CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1654492026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Spencer Post Acute Rehabilitation Center

CMS lists this provider in Spencer, IA, with 82 certified beds, an overall rating of 1/5, and 81 citation rows in the current August 2026 release.

711 West 11Th Street · Spencer, IA 51301 · Clay County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds82CMS provider file
Recent citation rows81current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Spencer Post Acute Rehabilitation Center survey cycles in this release

CMS supplies 3 survey-cycle rows for Spencer Post Acute Rehabilitation Center in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-08-14162025-08-1414
Cycle 22024-08-22122024-08-2214
Cycle 32023-10-30172023-10-308
02 / CITATION DETAIL

Spencer Post Acute Rehabilitation Center citations in the current release

CMS reports 81 citation rows, including 3 with G–L codes and 2 with J–L codes.

3 rows carry G–L scope/severity codes; 2 carry J–L. 24 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-04 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-06-17 · complaint
2026-03-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2026-04-01 · complaint
2025-08-14 · HEALTHF0567Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0628Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0803Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2025-09-13
2025-08-14 · FIREK0161Severity F · widespread; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2025-09-11
2025-08-14 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-09-11
2025-08-14 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-09-11
2025-08-14 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-09-11
2025-08-14 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-09-12
2025-08-14 · FIREK0331Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Construct fire resistant interior walls.

Correction field: Deficient, Provider has date of correction · 2025-09-11
2025-08-14 · FIREK0346Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Correction field: Deficient, Provider has date of correction · 2025-08-22
2025-08-14 · FIREK0354Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Correction field: Deficient, Provider has date of correction · 2025-08-22
03 / ENFORCEMENT FILE

CMS penalties reported for Spencer Post Acute Rehabilitation Center

The August 2026 file contains 3 penalty rows and $24,706 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-05-20Fine$14,4330
2023-10-30Fine$10,2730
2023-10-30Payment Denial$07
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Spencer Post Acute Rehabilitation Center

CMS matched 16 ownership disclosure rows to Spencer Post Acute Rehabilitation Center; names and roles are reported fields, not independently verified identities.

  • GATEWAY HEALTHCARE LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 02/22/2024
  • BURNAM, SOONIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/22/2024
  • FELDMANN, BRUCEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/01/2024
  • KOENIG, DEBRAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/22/2024
  • BURNAM, SOONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 02/22/2024
  • FELDMANN, BRUCEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2024
  • KOENIG, DEBRAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/22/2024
  • JORGENSEN, DAVIDIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 09/08/2025
  • KEETCH, CHADIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 09/08/2025
  • PORT, BARRYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/05/2025
  • DEWEY HEALTH HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2024
  • ENSIGN SERVICES INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2024
  • STANDARD BEARER HEALTHCARE OP, LPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2024
  • THE ENSIGN GROUP INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2024
  • FELDMANN, BRUCEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/05/2025
  • KOENIG, DEBRAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/14/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Spencer Post Acute Rehabilitation Center

CMS reports 3.38 total nurse hours and 0.55 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.38per resident day
RN hours0.55per resident day
Weekend nurse hours3.04per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Facilities published near Spencer Post Acute Rehabilitation Center

The local peer set contains 1 other published facility record near Spencer, IA, with separate bed, rating, and citation-row fields.

Open the Spencer ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.