Nursing Homes, Home Health & Hospice in Clay County

Clay County, Iowa is home to 5 Medicare-certified care providers across 3 cities. Use the care-type sections below to compare CMS ratings, inspections, staffing, and ownership.

Browse the Iowa directory or jump to a city:

Royal, IA 1 facilities Spencer, IA 11 facilitiesAverage CMS rating 2.5 Spirit Lake, IA 1 facilitiesAverage 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 No CMS rating 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 No CMS rating

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 No CMS rating52 beds Senior Housing · Project-Based Section 8 Sunset Retirement Home - North Spencer, IA 51301 No CMS rating50 beds Senior Housing · Section 202 PRAC (Senior Housing) Sunset Retirement Home East Spencer, IA 51301 No CMS rating12 beds Senior Housing · Project-Based Section 8 Sunset Retirement Home South Spencer, IA 51301 No CMS rating28 beds

Hospitals in Clay County

1 provider in Clay County: Spencer

Hospital · Government - Local Spencer Municipal Hospital Spencer, IA 51301 CMS rating 4.0 / 5

Dialysis Facilities in Clay County

1 provider in Clay County: Spencer

Dialysis Facility · Non-profit Warner Dialysis Center Spencer Spencer, IA 51301 CMS rating 4.0 / 5

Community Health Centers in Clay County

1 provider in Clay County: Spencer

Community Health Center Community Health Center of Spencer Spencer, IA 51301 No CMS rating

Choosing care in Clay County

A sensible first step is to line up the CMS Five-Star ratings, since they distill health inspections, staffing, and quality measures into one score. Treat a strong overall rating as a starting signal, then dig into the inspection findings and staffing numbers that produced it.

For families in Clay County, the key questions are Medicare and Medicaid participation, current openings, how care plans are set, and how problems are escalated overnight or on weekends. A personal visit plus direct questions is still the surest way to judge whether a provider fits.

Frequently asked questions

How many Medicare-certified care providers does Clay County have?

According to current CMS data, Clay County, Iowa has 5 certified providers: 2 nursing homes, 1 home health agencies, and 2 hospice programs.

Which cities in Clay County have care providers?

Based on the current data, Royal, Spencer, Spirit Lake have care providers listed. Open a city page for local listings.

Data sources

Data source: CMS Provider Data Catalog, the CMS NPI registry, and HUD open data. Data as of 2026-10-06.

Required disclosures

For general information only, not medical advice. This website shares public data and general information. It does not offer medical advice, diagnosis, or treatment guidance, and it cannot replace a consultation with a qualified health care professional or with Medicare.

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Confirm details before acting. Facility records come from public federal datasets and may lag or contain errors. Always verify current ratings, services, availability, and coverage directly with the provider and on Medicare.gov.

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