St Luke Lutheran Nursing Home — nursing home in Spencer, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 79 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 71.9 CMS, MDS-derived
CMS Certification Number: 165484
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 7, 2003
Ownership type: Non profit - Corporation
Operator (legal business name): St Luke Homes & Services Inc
CMS chain: Not part of a CMS-reported chain
Phone: (712) 262-5931
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Sep 4, 2025

Citations

38

24 health · 14 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E9	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$90,076

Payment denials

1

Latest

Sep 4, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165484
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 79
First approved: Jul 7, 2003
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 4, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 4, 2025	Health	Health Complaint, Health Standard	9	Immediate jeopardy	—	Open →
Aug 22, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Aug 22, 2024	Health	Health Complaint, Health Standard	7	Immediate jeopardy	—	Open →
Apr 25, 2024	Health	Health Complaint	4	Potential harm	—	Open →
Aug 17, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Aug 17, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Sep 4, 2025	Civil money penalty (fine)	$81,679	—	165484\|Fine\|135504
Aug 22, 2024	Denial of payment for new admissions	—	Sep 20, 2024 · 21 days	165484\|Payment Denial\|2024-09-20
Aug 22, 2024	Civil money penalty (fine)	$8,397	—	165484\|Fine\|79522

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E9	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 4, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Sep 17, 2025	Complaint
Sep 4, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 25, 2025
Sep 4, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 25, 2025
Sep 4, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 25, 2025
Sep 4, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 17, 2025	Complaint
Sep 4, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 17, 2025	Complaint
Sep 4, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 17, 2025
Sep 4, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 17, 2025	Complaint
Sep 4, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 17, 2025
Sep 4, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 17, 2025
Sep 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 17, 2025
Sep 4, 2025	F-0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 17, 2025
Aug 22, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Sep 5, 2024	Complaint
Aug 22, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 26, 2024
Aug 22, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 26, 2024
Aug 22, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 26, 2024
Aug 22, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 26, 2024
Aug 22, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 26, 2024
Aug 22, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 12, 2024
Aug 22, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 12, 2024
Aug 22, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2024
Aug 22, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2024
Aug 22, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 12, 2024
Aug 22, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 12, 2024
Apr 25, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 25, 2024	Complaint
Apr 25, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 25, 2024	Complaint
Apr 25, 2024	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 25, 2024	Complaint
Apr 25, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 25, 2024	Complaint
Aug 17, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 23, 2023
Aug 17, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 23, 2023
Aug 17, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 23, 2023
Aug 17, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 23, 2023
Aug 17, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 23, 2023
Aug 17, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 5, 2023
Aug 17, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 17, 2023
Aug 17, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 17, 2023
Aug 17, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 17, 2023
Aug 17, 2023	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.66

State avg 3.86US avg 3.90

Registered nurse (RN)0.90

State avg 0.74US avg 0.69

Licensed practical nurse0.26

State avg 0.56US avg 0.86

Nurse aide2.50

State avg 2.56US avg 2.35

Weekend total nurse3.36

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.49 (case-mix index 1.14).

Staff turnover

Total nursing staff turnover40.0%

State avg 44.1%US avg 45.3%

Registered nurse turnover15.4%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Sep 4, 2025
Cycle 1 health score: 115
Total weighted score: 120

Operating entity

St Luke Homes & Services Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

29

Organizations

10

Individuals

19

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Katie Chindlund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 22, 2018
Mary Hughes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 28, 1992
Kenneth Hunziker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 19, 2010
Amanda Klein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 20, 2010
Nancy Mills	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 28, 2023
Ken Nelson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 16, 2021
Dean Stein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 8, 2019
Jerry Clausen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2015
Gary Halverson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2017
David Hoye	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 4, 2023
Doug Kading	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 4, 2023
Mike Koenecke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 4, 2023
Dean Pingel	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2017
Jane Kruse	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2018
Deborah Mechler	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2015
Sandi Schmidt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2016
Bcg Holdings Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Bcg LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Ecsi Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Gcs Tech Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Iowa Health Care Association	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Millennium Rehab & Consulting Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 30, 2023
Thrifty Drug Stores Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Winther Stave & Co LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 17, 2012
Kenneth Hunziker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 2, 2025
Jenna Jacobsen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Ken Nelson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 2, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1301 Saint Luke Drive, Spencer, IA 51301
ZIP: 51301
County: Clay County FIPS 19041
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Spencer Post Acute Rehabilitation Center 711 West 11th Street, Spencer, IA 51301 CCN 165449	3.5 km	82		Jun 4, 2026	812 IJ1 harm	$25k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165484	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165484	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165484

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction