ST Luke Lutheran Nursing Home
Spencer · 2.3 mi · 79 beds
Citations0Substantiated0
Spencer Post Acute Rehabilitation Center
711 West 11th Street, Spencer, IA, 51301
Nursing home82 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Spencer Post Acute Rehabilitation Center in Spencer, Iowa at its most recent standard inspection on 2025-08-14, 1 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $24,706. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
82certified beds
15deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $24,706
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.43
Potential for minimal harmThe least serious band.0
Most recentDEEDDDDDDDDDDDDEEEEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-03-30 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · F0567 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Develop 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 Deficiencies · F0656 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal 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.
Quality of Life and Care Deficiencies · F0693 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal 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.
Nutrition and Dietary Deficiencies · F0803 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-08-14 · standard survey · No actual harm, potential for more than minimal harm
Develop 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 Deficiencies · F0656 · 2024-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2024-08-22 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-08-22 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-08-22 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.38483
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$24,706
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Spencer Post Acute Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | NOT APPLICABLE | since 02/22/2024 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 02/22/2024 |
| FELDMANN, BRUCE | Individual | NOT APPLICABLE | since 05/01/2024 |
| KOENIG, DEBRA | Individual | NOT APPLICABLE | since 02/22/2024 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 02/22/2024 |
| FELDMANN, BRUCE | Individual | NOT APPLICABLE | since 05/01/2024 |
| KOENIG, DEBRA | Individual | NOT APPLICABLE | since 02/22/2024 |
| JORGENSEN, DAVID | Individual | NOT APPLICABLE | since 09/08/2025 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 09/08/2025 |
| PORT, BARRY | Individual | NOT APPLICABLE | since 07/05/2025 |
| DEWEY HEALTH HOLDINGS LLC | Organization | NOT APPLICABLE | since 05/01/2024 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2024 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Spencer Post Acute Rehabilitation Center a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165449.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction