Nursing homes › Iowa › Spencer Post Acute Rehabilitation Center
711 West 11Th Street, Spencer, IA 51301 · 7122622344 · 82 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.38 (Iowa median: 3.69). RN hours: 0.55. Weekend total: 3.04.
All-time on record: 45 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-01 |
| 2025-08-14 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2025-09-13 |
| 2025-08-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-09-13 |
| 2025-08-14 | Honor the resident's right to manage his or her financial affairs. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | 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. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | 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. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-09-13 |
| 2025-08-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-09-13 |
| 2024-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-12 |
| 2024-08-22 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2024-09-12 |
| 2024-08-22 | Post nurse staffing information every day. | E | Health | corrected 2024-09-12 |
| 2024-08-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-09-12 |
| 2024-08-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-12 |
| 2024-08-22 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-09-12 |
| 2024-08-22 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-09-12 |
| 2024-08-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-09-12 |
| 2024-08-22 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-09-12 |
| 2024-08-22 | 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. | D | Health | corrected 2024-09-12 |
| 2024-08-22 | 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. | D | Health | corrected 2024-09-12 |
| 2024-08-22 | 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. | D | Health | corrected 2024-09-12 |
| 2024-05-20 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2024-05-06 |
| 2024-03-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-04-12 |
| 2024-03-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-04-12 |
| 2024-03-14 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-04-12 |
| 2023-10-30 | Ensure that residents are free from significant medication errors. | J | Health | corrected 2023-11-09 |
| 2023-10-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | 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. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | 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. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-11-22 |
| 2023-10-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-11-22 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-20 | Fine | $14,433 |
| 2023-10-30 | Fine | $10,273 |
| 2023-10-30 | Payment Denial | 7 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/22/2024 |
| BURNAM, SOON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/22/2024 |
| FELDMANN, BRUCE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2024 |
| KOENIG, DEBRA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/22/2024 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 02/22/2024 |
| FELDMANN, BRUCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2024 |
| KOENIG, DEBRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/22/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165449. Corrections: data@carerecords.org.