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.
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.
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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.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 14 health deficiencies.
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INSPECTION
Health inspection found 12 health deficiencies.
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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.