Nursing Homes · Spencer, IA
Nursing Homes · Medicare certified
St Luke Lutheran Nursing Home
1301 Saint Luke Drive · Spencer, IA 51301 · 79 certified beds
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About St Luke Lutheran Nursing Home
St Luke Lutheran Nursing Home is a nursing home in Spencer, Iowa. Its capacity is 79 beds, above the Iowa median of 57 for nursing homes. It is run by a for-profit operator and is part of Thrifty Drug Stores INC. It is Medicare certified. Its public inspection record shows 24 citations, the most recent on September 4, 2025. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.66 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
2.0Staffing
5.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (24)
Records from August 2023 to September 2025.
September 4, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
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 September 17, 2025.
September 4, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 4, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected September 17, 2025.
August 22, 2024
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity E: pattern, 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 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.
August 22, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
August 22, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected September 5, 2024.
August 22, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 12, 2024.
April 25, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 25, 2024.
April 25, 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 May 25, 2024.
April 25, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 25, 2024.
April 25, 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 May 25, 2024.
Penalties (3)
Total fines: $90,076
September 4, 2025 · Fine
CMS recorded a civil money penalty of $81,679 against this nursing home on September 4, 2025.
August 22, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting September 20, 2024, lasting 21 days (triggered by inspection on August 22, 2024).
August 22, 2024 · Fine
CMS recorded a civil money penalty of $8,397 against this nursing home on August 22, 2024.
Staffing
3.66 nurse hours per resident per day in Q2 2026, down from 3.86 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
- Parent company: Thrifty Drug Stores INC
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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