Occupancy rate
95%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
St Luke Lutheran Nursing Home
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
79
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.9%
Residents per day (avg)
68
Occupancy rate
94.9%
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 community
Operated by a church.
Home revenue
$7.5M
Operating deficit
-$627.3K
Voluntary non-profit community
Operated by a 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
In line with Iowa averageOccupied beds
75 / 79
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
February 7, 1967
County:
Clay
Additional licensing details
License number:
210409
CMS Certification Number:
165484
Certification type:
FALSE
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
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
Show Inspection Reports
Latest inspection
Date:October 28, 2025
22 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for St Luke Lutheran Nursing Home
The most recent inspection on October 28, 2025 found the facility in substantial compliance with all previously cited deficiencies corrected, and the related complaint was not substantiated. Earlier inspections showed a pattern of deficiencies related primarily to resident care issues such as timely reporting and investigation of abuse allegations, response to call lights, infection prevention, and food safety. Complaint investigations included some substantiated cases involving abuse reporting and inadequate care, but most complaints were found unsubstantiated. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility appears to have improved over time, correcting prior deficiencies and maintaining compliance in the most recent inspections.
Health Inspection History
Inspections
Total health inspections
5
Iowa average 4.9
Last Health inspection on Sep 2025
Total health citations
25
Citations per inspection
5
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
2 critical citations
0 serious citations
23 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
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
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
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
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
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
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
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
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
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
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
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
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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
68 residents
Residents by payment source
Medicare
2 residents (2.9%)
Medicaid
31 residents (45.6%)
Private pay or other
35 residents (51.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
14% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
9% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.0%
Percent of long-stay residents whose need for help with daily activities has increased
21.0%
12% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.2%
Percent of long-stay residents whose ability to move independently worsened
20.2%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
34% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
49% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
20% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.6%
Percent of long-stay residents with a urinary tract infection
4.6%
84% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.2%
Percent of long-stay residents who lose too much weight
10.2%
104% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
70% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.8%
Percent of long-stay residents who received an antipsychotic medication
12.8%
33% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
5% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
5% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.3%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
23% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.3%
20% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
179% higher than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$134K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2025
$126K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
$8K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 22, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Loading trend charts...
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