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.
August 22, 2024
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 12, 2024.
August 22, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0732Post nurse staffing information every day.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
May 20, 2024
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity J: isolated, immediate jeopardy. Corrected May 6, 2024.
March 14, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 12, 2024.
March 14, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 12, 2024.
March 14, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 12, 2024.
October 30, 2023
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 November 22, 2023.
October 30, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
October 30, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
October 30, 2023
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
October 30, 2023
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 November 22, 2023.
October 30, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
October 30, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity J: isolated, immediate jeopardy. Corrected November 9, 2023.
October 30, 2023
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
October 30, 2023
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.
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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