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Nursing home report

Spencer Post Acute Rehabilitation Center

Spencer, IA · Medicare-certified · 82 beds

Needs attention
For-profitChain member
1 of 5 overall

Spencer Post Acute Rehabilitation Center in Spencer, IA has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection and quality measures ratings. It has had $14,433 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

Quality measures

Last inspection: March 30, 2026Penalties, last 24 months: $14,433recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

35.6%Worsening

Residents with a fall causing major injury

2.3%Improving

Residents with pressure ulcers (bedsores)

7.1%Improving

Residents with a urinary tract infection

3.9%Improving

Residents who lost too much weight

11.8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

20.2%Improving

Residents whose ability to walk got worse

14%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

21.5%Worsening

Short-stay residents newly given an antipsychotic

5.3%Worsening

Residents with a long-term catheter

1.5%Improving

Residents with new or worsening incontinence

35.7%Improving

Residents with depressive symptoms

25.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

94.4%Improving

Short-stay residents given the seasonal flu vaccine

77.2%Steady

Short-stay residents given the pneumonia vaccine

91.9%Worsening

What the inspectors found

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.

View the original federal record

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.

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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.

View the original federal record

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.

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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.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

Recent history

  1. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  2. INSPECTION

    Health inspection found 14 health deficiencies.

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  3. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,433 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $24,706 in total fines · 1 payment denial.

  • Federal fine

    May 20, 2024

    $14,433
  • Medicare/Medicaid payment denial

    Oct 30, 2023

    7 days
  • Federal fine

    Oct 30, 2023

    $10,273

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
58.1 residents on an average day (71% of 82 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years

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.