Nursing Homes · Spencer, IA
Nursing Homes · Medicare certified
Spencer Post Acute Rehabilitation Center
711 West 11th Street · Spencer, IA 51301 · 82 certified beds
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About Spencer Post Acute Rehabilitation Center
Spencer Post Acute Rehabilitation Center is a nursing home in Spencer, Iowa. Its capacity is 82 beds, above the Iowa median of 57 for nursing homes. It is run by a for-profit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 45 citations, the most recent on March 30, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.54 hours per resident per day. It is one of 2 nursing homes listed in Spencer. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (45)
Records from July 2023 to March 2026.
March 30, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2026.
August 14, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0803Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 14, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 13, 2025.
August 22, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
Penalties (3)
Total fines: $24,706
May 20, 2024 · Fine
CMS recorded a civil money penalty of $14,433 against this nursing home on May 20, 2024.
October 30, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 24, 2023, lasting 7 days (triggered by inspection on October 30, 2023).
October 30, 2023 · Fine
CMS recorded a civil money penalty of $10,273 against this nursing home on October 30, 2023.
Staffing
3.54 nurse hours per resident per day in Q2 2026, up from 3.38 in Q1 2026.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of The Ensign Group, a chain of 347 nursing homes.
Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Spencer.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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