St Luke Lutheran Nursing Home
Spencer, Clay County, Iowa · CCN 165484 · Non-profit (Corporation) · not part of a chain
CMS rates St Luke Lutheran Nursing Home 2 of 5 overall as of August 2026. 79 certified beds, 73 residents a day on average. 24 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $90,076 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 3.70978 hours per resident per day |
|---|---|
| Registered nurses | 0.85433 hours per resident per day |
| Weekend total | 3.43889 hours per resident per day |
| Nursing staff turnover | 44.1% (registered nurses 21.4%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-09-04 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2024-08-22 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-05 |
| 2024-08-22 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-12 |
| 2024-08-22 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-12 |
| 2024-08-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-12 |
| 2024-08-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-12 |
| 2024-08-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-12 |
| 2024-04-25 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-04-25 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-04-25 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-04-25 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2023-08-17 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-17 |
| 2023-08-17 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-17 |
| 2023-08-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-17 |
| 2023-08-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-17 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-04 | Fine | $81,679 |
| 2024-08-22 | Payment denial for 21 days from 2024-09-20 | — |
| 2024-08-22 | Fine | $8,397 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bcg Holdings Inc. Organization | adp of the snf | — | 2024-10-01 |
| Brighton Consulting Group LLC Organization | adp of the snf | — | 2024-10-01 |
| Cattail Bcg LLC Organization | adp of the snf | — | 2024-10-01 |
| Cattail Inc. Organization | adp of the snf | — | 2024-10-01 |
| Ecsi Inc. Organization | adp of the snf | — | 2024-10-01 |
| Gcs Tech Inc. Organization | adp of the snf | — | 2025-01-01 |
| Iowa Health Care Association Organization | adp of the snf | — | 2024-10-01 |
| Millennium Rehab & Consulting Inc. Organization | adp of the snf | — | 2023-06-30 |
| Thrifty Drug Stores Inc. Organization | adp of the snf | — | 2025-01-01 |
| Winther Stave & Co LLP Organization | adp of the snf | — | 2012-10-17 |
| Hunziker, Kenneth Individual | adp of the snf | — | 2025-10-02 |
| Jacobsen, Jenna Individual | adp of the snf | — | 2025-01-01 |
| Nelson, Ken Individual | adp of the snf | — | 2025-10-02 |
| Clausen, Jerry Individual | corporate director | — | 2015-03-01 |
| Halverson, Gary Individual | corporate director | — | 2017-03-01 |
| Hoye, David Individual | corporate director | — | 2023-04-04 |
| Kading, Doug Individual | corporate director | — | 2023-04-04 |
| Koenecke, Mike Individual | corporate director | — | 2023-04-04 |
| Pingel, Dean Individual | corporate director | — | 2017-03-01 |
| Kruse, Jane Individual | corporate officer | — | 2018-03-01 |
| Mechler, Deborah Individual | corporate officer | — | 2015-03-01 |
| Schmidt, Sandi Individual | corporate officer | — | 2016-03-01 |
| Chindlund, Katie Individual | operational/managerial control | — | 2018-10-22 |
| Hughes, Mary Individual | operational/managerial control | — | 1992-04-28 |
| Hunziker, Kenneth Individual | operational/managerial control | — | 2010-01-19 |
| Klein, Amanda Individual | operational/managerial control | — | 2010-10-20 |
| Mills, Nancy Individual | operational/managerial control | — | 2023-07-28 |
| Nelson, Ken Individual | operational/managerial control | — | 2021-08-16 |
| Stein, Dean Individual | operational/managerial control | — | 2019-08-08 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for St Luke Lutheran Nursing Home.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Clay County.