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Nursing homes and assisted living in Spencer, Iowa

Our directory lists 4 places to live with care in Spencer, Iowa: 2 nursing homes certified by Medicare or Medicaid, 1 assisted living community, and 1 residential care home. 2 of the 2 nursing homes are certified by Medicaid. All of them are in Clay County.

Call the place you’re interested in directly: hogaresparamayores.com doesn’t charge families or act as a go-between.

Spencer on the map of Iowa. Each dot is a place with official data.

The map loads as you scroll. Locations are approximate, based on the official records.

Sorted by Medicare’s overall rating (when there is one) and by name. Phone numbers and addresses come from the official records: confirm them when you call. Where the data comes from.

More care options in Spencer

Home health agencies1Hospice providers1

Nearby cities

Ruthven2 places · 12 miles awayMilford2 places · 13 miles awayHartley2 places · 18 miles awaySpirit Lake3 places · 19 miles awayEmmetsburg5 places · 23 miles awayEstherville3 places · 24 miles away

Frequently asked questions

How many nursing homes and assisted living communities are in Spencer?
Our directory lists 4 in Spencer, Iowa: 2 nursing homes certified by Medicare or Medicaid and 2 state-licensed assisted living or residential care homes. The data comes from CMS and the state’s licensing records.
How many accept Medicaid in Spencer?
2 of the 2 nursing homes are certified by Medicaid. Being certified doesn’t guarantee an open Medicaid spot: ask when you call. How Medicaid works.
How much does a nursing home cost in Spencer?
Each place sets its own prices. As a reference, the median cost of a nursing home in Iowa is $305 a day for a semi-private room (about $9,277 a month), and assisted living is $5,381 a month, according to CareScout 2025. Costs in Iowa.
Are there places with Spanish-speaking staff in Spencer?
No place in Spencer has told us yet whether its staff speaks Spanish. Ask when you call: it’s on the list of questions on every listing.
What’s the difference between a nursing home and assisted living?
A nursing home provides nursing and personal care for people who need a lot of help or are recovering after a hospital stay. Assisted living is housing with help bathing, dressing and taking medications, for people who don’t need nursing care around the clock. Types of care, explained.

Family guide to Iowa: what care settings are called there and how Medicaid helps. Questions about Medicaid, Medicare or a license? Who to call in Iowa.

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