Iowa › Clay County › Spencer
Spencer Post Acute Rehabilitation Center
711 West 11th Street, Spencer, IA 51301
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Spencer Post Acute Rehabilitation Center is a For-profit, corporation nursing home in Spencer, Iowa, certified for 82 beds and caring for about 63 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (16, 12, 17 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 54.9 per 100 beds, more than the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $25K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Iowa median of 3.7.
Compared with county, state and nation
| Measure | This facility | Clay Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 45 | 16 | 28.7 |
| Citations per 100 beds | 54.9 | 54.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | — | 44.1% | 41.9% | 45.8% |
| Fines listed | $24,706 | $90,076 | $0 | — |
County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 22 Aug 2024.
Severity mix: J ×2 G ×1 D ×26 E ×16
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 17 Jun 2026 |
| 30 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Apr 2026 |
| 14 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Sep 2025 |
| 14 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Sep 2025 |
| 22 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0732 | Post nurse staffing information every day. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 12 Sep 2024 |
| 20 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 6 May 2024 |
| 14 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Apr 2024 |
| 14 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Apr 2024 |
| 14 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Apr 2024 |
| 30 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | J | Standard survey | 9 Nov 2023 |
| 30 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0761 | 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. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Nov 2023 |
| 30 Oct 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 May 2024 | Fine | $14,433 | |
| 30 Oct 2023 | Payment denial | — | 7 days |
| 30 Oct 2023 | Fine | $10,273 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 35.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Parker Creek Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gateway Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 02/22/2024 |
| Dewey Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Clay County
| 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 |
All 2 facilities in Clay County
Questions and answers
How many deficiencies has Spencer Post Acute Rehabilitation Center been cited for?
45 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Spencer Post Acute Rehabilitation Center been fined?
Yes. CMS lists fines totalling $25K in the period covered, plus 1 payment denial.
How does staffing at Spencer Post Acute Rehabilitation Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Spencer Post Acute Rehabilitation Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Gateway Healthcare LLC. Individual owners and managers are not listed on this site.
When was Spencer Post Acute Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.