Riverview Terrace
State licensed1501 St. Luke Drive, Spencer, IA 51301
Assisted LivingMemory Care
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Medicare-certifiedSkilled Nursing
St Luke Lutheran Nursing Home
Spencer, IowaMedicare inspection record
About St Luke Lutheran Nursing Home
St Luke Lutheran Nursing Home brings together compassionate care and clinical expertise in Spencer, Iowa. Our skilled nursing and rehabilitation team supports recovery and healing through personalized treatment plans, helping residents regain independence and return home whenever possible.
Community at a glance
Capacity
79 residents
Location
Spencer, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1301 Saint Luke Drive, Spencer, Iowa 51301
Medicare inspection record
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 September 4, 2025, state inspectors cited 9 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 43 minutes with each resident a day, about the same as the Iowa average.
Medicare fined St Luke Lutheran Nursing Home 2 times in the last three years, $90,076 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 43 minutes |
| Registered nurse time per resident, per day | 51 minutesAbove the Iowa average |
| Nursing staff who left in the past year | 44% |
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
September 4, 2025 · Standard inspection · 9 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 17, 2025Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 17, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 17, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 17, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 17, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 17, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 17, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 17, 2025
August 22, 2024 · Standard inspection · 7 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 5, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 12, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 12, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 12, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 12, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 12, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 12, 2024
April 25, 2024 · Complaint investigation · 4 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected May 25, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected May 25, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 25, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 25, 2024
Fines and payment denials
2 fines totaling $90,076 and 1 Medicare payment denial in the last three years.
- September 4, 2025Fine: $81,679
- August 22, 2024Fine: $8,397
- August 22, 2024Payment denial, 21 days
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- St Luke Homes & Services Inc
- Medicare-certified beds
- 79
- Average residents per day
- 73
- Accepts
- Medicare and Medicaid
- First certified
- July 7, 2003
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165484
Location
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1301 Saint Luke DriveSpencer, IA 51301
7 other communities within 10 miles
Senior living near Spencer
328 Grand Ave, Spencer, IA 51301
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Spencer Post Acute Rehabilitation Center
Medicare-certified711 West 11th Street, Spencer, IA 51301
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Prices not published
Questions about St Luke Lutheran Nursing Home
How did St Luke Lutheran Nursing Home do on its last inspection?+
State inspectors visited on September 4, 2025 and cited 9 health deficiencies, 4 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at St Luke Lutheran Nursing Home?+
Nurses and aides spend 3 hours 43 minutes with each resident per day, including 51 minutes from registered nurses. 44% of nursing staff left over the past year.
Has St Luke Lutheran Nursing Home been fined by Medicare?+
Yes. Medicare fined St Luke Lutheran Nursing Home 2 times in the last three years, totaling $90,076.
Does Medicare cover skilled nursing?+
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.
How much does a nursing home cost?+
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.
What is the CMS star rating?+
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.