Show Inspection Reports
Total Health inspections
5
Near Iowa average
Iowa average:
4.9
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
St Luke Lutheran Nursing Home
St Luke Lutheran Nursing Home is a Nursing Home in Iowa
St Luke Lutheran Nursing… is a Nursing Home in Iowa
St Luke Lutheran Nursing Home
St Luke Lutheran Nursing Home is a Nursing Home in Iowa
St Luke Lutheran Nursing… is a Nursing Home in Iowa
St. Luke Lutheran Nursing Home is located in Spencer, Iowa. It provides compassionate care and a range of services for seniors. The facility is part of St. Luke Homes & Services, which offers various senior care options.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
79
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
69.6%
Residents per day (avg)
68
Occupancy rate
69.6%
Residents per day (avg)
68
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
63% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
22% of new residents, often for short stays.
Typical stay
1 years
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Voluntary non-profit home
Church
Home revenue
$7.5M
Operating deficit
-$627.3K
Voluntary non-profit home
Church
Home revenue
$7,463,168.00
Operating deficit
$-627,348.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.0M
79-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy Rate
95%
Occupied Beds
75 of 79
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
February 7, 1967
Additional licensing details
License number:
210409
CMS Certification Number:
165484
Certification type:
FALSE
County:
Clay
Ownership & operating entity
St Luke Lutheran Nursing Home is administrated by Ken Nelson.
Owner name:
Riverview Terrace(ALP) | S0040
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Contact Information
Email:
[email protected]
Fax:
7122624743
Amenities & Lifestyle
Programs & Activities
Specific Programs
Dining, Rehabilitation Services, Events
Dining & Nutrition
Food Description
Continental breakfast and hot breakfast options available, along with lunch and dinner served in the main dining room.
Meal Schedule
Breakfast: 6:00 AM - 10:30 AM; Lunch: 12:00 PM; Dinner: 5:45 PM
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
21 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:October 28, 2025
22 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
St Luke Lutheran Nursing Home
-7%
+14%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513016043
89
No
ST LUKE HOMES & SERVICES INC
69.6%
$7,408,376.00
$4,014,724.00
54.2%
67.70
4.9045
1
25
2
-7%+14%-8%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
St Luke Lutheran Nursing Home
Type of care:
SNF
AL
Community:
IA 513016043
Bed Count:
89
Pets Allowed:
No
Operator:
ST LUKE HOMES & SERVICES INC
CCN:
165484
Occupancy:
69.6%
Home Revenue:
$7,408,376.00
Payroll Costs:
$4,014,724.00
Payroll %:
54.2%
Avg Residents/Day:
67.70
Overall Rating:
Adj Nurse Hours:
4.9045
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
25
Severe Citations:
2
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
+14%
+14%
Occupancy vs State Avg:
-8%
-8%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near St Luke Lutheran Nursing Home
Spencer, IA 513016043
Spencer, IA 513016043
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
139
Total Staff
92
Employees
47
Contractors
30,484
Total Hours (Quarter)
42
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 15 | 9.2 | Yes |
| Licensed Practical Nurse | 13 | 9.7 | No |
| Certified Nursing Assistant | 85 | 8.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
5.6hs shift avg
Nursing Staff ⓘ
114 staff
8.6hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.1hs shift avg
Therapy Services ⓘ
10 staff
3.8hs shift avg
Activities & Recreation ⓘ
1 staff
7.9hs shift avg
Social Services ⓘ
1 staff
1.3hs shift avg
Dietary Services ⓘ
4 staff
7.8hs shift avg
Other Services ⓘ
3 staff
6.4hs shift avg
Contractor Analysis
6.8%
of total hours from contractors
2,082 contractor hours this quarter
Registered Nurse: 3
Certified Nursing Assistant: 31
Speech Language Pathologist: 4
Occupational Therapy Aide: 1
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Dental Services Staff: 1
Respiratory Therapy Technician: 2
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 54 | 31 | 85 | 16,976 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,040 | 91 | 100% | 9.7 |
| Registered Nurse | 12 | 3 | 15 | 3,271 | 91 | 100% | 9.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,503 | 80 | 88% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,335 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 509 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 466 | 60 | 66% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 441 | 58 | 64% | 7.6 |
| Administrator | 1 | 0 | 1 | 377 | 57 | 63% | 6.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 331 | 58 | 64% | 5.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 307 | 39 | 43% | 7.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 284 | 64 | 70% | 4.4 |
| Dental Services Staff | 1 | 1 | 2 | 197 | 43 | 47% | 4.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 165 | 53 | 58% | 2.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 108 | 55 | 60% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 49 | 12 | 13% | 4.1 |
| Qualified Social Worker | 0 | 1 | 1 | 40 | 32 | 35% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 10 | 11% | 3.6 |
| Medication Aide/Technician | 1 | 0 | 1 | 35 | 3 | 3% | 11.8 |
| Medical Director | 0 | 1 | 1 | 13 | 13 | 14% | 1 |
Health Inspection History
Total Health citations
25
15% above Iowa average
Iowa average:
21.7
5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
20 citations
Complaint investigations
10 citations
Breakdown of citations
Critical Health citations
2
233% above Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
23
Minor Health citations
0
Citations history (last 3 years)
Abuse/Neglect moderate citation
Sep 04, 2025
Corrected
Abuse/Neglect moderate citation
Sep 04, 2025
Corrected
Abuse/Neglect moderate citation
Sep 04, 2025
Corrected
Infection Control moderate citation
Sep 04, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
68
Total Residents
Medicare
2
(2.9%)
ⓘ
Medicaid
31
(45.6%)
ⓘ
Private Pay/Other
35
(51.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
11.7
14% worse than Iowa average
Iowa average:
10.2
Functional decline score
19.6
9% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
21.0%
12% above Iowa average.
Walking Ability Worsened
20.2%
3% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
17.4%
34% below Iowa average.
Safety & clinical stability
Falls with Major Injury
1.8%
49% below Iowa average.
High Risk Residents with Pressure Ulcers
5.2%
20% above Iowa average.
Urinary Tract Infection
4.6%
84% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
1.2%
70% below Iowa average.
Antipsychotic Use
12.8%
33% below Iowa average.
Preventive care
Pneumococcal Vaccine
89.3%
5% below Iowa average.
Influenza Vaccine
90.8%
5% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
10.2%
104% above Iowa average.Short-stay resident measures
Pneumococcal Vaccine
85.3%
Near Iowa average
Antipsychotic medication increase
2.3%
23% worse than Iowa average
Influenza Vaccine
58.3%
20% worse than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$134K
This home paid 179% more in fines than the state average.
Iowa average:
$48K
Number of Fines
2
This home received 18% more fines than the state average.
Iowa average:
1.7
Payment Denials
1
This home had 88% more payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Sep 4, 2025
$126K
Civil Money Penalty
Aug 22, 2024
$8K
Payment Denial
Aug 22, 2024
21 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for St Luke Lutheran Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
69.6%
↑ 1.5pp vs 2022
Net Income
-$627,348
↓ ~$306K vs 2022
Total Payroll
$4,805,134
↓ ~$156K vs 2022
Profit Margin
-8.5%
↓ 3.5pp vs 2022
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