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

St Luke Lutheran Nursing Home

Spencer, IA · 79 certified beds · Last Life Safety survey September 4, 2025

CMS Certification Number 165484 · first certified July 2003

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IA

14 citations — more than 59% 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

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

The latest survey found 3 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to October 2026. This facility’s last Life Safety survey was September 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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Which alerts

2 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.

Physical environment (health survey)

4 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 14 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.

This facility14IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0852024-0832025-09
Citations at each Life Safety survey
Survey dateCitations
August 17, 20236
August 22, 20245
September 4, 20253

Most-cited tags

Most-cited tags at this facility
K-03632K-09142K-09202K-07612K-01611K-03241K-03741K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22024-08-22
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-08-22
K-0920Ensure proper usage of power strips and extension cords.22024-08-22
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-09-04
K-0161Use approved construction type or materials.12024-08-22
K-0324Provide properly protected cooking facilities.12025-09-04
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-08-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-08-17

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies6
Smoke Deficiencies4
Miscellaneous Deficiencies3
Construction Deficiencies1

Every citation on file

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

September 4, 2025 — 3 citations

Citations issued on September 4, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 25, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 25, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 25, 2025)

August 22, 2024 — 5 citations

Citations issued on August 22, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 26, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 26, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 26, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 26, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 26, 2024)

August 17, 2023 — 6 citations

Citations issued on August 17, 2023
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 23, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 23, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 23, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 23, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 23, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 5, 2023)

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