Nursing home report
Spencer, IA · Medicare-certified · 82 beds
Spencer Post Acute Rehabilitation Center in Spencer, IA has an overall rating of 2 out of 5 stars, with 2-star health inspection, staffing, and quality ratings. Reported nursing staffing is 3.38 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Health inspections
Staffing
3.3848 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3848.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited August 2025 — limited pattern, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 14 health deficiencies.
Health inspection found 12 health deficiencies.
A federal fine of $14,433 was recorded.
On record with Medicare: 2 fines · $24,706 in total fines · 1 payment denial.
Federal fine
May 20, 2024
Medicare/Medicaid payment denial
Oct 30, 2023
Federal fine
Oct 30, 2023
Now operated by Spencer Post Acute Rehabilitation Center, previously Longhouse Northshire, LTD.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
