Nursing homeFAID #4338
Spencer Post Acute Rehabilitation Center
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
82
CMS facility ID
165449
Care type
Nursing home
County
Clay
Facility name
Spencer Post Acute Rehabilitation Center
Street address
711 WEST 11TH STREET
City / state / ZIP
Spencer, IA 51301
Phone
(712) 262-2344
Website
About this facility — Spencer Post Acute Rehabilitation Center
Spencer Post Acute Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Spencer, Iowa. It is licensed for 82 beds — above the median for skilled nursing facilities in Iowa (57 beds).
It is one of 6 senior care facilities in Spencer and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Spencer Post Acute Rehabilitation Center 81 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $24,706 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
The Ensign Group
Ownership type
For profit - Corporation
Registered owners & officers
Burnam, Soon
Governing body · Officer — since 2024
Dewey Health Holdings Llc
Additional disclosable party — since 2024
Ensign Services Inc
Additional disclosable party — since 2024
Feldmann, Bruce
Governing body · Operational control · Additional disclosable party — since 2024
Gateway Healthcare Llc
Direct owner — since 2024
Jorgensen, David
Owner of a disclosable party — since 2025
Keetch, Chad
Owner of a disclosable party — since 2025
Koenig, Debra
Governing body · Operational control · Additional disclosable party — since 2024
Port, Barry
Owner of a disclosable party — since 2025
Standard Bearer Healthcare Op, Lp
Additional disclosable party — since 2024
The Ensign Group Inc
Additional disclosable party — since 2024
Regulatory standing
Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-07-18
CMS overall rating
1 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
$24,706 total
Last standard inspection
2025-08-14
Nurse staffing
3.4 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$353 per day (≈ $10,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 8% Medicare · 35% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
3% above the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
82
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-04Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-17
2026-03-30Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-01
8 earlier / fire-safety inspections (79 citations)
2025-08-14Health inspection14 citations
F-0567
D · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-09-13
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-13
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-13
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-13
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-13
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-13
F-0693
D · No harm found
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.
Corrected 2025-09-13
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-13
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-13
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-09-13
F-0803
D · No harm foundFood safety
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.
Corrected 2025-09-13
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-13
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-13
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-13
2024-08-22Health inspection12 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-12
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-12
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-12
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-12
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-12
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-12
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-09-12
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2024-09-12
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-09-12
F-0803
D · No harm foundFood safety
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.
Corrected 2024-09-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-12
2024-05-20Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-05-06
2024-03-14Health inspectionComplaint-triggered3 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-12
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-12
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-04-12
2023-10-30Health inspection13 citations
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-22
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-11-22
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-22
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-22
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-22
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-22
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-11-22
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-22
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-22
F-0760
J · Immediate jeopardy
Ensure that residents are free from significant medication errors.
Corrected 2023-11-09
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-11-22
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-22
2025-08-14Fire-safety inspection14 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2025-09-11
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-09-11
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-11
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-11
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-09-12
K-0331
F · No harm found
Construct fire resistant interior walls.
Corrected 2025-09-11
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-08-22
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-08-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-11
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-11
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-11
K-0922
F · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-09-12
2024-08-22Fire-safety inspection14 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-09-22
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-09-11
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2024-09-09
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-09-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-13
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-09-12
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-22
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-09-22
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2024-09-12
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-09-12
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-27
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-12
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-22
2023-10-30Fire-safety inspection8 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-11-10
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-12-01
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-09
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-14
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-11-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-11-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-15
Federal penalties
2024-05-20Fine$14,433
2023-10-30Fine$10,273
2023-10-30Medicare payment denial — 7 days
Total fines$24,706
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165449.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 81 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered