Cycle 1
Health 2026-01-15 · Fire 2026-01-15
15 health deficiencies
Top issue: Resident Rights (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Monticello, MN
Cura of Monticello
3-star overall rating with 3-star inspections with $13,022 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1104 East River Street, Monticello, MN
(763) 271-2333
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
67
Certified beds
Average residents
63
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.32
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.26
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.64
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.22
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.85
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
4.67
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
5,787
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9888
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.91
Performance 20.55% · Measure score 1.91 · Achievement 1.91 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.39
Performance 6.52% · Measure score 4.39 · Achievement 4.39 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.77
Baseline 70.10% · Performance 64.35% · Measure score 0.77 · Achievement 0 · Improvement 0.77
Adjusted total nurse staffing
6.95
Baseline 5.02 hours · Performance 5.05 hours · Measure score 6.95 · Achievement 6.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.65% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 6% · Lower 95% interval 6.35% |
| Discharge to community | 49.97% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 42.22% · Lower 95% interval 39.61% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 91.67% |
95.27%
3.6 pts worse
|
Numerator 55 · Denominator 60 |
| Falls with major injury | 1.67% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 60 |
| Discharge self-care score | 51.11% |
53.69%
2.6 pts worse
|
Numerator 23 · Denominator 45 |
| Discharge mobility score | 44.44% |
50.94%
6.5 pts worse
|
Numerator 20 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 3.39% |
2.29%
1.1 pts worse
|
Numerator 2 · Denominator 59 · Adjusted rate 4.04% |
| Healthcare-associated infections requiring hospitalization | 6.52% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 6.14% |
8.2%
2.1 pts worse
|
Numerator 7 · Denominator 114 |
| Staff flu vaccination coverage | 14.51% |
42%
27.5 pts worse
|
Numerator 28 · Denominator 193 |
| Discharge function score | 62.22% |
56.45%
5.8 pts better
|
Numerator 28 · Denominator 45 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 92.31% |
96.28%
4 pts worse
|
Numerator 24 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 11.76% |
25.2%
13.4 pts worse
|
Numerator 4 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
97.3%
2.2 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 69.6% |
96.1%
26.5 pts worse
|
95.5%
25.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 69.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
3.9%
3.4 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
4.3%
2.3 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.6% · Q3 2.9% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 2.2% |
4.1%
1.9 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
12.4%
About the same
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.8% · Q3 16.1% · Q4 11.8% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.7% |
17.5%
3.8 pts better
|
16.7%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 13.8% · Q3 16.0% · Q4 13.8% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.5% |
22.5%
1 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.7% |
18.6%
3.1 pts worse
|
14.9%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q3 9.5% · Q4 35.7% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.8% |
2.3%
2.5 pts worse
|
1.0%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.7% · Q3 6.9% · Q4 3.9% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.6% |
24.8%
5.8 pts worse
|
19.8%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 55.8% · Q3 36.5% · Q4 21.4% · 4Q avg 30.6% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.4%
2.6 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 1.8% · Q4 6.4% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
88.6%
1 pts worse
|
81.7%
5.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 84.0% · Q3 95.0% · Q4 91.1% · 4Q avg 87.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 36.0% |
14.0%
22 pts worse
|
12.0%
24 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.0% · Observed 32.6% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.9%
1 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.3% · Q3 1.3% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.8% |
82.7%
30.9 pts worse
|
79.7%
27.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.2% |
23.1%
4.9 pts better
|
23.9%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 16.3% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-04-16 · Fire 2025-04-16
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2024-02-29 · Fire 2024-02-29
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-15
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2026-03-06
F · Potential for more than minimal harm
2026-01-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-03-06
D · Potential for more than minimal harm
2026-01-15
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-03-06
F · Potential for more than minimal harm
2025-04-16
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-01
F · Potential for more than minimal harm
2025-04-16
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-05-02
E · Potential for more than minimal harm
2025-04-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Not marked corrected
E · Potential for more than minimal harm
2025-04-16
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-12
E · Potential for more than minimal harm
2025-04-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-17
E · Potential for more than minimal harm
2025-04-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-12
D · Potential for more than minimal harm
2025-04-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-04-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-16
F · Potential for more than minimal harm
2024-02-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-29
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-29
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-29
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-04-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-28
D · Potential for more than minimal harm
2026-01-15
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-02-28
C · Minimal harm
2026-01-15
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2026-02-28
G · Actual harm
2025-04-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-27
D · Potential for more than minimal harm
2025-04-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-27
D · Potential for more than minimal harm
2024-02-29
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-09
J · Immediate jeopardy
2023-07-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-05
Penalties and ownership
What sits behind the stars
$0
2025-04-16
Payment Denial
Payment Denial · denial start 2025-05-10 · 17 days
17 day denial
$13,022
2023-07-12
Fine
Fine · fine $13,022
Fine
Ownership
Cura
5% Or Greater Direct Ownership Interest · Organization
Dirkes, Mark
Corporate Director · Individual
Nemec, Glenn
W-2 Managing Employee · Individual
Opatz, Tom
Corporate Director · Individual
Opatz, Tom
Corporate Officer · Individual
Smolen, Jennifer
W-2 Managing Employee · Individual
Struzyk, Fred
Operational/Managerial Control · Individual
Struzyk, Fred
Corporate Officer · Individual
Struzyk, Fred
Contracted Managing Employee · Individual
Tf Management LLC
Operational/Managerial Control · Organization
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5-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Park View Care Center
Buffalo, MN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Guardian Angels Care Center
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2-star overall rating with 2-star inspections with $98,353 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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