Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 1 months.

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Owned by St Luke Homes, St Luke Lutheran Nursing Home is a facility that provides skilled nursing and rehabilitation care. The 79-bed home is well integrated into its neighborhood, with a Walk Score of 81, so most errands and services are within walking distance. Its occupancy rate of 86% shows that there is strong community trust in the setting.
Medicare, Medicaid, and private pay are accepted, giving families flexibility in their coverage arrangements. Residents stay an average of 182 days, including post-acute rehabilitation residents and those receiving longer-term nursing care.
Clinically, the home offers structured rehabilitation services and nursing care. It’s a practical choice for residents recovering from surgery or hospitalization. Total nurse staffing averages roughly 4 hours and 54 minutes per resident each day, with registered nurses available 54 minutes per day per resident, nursing aides providing 2 hours and 28 minutes of hands-on care, and licensed practical nurses contributing an additional 30 minutes.
Dining is traditional in the facility. There are continental and hot breakfast choices alongside lunch and dinner served in the main dining room. Residents have a variety and opportunity for structured meals.
State inspections identified areas where the home has worked to improve procedures, including response times to resident requests and the integrity of care protocols. A re-inspection in fall 2025 documented that prior concerns had been corrected. The facility has been operating in substantial compliance.
St Luke Lutheran Nursing Home is administrated by Ken Nelson.
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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
| 52 | 27 | This facility has 93% more total deficiencies than a typical Iowa nursing home (52 vs. IA avg 27).↑ 93% worse |
|
Deficiencies per year
| 8.7 | 4.5 | This facility has 93% more deficiencies per year than a typical Iowa nursing home (8.7 vs. IA avg 4.5).↑ 93% worse |
|
Deficiencies per inspection
| 2.5 | 1.8 | This facility has 39% more deficiencies per inspection than a typical Iowa nursing home (2.5 vs. IA avg 1.8).↑ 39% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 21 | 15 | This facility has 40% more total inspections than a typical Iowa nursing home (21 vs. IA avg 15).↑ 40% worse |
Iowa average 4.9
Last Health inspection on Sep 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 25 citations resulted from standard inspections; 5 of 25 resulted from complaint investigations; and 5 of 25 came from combined inspections (standard and complaint).
Iowa average: 0.6
Iowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
751 contractor hours this quarter
| Certified Nursing Assistant | 47 | 0 | 47 | 15,654 | 92 | 100% | 8.3 |
| Registered Nurse | 12 | 0 | 12 | 4,210 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,224 | 92 | 100% | 9.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,150 | 79 | 86% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,041 | 63 | 68% | 8.2 |
| Dietitian | 1 | 0 | 1 | 488 | 64 | 70% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 61 | 66% | 7.7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 471 | 61 | 66% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 454 | 58 | 63% | 7.8 |
| Administrator | 1 | 0 | 1 | 361 | 56 | 61% | 6.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 206 | 64 | 70% | 3.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 202 | 48 | 52% | 4.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 166 | 49 | 53% | 3.3 |
| Dental Services Staff | 0 | 1 | 1 | 76 | 20 | 22% | 3.8 |
| Medication Aide/Technician | 3 | 0 | 3 | 62 | 5 | 5% | 8.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 46 | 12 | 13% | 3.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 37 | 11 | 12% | 3.4 |
| Medical Director | 0 | 1 | 1 | 13 | 13 | 14% | 1 |
| Qualified Social Worker | 0 | 1 | 1 | 6 | 13 | 14% | 0.5 |
Includes penalties issued in 2024-2025
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
63% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for St Luke Lutheran Nursing Home from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Spencer's city center to St Luke Lutheran Nursing Home's address, calculated via Google Maps.
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St Luke Lutheran Nursing Home is located in Spencer, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Mill Pond |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ankeny | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
98.3%
Facility
98.3%
IA AVG
75.4%
Rank
#14 / 401 | +30% | 4.91
Facility
4.91
IA AVG
4.30
Rank
#52 / 241 | -16% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 9
Facility
9
IA AVG
21.7
Rank
#62 / 241 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 241 | - | 57 | - |
16
Facility
16
IA AVG
45
Rank
#439 / 528 | Phs Management, LLC | $13.9M
Facility
$13.9M
IA AVG
$7.0M
Rank
#32 / 242 | $6.9M
Facility
$6.9M
IA AVG
$3.1M
Rank
#34 / 242 | 49.4%
Facility
49.4%
IA AVG
46.3%
Rank
#177 / 242 | 165261 | ||||
| Valley View Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| Ramsey Village Continuing Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Drake) | 78
Facility
78
IA AVG
71
Rank
#119 / 407 |
85.8%
Facility
85.8%
IA AVG
75.4%
Rank
#93 / 401 | +14% | 4.04
Facility
4.04
IA AVG
4.30
Rank
#148 / 241 | -46% | -6% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 31
Facility
31
IA AVG
21.7
Rank
#188 / 241 | 4.4
Facility
4.4
IA AVG
4.1
Rank
#156 / 241 | 1 | 70 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M
Facility
$12.4M
IA AVG
$7.0M
Rank
#43 / 242 | $8.5M
Facility
$8.5M
IA AVG
$3.1M
Rank
#20 / 242 | 68.5%
Facility
68.5%
IA AVG
46.3%
Rank
#29 / 242 | 165514 | ||||
| St Luke Lutheran Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Spencer | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
86.1%
Facility
86.1%
IA AVG
75.4%
Rank
#91 / 401 | +14% | 4.90
Facility
4.90
IA AVG
4.30
Rank
#52 / 241 | +6% | +14% | $90.1k
Facility
$90.1k
IA AVG
$53.4k
Rank
#151 / 246 | 25
Facility
25
IA AVG
21.7
Rank
#173 / 241 | 5.0
Facility
5.0
IA AVG
4.1
Rank
#171 / 241 | 2 | 69 | - |
81
Facility
81
IA AVG
45
Rank
#45 / 528 | St Luke Homes & Services Inc | $7.5M
Facility
$7.5M
IA AVG
$7.0M
Rank
#107 / 242 | $4.8M
Facility
$4.8M
IA AVG
$3.1M
Rank
#82 / 242 | 64.4%
Facility
64.4%
IA AVG
46.3%
Rank
#48 / 242 | 165484 | ||||
| Ridgecrest Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Northwest Boulevard) | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
67.1%
Facility
67.1%
IA AVG
75.4%
Rank
#202 / 401 | -11% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#148 / 241 | +31% | -7% | $118.9k
Facility
$118.9k
IA AVG
$53.4k
Rank
#223 / 246 | 43
Facility
43
IA AVG
21.7
Rank
#213 / 241 | 7.2
Facility
7.2
IA AVG
4.1
Rank
#220 / 241 | 3 | 55 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Michael Beaderstadt | $15.8M
Facility
$15.8M
IA AVG
$7.0M
Rank
#20 / 242 | $8.1M
Facility
$8.1M
IA AVG
$3.1M
Rank
#23 / 242 | 51.1%
Facility
51.1%
IA AVG
46.3%
Rank
#156 / 242 | 165049 |
The legal owner and operator of St Luke Lutheran Nursing Home is Riverview Terrace(ALP) | S0040.
St Luke Lutheran Nursing Home has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, St Luke Lutheran Nursing Home's license number is 210409.
According to IA state health department records, St Luke Lutheran Nursing Home's license expires on January 31, 2027.
St Luke Lutheran Nursing Home's occupancy is 86%.
The team at St Luke Lutheran Nursing Home can be reached at [email protected].
Ken Nelson is the administrator of St Luke Lutheran Nursing Home.
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