Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Spencer Post Acute Rehabilitation Center

Spencer, IA · 82 certified beds · Last Life Safety survey August 14, 2025

CMS Certification Number 165449 · first certified July 2002

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

Ownership changed May 1, 2024 (change of ownership)from LONGHOUSE-NORTHSHIRE, LTD

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IA

36 citations — more than 99% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 14 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most IA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was August 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 36 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 36 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	36
Median facility in IA	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 30, 2023	8
August 22, 2024	14
August 14, 2025	14

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2025-08-14
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-08-14
K-0363	Install corridor and hallway doors that block smoke.	3	2025-08-14
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2025-08-14
K-0222	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.	2	2025-08-14
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	2	2025-08-14
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	2	2025-08-14
K-0161	Use approved construction type or materials.	2	2025-08-14

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 7
Miscellaneous Deficiencies 6
Egress Deficiencies 5
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	7
Miscellaneous Deficiencies	6
Egress Deficiencies	5
Emergency Preparedness Deficiencies	2
Construction Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 14, 2025 — 14 citations

Citations issued on August 14, 2025
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (September 11, 2025)
K-0222	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.	Deficient, Provider has date of correction (September 11, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (September 11, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (September 11, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 12, 2025)
K-0331	Construct fire resistant interior walls.	Deficient, Provider has date of correction (September 11, 2025)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (August 22, 2025)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (August 22, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 11, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 11, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (September 11, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 11, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (September 11, 2025)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (September 12, 2025)

August 22, 2024 — 14 citations

Citations issued on August 22, 2024
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (September 22, 2024)
K-0222	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.	Deficient, Provider has date of correction (September 11, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (September 9, 2024)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (September 12, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 13, 2024)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (September 12, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (September 22, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 22, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (September 12, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 12, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (September 22, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 27, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (September 12, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (September 22, 2024)

October 30, 2023 — 8 citations

Citations issued on October 30, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (November 10, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 1, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (November 9, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 14, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 14, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 10, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 14, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 15, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.