Nursing homes in Clay County, Iowa
There are 2 certified nursing homes in Clay County, Iowa, with 161 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 69 health deficiencies over three cycles, 42.9 per 100 beds against 31.7 statewide.
Fines in the period covered total $115K across 4 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Clay County | Iowa | US |
|---|---|---|---|
| Facilities | 2 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 42.9 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.7 | 3.7 | 3.7 |
| Fines listed | $115K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Luke Lutheran Nursing Home | Spencer | 79 | 2 | 1 | 5 | 24 | 30.4 | $90K | 4 Sep 2025 |
| Spencer Post Acute Rehabilitation Center | Spencer | 82 | 1 | 1 | 2 | 45 | 54.9 | $25K | 4 Jun 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 6 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 3 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 3 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 3 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 3 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
| Non profit | 1 |
Chains present: The Ensign Group (1).
Questions and answers
How many nursing homes are in Clay County, Iowa?
2 Medicare-certified nursing homes with 161 certified beds.
Which nursing homes in Clay County have the highest CMS ratings?
St Luke Lutheran Nursing Home (2 stars), Spencer Post Acute Rehabilitation Center (1 stars)
How do Clay County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 42.9 per 100 beds against 31.7 statewide.