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.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
St Luke Lutheran Nursing Home
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Contact Information
Email:
ken.nelson@stlukelh.com
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
Iowa average 21.7
Citations per inspection
5
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).
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 04, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 04, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
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.
Filter by care type
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
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.
Spencer
89
69.6%
-8%
4.90
+14%
1
25
5.0
2
68
St Luke Homes & Services Inc
$7.4M
$4.0M
54.2%
165484
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near St Luke Lutheran Nursing Home
Spencer, IA 513016043
Spencer, IA 513016043
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
139
Employees
92
Contractors
47
Staff to resident ratio
2.04:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
42
Average shift
8 hours
8% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
30,484
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
85
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
6.8%
2,082 contractor hours this quarter
Certified Nursing Assistant: 31
Speech Language Pathologist: 4
Registered Nurse: 3
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Dental Services Staff: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
85 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
15 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
88%
3 Clinical Nurse Specialist
% of Days
71%
1 Dietitian
% of Days
70%
1 Mental Health Service Worker
% of Days
66%
1 Nurse Practitioner
% of Days
64%
1 Administrator
% of Days
63%
4 Speech Language Pathologist
% of Days
64%
1 Therapeutic Recreation Specialist
% of Days
43%
1 Physical Therapy Assistant
% of Days
70%
2 Dental Services Staff
% of Days
47%
2 Respiratory Therapy Technician
% of Days
58%
1 Physical Therapy Aide
% of Days
60%
1 Occupational Therapy Aide
% of Days
13%
1 Qualified Social Worker
% of Days
35%
1 Occupational Therapy Assistant
% of Days
11%
1 Medication Aide/Technician
% of Days
3%
1 Medical Director
% of Days
14%
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...
Guides for Better Senior Living
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