Spencer Post Acute Rehabilitation Center
711 West 11th Street, Spencer, IA 51301 · (712) 262-2344
For profit - Corporation · 82 certified beds
Spencer Post Acute Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 14 citations (the Iowa average is 6.5). It was fined 2 times in the last three years, $24,706 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 14, 2025 found 14 citations. What an inspection citation means
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 14, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.August 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to manage his or her financial affairs.August 14, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.August 14, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 14, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 14, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.August 14, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.August 14, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.August 14, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.August 14, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.August 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.August 14, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.August 14, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 4, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 30, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.May 20, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 14, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 14, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 14, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $14,433May 20, 2024
- Fine of $10,273October 30, 2023
- Medicare payment denial for 7 daysStarting November 24, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.38 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.55 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.58 | 0.56 | 0.86 |
| Nurse aides | 2.26 | 2.52 | 2.32 |
| Total nursing staff turnover | Not available | 44% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 82 |
| Average residents per day | 62.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- St Luke Lutheran Nursing Home Spencer · ★★★★★ 2 out of 5 stars
- Good Samaritan - Estherville Estherville · ★★★★★ 3 out of 5 stars
- Estherville Community Care Center Estherville · ★★★★★ 2 out of 5 stars
- Community Memorial Health Center Hartley · ★★★★★ 3 out of 5 stars
- Accura Healthcare of Milford Milford · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Spencer Post Acute Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.