Iowa › Clay County › Spencer
St Luke Lutheran Nursing Home
1301 Saint Luke Drive, 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.
St Luke Lutheran Nursing Home, in Spencer, Iowa, is certified for 79 beds under non-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 5 and quality measures 3.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (9, 7, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 30.4 per 100 beds, about the same as the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $90K and 1 payment denial.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 44.1%.
Compared with county, state and nation
| Measure | This facility | Clay Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 45 | 16 | 28.7 |
| Citations per 100 beds | 30.4 | 54.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 44.1% | 44.1% | 41.9% | 45.8% |
| Fines listed | $90,076 | $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: 4 Sep 2025, 22 Aug 2024.
Severity mix: J ×2 D ×15 E ×7
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 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 17 Sep 2025 |
| 4 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 17 Sep 2025 |
| 4 Sep 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 17 Sep 2025 |
| 4 Sep 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 17 Sep 2025 |
| 4 Sep 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 17 Sep 2025 |
| 4 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Sep 2025 |
| 4 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 17 Sep 2025 |
| 4 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Sep 2025 |
| 4 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Sep 2025 |
| 22 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Sep 2024 |
| 22 Aug 2024 | F0578 | 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. | E | Standard survey | 12 Sep 2024 |
| 22 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 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 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 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 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Sep 2024 |
| 25 Apr 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 | Complaint investigation | 25 May 2024 |
| 25 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 25 May 2024 |
| 25 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 May 2024 |
| 25 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 May 2024 |
| 17 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Sep 2023 |
| 17 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Sep 2023 |
| 17 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 17 Sep 2023 |
| 17 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 17 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Sep 2025 | Fine | $81,679 | |
| 22 Aug 2024 | Payment denial | — | 21 days |
| 22 Aug 2024 | Fine | $8,397 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 44.1%, RNs 21.4%; 0 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 | 18.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.4% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.7% | 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: non-profit, corporation. Legal business name: St Luke Homes & Services Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bcg Holdings Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Bcg LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Ecsi Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Gcs Tech Inc | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Iowa Health Care Association | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Millennium Rehab & Consulting Inc | Adp of the snf | NOT APPLICABLE | 06/30/2023 |
| Thrifty Drug Stores Inc | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Winther Stave & Co LLP | Adp of the snf | NOT APPLICABLE | 10/17/2012 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Spencer Post Acute Rehabilitation Center | Spencer | 82 | 1 | 1 | 2 | 45 | 54.9 | $25K | 4 Jun 2026 |
All 2 facilities in Clay County
Questions and answers
How many deficiencies has St Luke Lutheran Nursing Home been cited for?
24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has St Luke Lutheran Nursing Home been fined?
Yes. CMS lists fines totalling $90K in the period covered, plus 1 payment denial.
How does staffing at St Luke Lutheran Nursing Home compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates St Luke Lutheran Nursing Home?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was St Luke Lutheran Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 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.