Iowa ›Spencer

St Luke Lutheran Nursing Home

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1301 Saint Luke Drive, Spencer, IA 51301 (opens Google Maps) · Clay County · (712) 262-5931· 79 certified beds · avg 73 residents/day · certified since Jul 7, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

1/5
Health inspection rating (on-site)
inspected Sep 4, 2025
2
Serious findings on record
most recent Sep 4, 2025
$90,076
Fines, last 3 years
4.62
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Sep 4, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 17, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Aug 22, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 5, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. E · Potential for more than minimal harm, pattern

    The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint F-0550

  3. E · Potential for more than minimal harm, pattern

    The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. F-0943

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Sep 4, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 4, 2025E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Sep 4, 2025E · Potential for more than minimal harm, patternThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 22, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 22, 2024E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Aug 22, 2024E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Aug 22, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Apr 25, 2024E · Potential for more than minimal harm, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Apr 25, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Apr 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Aug 17, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Aug 17, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Aug 17, 2023D · Potential for more than minimal harm, isolatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Aug 17, 2023D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 11
Serious citations (G–L): 1
2025
All citations: 9
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202340D
2024111J ▲
202591J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $90,076, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 4, 2025Fine$81,679
Aug 22, 2024Fine$8,397
Aug 22, 2024Payment Denial21 days from Sep 20, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.62
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 1.06
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.28
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.624.373.95top 35% in Iowa; top 20% in the U.S.
Registered Nurse hours1.060.850.69top 22% in Iowa; top 13% in the U.S.
Weekend total nurse staffing4.283.863.50top 25% in Iowa; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.650.510.48top 20% in Iowa; top 20% in the U.S.
Total nursing staff turnover (%)44.144.045.8bottom 44% in Iowa; top 48% in the U.S.
RN turnover (%)21.442.142.9top 23% in Iowa; top 16% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.71, RN 0.85, weekend 3.44.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.71 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for St Luke Lutheran Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
BCG Holdings INCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Brighton Consulting Group LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Cattail BCG LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Cattail INCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Chindlund, KatieIndividualOperational/Managerial ControlNOT APPLICABLE10/22/2018
Clausen, JerryIndividualCorporate DirectorNOT APPLICABLE03/01/2015
Ecsi INCOrganizationADP of the SNFNOT APPLICABLE10/01/2024
GCS Tech INCOrganizationADP of the SNFNOT APPLICABLE01/01/2025
Halverson, GaryIndividualCorporate DirectorNOT APPLICABLE03/01/2017
Hoye, DavidIndividualCorporate DirectorNOT APPLICABLE04/04/2023
Hughes, MaryIndividualOperational/Managerial ControlNOT APPLICABLE04/28/1992
Hunziker, KennethIndividualOperational/Managerial ControlNOT APPLICABLE01/19/2010
Hunziker, KennethIndividualADP of the SNFNOT APPLICABLE10/02/2025
Iowa Health Care AssociationOrganizationADP of the SNFNOT APPLICABLE10/01/2024
Jacobsen, JennaIndividualADP of the SNFNOT APPLICABLE01/01/2025
Kading, DougIndividualCorporate DirectorNOT APPLICABLE04/04/2023
Klein, AmandaIndividualOperational/Managerial ControlNOT APPLICABLE10/20/2010
Koenecke, MikeIndividualCorporate DirectorNOT APPLICABLE04/04/2023
Kruse, JaneIndividualCorporate OfficerNOT APPLICABLE03/01/2018
Mechler, DeborahIndividualCorporate OfficerNOT APPLICABLE03/01/2015

Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "What training do all staff get on dementia care and on spotting and reporting abuse?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "What is your policy on physical restraints, and what alternatives do you try first?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Spencer Post Acute Rehabilitation Center2.2 miSpencer, IA★☆☆☆☆1/5
Ruthven Community Care Center11.5 miRuthven, IA★★★★☆4/5
Accura Healthcare of Milford14.2 miMilford, IA★★★★☆5/5
Community Memorial Health Center18.5 miHartley, IA★★★☆☆2/5

Compare this facility with the 3 closest →

All facilities in Spencer →

Facility data as of CMS processing date 2026-08-01. CCN 165484.

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