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Data / Nursing homes / Iowa / Spencer Post Acute Rehabilitation Center

Spencer Post Acute Rehabilitation Center, Spencer, IA: 1 star rating, fined $24,706 across 2 fines and had 1 payment denial

Spencer Post Acute Rehabilitation Center in Spencer, IA is owned by Gateway Healthcare LLC, is rated 1 of 5 stars by Medicare, and was fined $24,706 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 45 health citations from inspections in that time, the latest survey on June 4, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
711 West 11th Street, Spencer, IA 51301
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
82
Residents per day
65 on average
Ownership type
For profit, corporation
Legal business name
Parker Creek Healthcare LLC
Chain
The Ensign Group, 347 facilities
Fines
$24,706 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
45, of which 3 with actual harm or immediate jeopardy
Latest survey
June 4, 2026
CMS Certification Number
165449
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 20, 2024Fine$14,433Not listeddata.cms.gov
October 30, 2023Fine$10,273Not listeddata.cms.gov
October 30, 2023Payment denialNot listedNovember 24, 20237data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 4, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJune 17, 2026data.cms.gov
March 30, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2026data.cms.gov
August 14, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F803Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F693Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 14, 2025F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 22, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F803Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F688Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
August 22, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2024data.cms.gov
May 20, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyPast noncomplianceMay 6, 2024data.cms.gov
March 14, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
March 14, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
March 14, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
October 30, 2023F760Ensure that residents are free from significant medication errors.J: isolated, immediate jeopardyCorrectedNovember 9, 2023data.cms.gov
October 30, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F688Provide 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: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 30, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (5 managers, 4 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Gateway Healthcare LLCDirect ownerNot listedFebruary 22, 2024data.cms.gov
Dewey Health Holdings LLCAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedMay 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.