Nursing HomeInspections

Spencer Post Acute Rehabilitation Center

Nursing home in Spencer, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (712) 262-2344Send a messageMap ↗

Public-record details

Address
711 West 11th Street, Spencer, IA 51301
Phone
(712) 262-2344
Listed under
For-profit
Medicare CCN
165449
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
82
Average residents per day
63
Ownership
For-profit, corporation
Legal business name
Parker Creek Healthcare LLC
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 18, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165449. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 30, 2023 to Jun 4, 2026): 6 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 4, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Mar 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 14, 2025Honor the resident's right to manage his or her financial affairs.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 14, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Aug 14, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure 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.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $24,706 and 1 denial of Medicare payment for new admissions in the last three years.

May 20, 2024Fine: $14,433
Oct 30, 2023Fine: $10,273
Oct 30, 2023Payment denial for 7 days from Nov 24, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.38 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
3.04 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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