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.

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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

Inspection record 30% of score 47
Serious harm & abuse 20% 88
Staffing 20% 20
Federal penalties 15% 41
Trend 10% 74
Context 5% 100

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-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)2 · $24,706

Inspection citations (45 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D August 14, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 13, 2025 · Pharmacy Service

  • Potential for harm · D August 14, 2025

    Ensure that residents are free from significant medication errors.

    Corrected September 13, 2025 · Pharmacy Service

  • 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

  • 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

  • Potential for harm · E August 14, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 13, 2025 · Infection Control

  • Potential for harm · D August 14, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 13, 2025 · Infection Control

  • Potential for harm · D August 22, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected September 12, 2024 · Resident Rights

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E August 22, 2024

    Post nurse staffing information every day.

    Corrected September 12, 2024 · Nursing and Physician Services

  • 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

  • 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

DateTypeAmount / length
May 20, 2024Fine$14,433
October 30, 2023Fine$10,273
October 30, 2023Payment Denial7 days

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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.