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-09-26

F · Potential for more than minimal harm 2024-08-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-22

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

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

F · Potential for more than minimal harm 2023-08-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-09-23

F · Potential for more than minimal harm 2023-08-17

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

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

F · Potential for more than minimal harm 2023-08-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-23

E · Potential for more than minimal harm 2023-08-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-23

E · Potential for more than minimal harm 2023-08-17

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-09-23

D · Potential for more than minimal harm 2023-08-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-09-05

Inspection history

Recent health citations

J · Immediate jeopardy 2025-09-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-09-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-09-04

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2025-09-04

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-09-04

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-09-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-09-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-09-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-17

J · Immediate jeopardy 2024-08-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-05

E · Potential for more than minimal harm 2024-08-22

F578 · Resident Rights Deficiencies

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

E · Potential for more than minimal harm 2024-08-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-22

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-08-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-04-25

F725 · Nursing and Physician Services Deficiencies

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

E · Potential for more than minimal harm 2024-04-25

F812 · Nutrition and Dietary Deficiencies

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

D · Potential for more than minimal harm 2024-04-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-25

D · Potential for more than minimal harm 2023-08-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-17

F690 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2023-08-17

F725 · Nursing and Physician Services Deficiencies

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

D · Potential for more than minimal harm 2023-08-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-05-10

F689 · Quality of Life and Care Deficiencies

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

What sits behind the stars

$81,679 2025-09-04

Fine

Fine · fine $81,679

Fine

$8,397 2024-08-22

Fine

Fine · fine $8,397

Fine

$0 2024-08-22

Payment Denial

Payment Denial · denial start 2024-09-20 · 21 days

21 day denial

Ownership

Chindlund, Katie

Operational/Managerial Control · Individual

0% 1 facilities 2018-10-22
Clausen, Jerry

Corporate Director · Individual

0% 1 facilities 2015-03-01
Halverson, Gary

Corporate Director · Individual

0% 1 facilities 2017-03-01
Hoye, David

Corporate Director · Individual

0% 1 facilities 2023-04-04
Hughes, Mary

Operational/Managerial Control · Individual

0% 2 facilities 1992-04-28
Hunziker, Kenneth

Operational/Managerial Control · Individual

0% 1 facilities 2010-01-19
Kading, Doug

Corporate Director · Individual

0% 1 facilities 2023-04-04
Klein, Amanda

Operational/Managerial Control · Individual

0% 1 facilities 2010-10-20
Koenecke, Mike

Corporate Director · Individual

0% 1 facilities 2023-04-04
Kruse, Jane

Corporate Director · Individual

0% 1 facilities 2023-04-04
Kruse, Jane

Corporate Officer · Individual

0% 1 facilities 2018-03-01
Mechler, Deborah

Corporate Director · Individual

0% 1 facilities 2015-03-01
Mechler, Deborah

Corporate Officer · Individual

0% 1 facilities 2015-03-01
Mills, Nancy

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-28
Mills, Nancy

Corporate Director · Individual

0% 1 facilities 2003-07-28
Nelson, Ken

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-16
Nelson, Ken

Corporate Director · Individual

0% 1 facilities 2021-08-16
Pingel, Dean

Corporate Director · Individual

0% 1 facilities 2017-03-01
Schmidt, Sandi

Corporate Director · Individual

0% 1 facilities 2023-04-04
Schmidt, Sandi

Corporate Officer · Individual

0% 1 facilities 2016-03-01
Stein, Dean

Operational/Managerial Control · Individual

0% 1 facilities 2019-08-08

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