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HomeIowaSpencer Post Acute Rehabilitation Center

Spencer Post Acute Rehabilitation Center

711 West 11th Street, Spencer, IA 513017122622344WebsiteGoogle Maps
5.0on Google(3 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
2/5
Beds
82
certified
2 fine(s) totaling $24,706

How Spencer Post Acute Rehabilitation Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.38 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.55 hrs/day
IA average
0.74 hrs/day
Below state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.38 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.55 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
17
deficiency citations
Inspected Aug 22, 2024
Most recent cycle
15
deficiency citations
Inspected Aug 14, 2025
The most recent cycle recorded 2 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Clay County 65+
3,554
21.6% of county
County Population
16,423
Clay County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Spencer Post Acute Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Spencer, Iowa with 82 certified beds. It has been operating since 2002. Its overall CMS rating is 2 out of 5.

Beds
82
Avg Residents/Day
62.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 18, 2002
Sprinklers
Yes
Council
Resident
County
Clay
Last Inspection
Aug 14, 2025
Deficiencies (Cycle 1)
15
Weighted Score
79.0
Infection Citations
0

Deficiency Citations (45)

F0689Potential for Harm

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

Survey: Mar 30, 2026Corrected: NoCycle: 1
F0628Potential for Harm

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

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0688Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0678Immediate Jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: May 20, 2024Corrected: NoCycle: 3
F0550Potential for Harm

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

Survey: Mar 14, 2024Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 14, 2024Corrected: NoCycle: 3

+ 15 more deficiencies

Total Fines
$24,706
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineOct 30, 2023
$10,273
FineMay 20, 2024
$14,433
Payment DenialOct 30, 2023
7 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.26 hrs
National avg: 2.32 hrs
LPN0.58 hrs
National avg: 0.86 hrs
RN0.55 hrs
National avg: 0.69 hrs
Total Nursing3.38 hrs
National avg: 3.86 hrs
Weekend Total3.04 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (16)

NameRoleTypeOwnership %Since
GATEWAY HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 22, 2024
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 22, 2024
FELDMANN, BRUCEMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 1, 2024
KOENIG, DEBRAMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 22, 2024
BURNAM, SOONCORPORATE OFFICERIndividualN/AFeb 22, 2024
FELDMANN, BRUCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2024
KOENIG, DEBRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 22, 2024
JORGENSEN, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 8, 2025
KEETCH, CHADINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 8, 2025
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AJul 5, 2025
DEWEY HEALTH HOLDINGS LLCADP OF THE SNFOrganizationN/AMay 1, 2024
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMay 1, 2024
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationN/AMay 1, 2024
THE ENSIGN GROUP INCADP OF THE SNFOrganizationN/AMay 1, 2024
FELDMANN, BRUCEADP OF THE SNFIndividualN/AJul 5, 2025
KOENIG, DEBRAADP OF THE SNFIndividualN/AApr 14, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Spencer Post Acute Rehabilitation Center and nearby alternatives.

All Iowa facilities
Spencer Post Acute Rehabilitation Center
Spencer, IACurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $24,706
St Luke Lutheran Nursing Home
Spencer, IA2.2 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $90,076
Accura Healthcare of Milford
Milford, IA12.4 mi
CMS
4/5
Health
5/5
Staffing
3/5
Recorded fines: None
Ruthven Community Care Center
Ruthven, IA13.0 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Community Memorial Health Center
Hartley, IA16.9 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: $44,528
Accura Healthcare of Spirit Lake
Spirit Lake, IA19.0 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $34,567
Palo Alto County Hospital
Emmetsburg, IA23.5 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Spencer Post Acute Rehabilitation Center
Spencer, IA · Current facility
—2/52/52/5$24,706
St Luke Lutheran Nursing Home
Spencer, IA
2.2 mi2/51/55/5$90,076
Accura Healthcare of Milford
Milford, IA
12.4 mi4/55/53/5None recorded
Ruthven Community Care Center
Ruthven, IA
13.0 mi4/54/54/5None recorded
Community Memorial Health Center
Hartley, IA
16.9 mi3/52/55/5$44,528
Accura Healthcare of Spirit Lake
Spirit Lake, IA
19.0 mi2/52/54/5$34,567
Palo Alto County Hospital
Emmetsburg, IA
23.5 mi4/54/54/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Spencer Post Acute Rehabilitation Center?▾
Spencer Post Acute Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Spencer Post Acute Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Spencer Post Acute Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Spencer Post Acute Rehabilitation Center had any health inspection violations?▾
Spencer Post Acute Rehabilitation Center had 15 deficiency citations in its most recent health inspection (Aug 14, 2025). The current CMS dataset records 2 fine(s) totaling $24,706.
What are the staffing levels at Spencer Post Acute Rehabilitation Center?▾
Spencer Post Acute Rehabilitation Center provides 3.38 total nursing staff hours per resident per day, including 0.55 RN hours, 0.58 LPN hours, and 2.26 nurse aide hours.
How many beds does Spencer Post Acute Rehabilitation Center have?▾
Spencer Post Acute Rehabilitation Center has 82 certified beds with an average of 62.7 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.
Are there other nursing homes near Spencer Post Acute Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Spencer. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Spencer Post Acute Rehabilitation Center?▾
On Google Maps, Spencer Post Acute Rehabilitation Center has a rating of 5.0 out of 5 based on 3 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →