Spencer Post Acute Rehabilitation Center
711 West 11th Street · Spencer, IA · 51301 · 7122622344
82 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $24,706 |
Inspection citations (45 in the current record)
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Potential for harm · D March 30, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 14, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 13, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 13, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
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.
Corrected September 13, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 13, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 13, 2025 · Pharmacy Service
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Potential for harm · D August 14, 2025
Ensure that residents are free from significant medication errors.
Corrected September 13, 2025 · Pharmacy Service
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Potential for harm · D August 14, 2025
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.
Corrected September 13, 2025 · Nutrition and Dietary
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Potential for harm · D August 14, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
Provide and implement an infection prevention and control program.
Corrected September 13, 2025 · Infection Control
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Potential for harm · D August 14, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 13, 2025 · Infection Control
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Potential for harm · D August 22, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 12, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
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.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 12, 2024 · Nursing and Physician Services
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Potential for harm · E August 22, 2024
Post nurse staffing information every day.
Corrected September 12, 2024 · Nursing and Physician Services
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Potential for harm · D August 22, 2024
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.
Corrected September 12, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
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.
Corrected September 12, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2024 | Fine | $14,433 |
| October 30, 2023 | Fine | $10,273 |
| October 30, 2023 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165449 · certified since July 18, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.