Spencer Post Acute Rehabilitation Center: Staffing, Turnover, and Inspection Record
Spencer Post Acute Rehabilitation Center is a 82-bed for-profit nursing home in Spencer, Iowa, part of The Ensign Group. In the CMS August 2026 release it reported 2.26 nurse aide hours per resident per day, 10% below the Iowa average of 2.51.
Spencer Post Acute Rehabilitation Center
711 West 11th StreetSpencer, IA 51301
Clay County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Spencer Post Acute Rehabilitation Center, nurse aides logged 2.26 hours per resident per day, 10% below the Iowa average. With about 63 residents a day, that works out to roughly 142 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.26 | 2.51 | 2.32 |
| Licensed practical nurses | 0.58 | 0.56 | 0.86 |
| Registered nurses | 0.55 | 0.74 | 0.69 |
| All nursing staff | 3.38 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.04 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Spencer Post Acute Rehabilitation Center in this release.
CMS note: Staffing data did not meet the criteria to calculate turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $24,706 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 20, 2024 | Fine | $14,433 |
| Oct 30, 2023 | Fine | $10,273 |
| Oct 30, 2023 | Payment Denial | 7 days from Nov 24, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Spencer Post Acute Rehabilitation Center holds 1 of 5 overall; the Iowa average is 3.1.
About Spencer Post Acute Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Parker Creek Healthcare LLC
- Medicare and Medicaid certified since: Jul 18, 2002
- Councils: resident council
- Area: rural
Nursing homes near Spencer Post Acute Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| St Luke Lutheran Nursing Home Spencer | 2.2 | 79 | 2.50 | 3.71 | 44.1% | 2 | $90,076 |
| Accura Healthcare of Milford Milford | 12.4 | 46 | 2.23 | 3.53 | 30.2% | 4 | None |
| Ruthven Community Care Center Ruthven | 13.0 | 46 | 2.23 | 3.33 | 35.0% | 4 | None |
| Community Memorial Health Center Hartley | 16.8 | 62 | 2.52 | 4.02 | 41.1% | 3 | $44,528 |
| Accura Healthcare of Spirit Lake Spirit Lake | 19.0 | 80 | 2.27 | 3.54 | 40.8% | 2 | $34,567 |
| Palo Alto County Hospital Emmetsburg | 23.5 | 22 | 1.57 | 3.07 | 17.6% | 4 | None |
| Lakeside Lutheran Home Emmetsburg | 23.9 | 55 | 3.00 | 4.11 | 37.2% | 3 | None |
| Emmetsburg Care Center Emmetsburg | 24.1 | 46 | 2.67 | 3.66 | 56.9% | 1 | $25,695 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.