St Luke Lutheran Nursing Home

1301 Saint Luke Drive, Spencer, IA 51301 · CCN 165484 · 79 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing5 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-09-04 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-22 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.35

state median 3.10

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.59

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

44%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $90,076 in fines.

DateTypeAmount
2025-09-04Fine$81,679
2024-08-22Fine$8,397
2024-08-22Payment Denialpayment denial

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: Potential for more than minimal harm: 22 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-09-04F0550Resident Rights DeficienciesEnot recorded
2025-09-04F0583Resident Rights DeficienciesDnot recorded
2025-09-04F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-04F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-04F0628Resident Rights DeficienciesDnot recorded
2025-09-04F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-04F0689Quality of Life and Care DeficienciesJnot recorded
2025-09-04F0880Infection Control DeficienciesDnot recorded
2025-09-04F0943Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-08-22F0550Resident Rights DeficienciesDnot recorded
2024-08-22F0578Resident Rights DeficienciesEnot recorded
2024-08-22F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-22F0686Quality of Life and Care DeficienciesDnot recorded
2024-08-22F0689Quality of Life and Care DeficienciesJnot recorded
2024-08-22F0695Quality of Life and Care DeficienciesEnot recorded
2024-08-22F0880Infection Control DeficienciesEnot recorded
2024-04-25F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-25F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-25F0725Nursing and Physician Services DeficienciesEnot recorded
2024-04-25F0812Nutrition and Dietary DeficienciesEnot recorded
2023-08-17F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-17F0690Quality of Life and Care DeficienciesDnot recorded
2023-08-17F0725Nursing and Physician Services DeficienciesDnot recorded
2023-08-17F0804Nutrition and Dietary DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “St Luke Lutheran Nursing Home, Spencer” at medicare.gov/care-compare.