Nursing Homes, Home Health & Hospice in Clay County

Clay County, Iowa has 5 Medicare-certified care providers across 3 cities. Compare CMS ratings, inspections, staffing, and ownership by care type below.

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Royal, IA 1 facilities Spencer, IA 8 facilitiesAvg CMS rating 2.5 Spirit Lake, IA 1 facilitiesAvg CMS rating 4.0

Nursing Homes in Clay County

2 providers in Clay County: Spencer

Nursing Home · For profit - Corporation Spencer Post Acute Rehabilitation Center Spencer, IA 51301 CMS rating 2.0 / 582 beds Nursing Home · Non profit - Corporation St Luke Lutheran Nursing Home Spencer, IA 51301 CMS rating 2.0 / 579 beds

Home Health Agencies in Clay County

1 provider in Clay County: Spencer

Home Health Agency · NON-PROFIT AVERA AT HOME OF SPENCER HOSPITAL Spencer, IA 51301 CMS rating 3.5 / 5

Hospice in Clay County

2 providers in Clay County: Spencer, Spirit Lake

Hospice · Government AVERA @ HOME OF SPENCER HOSPITAL Spencer, IA 51301 Not CMS-rated Hospice · For-Profit ST CROIX HOSPICE Spirit Lake, IA 51360 CMS rating 4.0 / 5

Home Care Agencies in Clay County

1 provider in Clay County: Royal

Home Care Agency STAY IN HOME CARE, INC. Royal, IA 51357 Not CMS-rated

Senior Housing in Clay County

4 providers in Clay County: Spencer

Senior Housing · Project-Based Section 8 | Low-Income Housing Tax Credit (LIHTC) Spencer Manor Apartments Spencer, IA 51301 Not CMS-rated52 beds Senior Housing · Project-Based Section 8 Sunset Retirement Home - North Spencer, IA 51301 Not CMS-rated50 beds Senior Housing · Section 202 PRAC (Senior Housing) Sunset Retirement Home East Spencer, IA 51301 Not CMS-rated12 beds Senior Housing · Project-Based Section 8 Sunset Retirement Home South Spencer, IA 51301 Not CMS-rated28 beds

How to choose care in Clay County

Start by comparing CMS Five-Star ratings, which summarize health inspections, staffing, and quality measures. A high overall rating is a useful signal, but read the underlying inspection findings and staffing figures too - they show what is behind the score.

Families in Clay County should ask about Medicare and Medicaid participation, current openings, care planning, and how concerns are escalated after hours. In-person visits and direct questions remain the most reliable way to judge fit.

Frequently asked questions

How many Medicare-certified care providers are in Clay County?
The current CMS snapshot lists 5 certified providers in Clay County, Iowa: 2 nursing homes, 1 home health agencies, and 2 hospice programs.
Which cities in Clay County have care facilities?
Royal, Spencer, Spirit Lake have care providers listed according to the current snapshot. Open a city page for local listings.

Data sources

Source: CMS Provider Data Catalog, the CMS NPI registry, and HUD open data. Data processing date: 2026-10-06.

Important disclosures

Informational only, not medical advice. This directory publishes public data and general information. It does not provide medical advice, diagnosis, or treatment recommendations, and it is not a substitute for consulting a qualified health care professional or Medicare.

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Verify before you act. Facility information is derived from public federal datasets and may lag or contain errors. Always confirm current ratings, services, availability, and coverage directly with the provider and at Medicare.gov.

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