Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 0.85 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as St. Luke Lutheran Home
Spencer, IA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 0.85 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 4, 2025 cited 5 deficiencies.
View inspection evidenceCMS-published records list 59 ownership or control parties.
View ownership evidenceCMS records show a $81,679 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
66 currently connected nursing homes share this CMS organization identity with BRIGHTON CONSULTING GROUP LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 17, 2012
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2018
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 22, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 28, 1992
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 19, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 20, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 28, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 16, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 8, 2019
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 65 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 42 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 44 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 17 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 1 across IA, ND.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 17, 2012
Other facilities connected through this exact CMS organization identity: 1 across IA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Apr 4, 2023
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2018
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 22, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 28, 1992
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 19, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 20, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 28, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 16, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Aug 8, 2019
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2025)
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2024)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2024)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2023)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2023)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2023)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 17, 2023)
Penalties & enforcement
Published fine amount: $81,679.00
Published fine amount: $8,397.00
Payment denial length: 21 days
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 4.24 to 4.01 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
4.24 → 4.01
CMS · Reported in a source release · View related evidence
CMS recorded a $81,679 civil monetary penalty.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 21 days.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $8,397 civil monetary penalty.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.819 | 3.439 |
| RN categories | 0.939 | 0.645 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.039 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.235 | 0.819 | 0.656 | 2.755 | 4% | 91 |
| 2025Q3 | 4.013 | 0.876 | 0.627 | 2.505 | 0% | 92 |
| 2025Q4 | 3.858 | 0.893 | 0.505 | 2.451 | 0% | 92 |
| 2026Q1 | 3.71 | 0.854 | 0.359 | 2.401 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.