Spencer Post Acute Rehabilitation Center
Nursing home in Spencer, IA
Medicare & Medicaid certified1★ overall (CMS)
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
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”.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 4, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| Mar 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Aug 14, 2025 | Honor the resident's right to manage his or her financial affairs. | D |
| Aug 14, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| Aug 14, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Aug 14, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Aug 14, 2025 | Provide enough food/fluids to maintain a resident's health. | D |
| Aug 14, 2025 | 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 |
| Aug 14, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| Aug 14, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
| Aug 14, 2025 | Ensure that residents are free from significant medication errors. | D |
| Aug 14, 2025 | 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 |
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, 2024 | Fine: $14,433 |
| Oct 30, 2023 | Fine: $10,273 |
| Oct 30, 2023 | Payment denial for 7 days from Nov 24, 2023 |
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
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.