St Luke Lutheran Nursing Home
Nursing home in Spencer, Iowa, CMS certification number 165484
1301 Saint Luke Drive, Spencer, IA 51301 · Clay County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 79
- Certified for
- Medicare and Medicaid
- Last standard inspection
- September 4, 2025
- Deficiencies at that inspection
- 9
- Fines in 3 years
- $90,076 (2)
Does St Luke Lutheran Nursing Home take Medicare and Medicaid?
Yes to both. St Luke Lutheran Nursing Home is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 5 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours St Luke Lutheran Nursing Home reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.66
- Registered nurse hours
- 0.90
- Licensed practical nurse hours
- 0.26
- Nurse aide hours
- 2.50
- Weekend total hours
- 3.36
- Nursing staff turnover
- 40%
- Registered nurse turnover
- 15.4%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on September 4, 2025 and cited 9 deficiencies, plus 4 from complaint visits.
The visit before, on August 22, 2024, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined St Luke Lutheran Nursing Home 2 times in the past 3 years, for $90,076 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 71.9 residents live here, about 91% of its 79 certified beds.
- Certified beds
- 79
- Average residents per day
- 71.9
- Certified since
- July 7, 2003
- Part of a continuing care community
- Yes
- Resident or family council
- Resident
Who owns St Luke Lutheran Nursing Home
- Legal business name
- St Luke Homes & Services Inc
- Ownership type
- Non profit - Corporation
Other nursing homes near St Luke Lutheran Nursing Home
- Spencer Post Acute Rehabilitation Center711 West 11th Street, Spencer 51301
- Ruthven Community Care Center2701 Mitchell Street Box 0, Ruthven 51358
- Accura Healthcare of Milford1600 13th Street, Milford 51351
- Community Memorial Health Center231 North Eighth Avenue West, Hartley 51346
- Accura Healthcare of Spirit Lake1912 Zenith Avenue, Spirit Lake 51360
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run St Luke Lutheran Nursing Home, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about St Luke Lutheran Nursing Home
What is the CMS star rating of St Luke Lutheran Nursing Home?
2 out of 5 stars overall.
Does St Luke Lutheran Nursing Home accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at St Luke Lutheran Nursing Home?
9 cited at the last standard visit.
Who owns St Luke Lutheran Nursing Home?
St Luke Homes & Services Inc, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.