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Spencer Post Acute Rehabilitation Center

Nursing Home Facility

711 West 11th Street, Spencer, IA 51301

Nursing Home Care Senior Living
Spencer Post Acute Rehabilitation Center

Spencer Post Acute Rehabilitation Center is a senior care community located in Spencer, IA. It provides nursing home care and senior living for older adults in the Spencer area. To learn more or schedule a tour, call (712) 262-2344.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

Spencer Post Acute Rehabilitation Center is licensed for 82 beds, about typical for the area, where senior care communities in Clay County average about 81 beds.

Federal reporting puts occupancy at about 76% of its licensed beds. That is below the Clay County average of roughly 84%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2025 and recorded 16 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.6 hours from a registered nurse.

The community is located in Clay County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 45 problems at Spencer Post Acute Rehabilitation Center. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 6 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $24,706. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected June 2026, after a complaint. Corrected by June 17, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected March 2026, after a complaint. Corrected by April 1, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to manage his or her financial affairs.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected August 2025. Corrected by September 13, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected August 2025. Corrected by September 13, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected August 2025. Corrected by September 13, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Spencer Post Acute Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 82
  • Occupancy 76%
  • Nursing hours per resident/day 3.4
  • Last health inspection August 2025

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