328 Grand Ave, Spencer, IA 51301
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Spencer Post Acute Rehabilitation Center provides skilled nursing and rehabilitation services designed to help patients regain strength and independence. Our team in Spencer, Iowa delivers compassionate care focused on recovery, whether following surgery, injury, or illness. We're committed to supporting each person's path back to health.
Capacity
82 residents
Location
Spencer, IA
Status
Listed in a public registry
711 West 11th Street, Spencer, Iowa 51301
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 14, 2025, state inspectors cited 16 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 23 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.
Medicare fined Spencer Post Acute Rehabilitation Center 2 times in the last three years, $24,706 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 23 minutesBelow the Iowa average |
| Registered nurse time per resident, per day | 33 minutesBelow the Iowa average |
45 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 4, 2026 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
March 30, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide and implement an infection prevention and control program.
Honor the resident's right to manage his or her financial affairs.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide enough food/fluids to maintain a resident's health.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Ensure medication error rates are not 5 percent or greater.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Post nurse staffing information every day.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Reasonably accommodate the needs and preferences of each resident.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide and implement an infection prevention and control program.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that residents are free from significant medication errors.
Ensure medication error rates are not 5 percent or greater.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
Ensure services provided by the nursing facility meet professional standards of quality.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
2 fines totaling $24,706 and 1 Medicare payment denial in the last three years.
711 West 11th StreetSpencer, IA 51301
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State inspectors visited on August 14, 2025 and cited 16 health deficiencies, 2 of them from complaint investigations. The Iowa average is 6.5.
Nurses and aides spend 3 hours 23 minutes with each resident per day, including 33 minutes from registered nurses.
Yes. Medicare fined Spencer Post Acute Rehabilitation Center 2 times in the last three years, totaling $24,706.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.