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St Luke Lutheran Home

Nursing Home Facility

1301 Saint Luke Drive, Spencer, IA 51301

Assisted Living Nursing Home Care Continuing Care (CCRC) Senior Living
St Luke Lutheran Home

St Luke Lutheran Home is a senior care community located in Spencer, IA. It provides assisted living, nursing home care, continuing care (CCRC), and senior living for older adults in the Spencer area. To learn more or schedule a tour, call (712) 262-5931.

St Luke Lutheran Home is licensed for 79 beds, about typical for the area, where senior care communities in Clay County average about 81 beds.

Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Clay County average of roughly 84%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 9 deficiencies.

Residents receive about 3.7 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 44%.

The community is located in Clay County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 3/5

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 24 problems at St Luke Lutheran Home. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 9 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $90,076. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, 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 September 2025, after a complaint. Corrected by September 17, 2025.

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected September 2025, after a complaint. Corrected by September 17, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Inspected September 2025. Corrected by September 17, 2025.

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

    Keep residents' personal and medical records private and confidential.

    Inspected September 2025, after a complaint. Corrected by September 17, 2025.

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Inspected September 2025. Corrected by September 17, 2025.

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected September 2025, after a complaint. Corrected by September 17, 2025.

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

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

    Inspected September 2025. Corrected by September 17, 2025.

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

    Ensure each resident receives an accurate assessment.

    Inspected September 2025. Corrected by September 17, 2025.

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

    Provide and implement an infection prevention and control program.

    Inspected September 2025. Corrected by September 17, 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.

St Luke Lutheran Home offers assisted living, nursing home care, continuing care (CCRC), and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 79
  • Religious affiliation Lutheran
  • Occupancy 92%
  • Nursing hours per resident/day 3.7
  • Annual staff turnover 44%
  • Last health inspection September 2025

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