Nursing HomeInspections

St Luke Lutheran Nursing Home

Nursing home in Spencer, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (712) 262-5931Send a messageMap ↗

Public-record details

Address
1301 Saint Luke Drive, Spencer, IA 51301
Phone
(712) 262-5931
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
165484
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
79
Average residents per day
73
Ownership
Nonprofit, corporation
Legal business name
St Luke Homes & Services INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 7, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165484. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 4, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 17, 2023 to Sep 4, 2025): 9 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 4, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 4, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 4, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 4, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 4, 2025Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Sep 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Aug 22, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 22, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 22, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 24. 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 $90,076 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 4, 2025Fine: $81,679
Aug 22, 2024Fine: $8,397
Aug 22, 2024Payment denial for 21 days from Sep 20, 2024

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
3.71 hours
Registered nurse (RN) time per resident per day
0.85 hours
Nurse aide time per resident per day
2.50 hours
Total nurse staffing on weekends
3.44 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
21%
Administrators who left in the past year
0

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.

Other nursing homes in Spencer

Spencer Post Acute Rehabilitation Center711 West 11th Street · Spencer, IA 51301 · (712) 262-2344 · For-profit45 health citations in 3 inspection cycles · last standard inspection Aug 14, 2025 · $24,706 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Spencer →