CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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.
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.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 15 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 22, 2024 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 22, 2024 |
| FELDMANN, BRUCE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2024 |
| KOENIG, DEBRA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 22, 2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Feb 22, 2024 |
| FELDMANN, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2024 |
| KOENIG, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 22, 2024 |
| JORGENSEN, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Sep 8, 2025 |
| KEETCH, CHAD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Sep 8, 2025 |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Jul 5, 2025 |
| DEWEY HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | May 1, 2024 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | May 1, 2024 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | N/A | May 1, 2024 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | N/A | May 1, 2024 |
| FELDMANN, BRUCE | ADP OF THE SNF | Individual | N/A | Jul 5, 2025 |
| KOENIG, DEBRA | ADP OF THE SNF | Individual | N/A | Apr 14, 2025 |
Compare CMS ratings and recorded fines for Spencer Post Acute Rehabilitation Center and nearby alternatives.
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.
This chain operates 346 facilities. View all →