Nursing homeActive
St Luke Lutheran Nursing Home
1301 Saint Luke Drive, Spencer, IA 51301712262593179 certified beds · 73 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
24
● 0● 22● 2
Penalties · 3 yrs
$90,076
2 fines · 1 action
Last survey
2025-09-04
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-04 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2024-08-22 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-17 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-17Record 165484-20250904-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F550
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F583
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F604
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F609
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F641
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 165484-20250904-F943
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-05Record 165484-20240822-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F550
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F578
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F695
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 165484-20240822-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-25Record 165484-20240425-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-25Record 165484-20240425-F610
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-25Record 165484-20240425-F725
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-25Record 165484-20240425-F812
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-17Record 165484-20230817-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-17Record 165484-20230817-F690
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-17Record 165484-20230817-F725
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-17Record 165484-20230817-F804
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-04 | Civil money penalty | $81,679 | CMS · Penalties |
| 2024-08-22 | Civil money penalty | $8,397 | CMS · Penalties |
| 2024-08-22 | Denial of payment for new admissions Payment denial for 21 days, from 2024-09-20 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.85
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.71
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.44
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover44%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover21%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.7% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.2% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.7% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Chindlund, Katie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hughes, Mary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hunziker, Kenneth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Klein, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mills, Nancy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Ken Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stein, Dean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bcg Holdings Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clausen, Jerry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gcs Tech Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Halverson, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hoye, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hunziker, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jacobsen, Jenna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kading, Doug Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Koenecke, Mike Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kruse, Jane Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mechler, Deborah Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Millennium Rehab & Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nelson, Ken Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pingel, Dean Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schmidt, Sandi Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thrifty Drug Stores Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Winther Stave & Co LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Clay.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Spencer Post Acute Rehabilitation Center Spencer | 2.2 mi | 2026-06-04 | 0423 |
| Accura Healthcare of Milford Milford | 14.2 mi | 2025-07-31 | 010 |
| Ruthven Community Care Center Ruthven | 11.5 mi | 2025-10-02 | 040 |
| Accura Healthcare of Spirit Lake Spirit Lake | 20.6 mi | 2026-04-22 | 0181 |
| Community Memorial Health Center Hartley | 18.5 mi | 2026-01-22 | 0171 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |