F

St Luke Lutheran Nursing Home

1301 Saint Luke Drive, Spencer, IA 51301
Score: 34 / 100

With a score of 34/100, St Luke Lutheran Nursing Home ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at St Luke Lutheran Nursing Home is near the national average, with 4.01 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 25 deficiencies at St Luke Lutheran Nursing Home, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.01 3.8 Average
Registered Nurses (RN) 0.88 0.7 Above Average
Licensed Practical Nurses (LPN) 0.63 0.7 Below Average
Certified Nursing Assistants (CNA) 2.51 2.4 Average
Weekend Total Nursing 3.42 3.8 Below Average
Weekend RN Hours 0.60 0.7 Below Average

🔍 Inspection & Deficiency History

25
Total Deficiencies
Sep 3, 2025
Most Recent Inspection
🟠 23 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 3, 2025 · Quality of Life and Care Deficiencies
  • Tag 0943 Severity E
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    Sep 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 3, 2025 · Resident Rights Deficiencies
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Sep 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Sep 3, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.5% 4.5% Worse
Falls with major injury 1.1% 3.0% Better
On antipsychotic medication 17.0% 14.5% Worse
Urinary tract infections 2.7% 2.5% Average
ADL decline (daily activities) 19.6% 14.0% Worse
Excessive weight loss 7.3% 7.5% Average
New/worsened incontinence 17.5% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $90,076

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -9 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
79
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 3, 2025
Deficiencies (Cycle 1)
9

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