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.
August 17, 2023
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2023.
August 17, 2023
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 17, 2023.
August 17, 2023
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2023.
August 17, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2023.
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.
Nearby alternatives
Other licensed providers in Spencer.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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