Monticello, IA

Monticello Nursing & Rehab Center

3-star overall rating with 3-star inspections with $4,194 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

500 Pinehaven Drive, Monticello, IA

(319) 465-5415

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Healthcare Of Iowa

Operator or chain grouping

Approved since

1996-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars

Changed ownership

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

0.77

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.77

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.96

CMS adjusted RN staffing hours

Adjusted total hours

4.16

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,245

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.89% · Performance 21.85% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.95% · Performance 7.94% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.27

Baseline 58.21% · Performance 54.39% · Measure score 2.27 · Achievement 2.27 · Improvement 0.65

Adjusted total nurse staffing

3.01

Baseline 3.51 hours · Performance 3.93 hours · Measure score 3.01 · Achievement 3.01 · Improvement 1.36

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.69%	10.72% About the same	No Different than the National Rate · Eligible stays 74 · Observed rate 10.81% · Lower 95% interval 7.26%
Discharge to community	37.82%	50.57% 12.8 pts worse	Worse than the National Rate · Eligible stays 55 · Observed rate 29.09% · Lower 95% interval 27.94%
Medicare spending per beneficiary	0.74	1.02 0.3 pts better
Drug regimen review with follow-up	76.19%	95.27% 19.1 pts worse	Numerator 32 · Denominator 42
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 42
Discharge self-care score	61.76%	53.69% 8.1 pts better	Numerator 21 · Denominator 34
Discharge mobility score	38.24%	50.94% 12.7 pts worse	Numerator 13 · Denominator 34
Pressure ulcers or injuries, new or worsened	11.9%	2.29% 9.6 pts worse	Numerator 5 · Denominator 42 · Adjusted rate 11.55%
Healthcare-associated infections requiring hospitalization	7.94%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 4.17%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	17.09%	42% 24.9 pts worse	Numerator 20 · Denominator 117
Discharge function score	64.71%	56.45% 8.3 pts better	Numerator 22 · Denominator 34
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	27.27%	25.2% 2.1 pts better	Numerator 6 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.4	1.5 1.9 pts worse	1.9 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 4.0 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.4 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.4%	94.0% 4.6 pts worse	93.4% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 85.4% · Q3 88.6% · Q4 95.3% · 4Q avg 89.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.4%	95.2% 5.8 pts worse	95.5% 6.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.4%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 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 who have depressive symptoms	5.5%	4.0% 1.5 pts worse	11.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.1% · Q3 8.1% · Q4 5.0% · 4Q avg 5.5%
Percentage of long-stay residents who lose too much weight	1.3%	4.9% 3.6 pts better	5.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.4%	20.6% 4.2 pts better	19.6% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 17.9% · Q3 12.5% · Q4 15.8% · 4Q avg 16.4%
Percentage of long-stay residents who received an antipsychotic medication	20.2%	19.8% 0.4 pts worse	16.7% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 22.2% · Q3 15.6% · Q4 14.3% · 4Q avg 20.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 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	13.9%	18.5% 4.6 pts better	16.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 21.3% · Q3 11.8% · Q4 10.3% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.4%	18.3% 0.1 pts worse	14.9% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 20.6% · Q3 25.0% · Q4 11.1% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	1.7% 0.1 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.6% · Q3 1.9% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.5% 2.5 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	23.0%	26.0% 3 pts better	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 24.3% · Q3 17.3% · Q4 30.4% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers	14.0%	4.3% 9.7 pts worse	5.1% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 17.8% · Q3 16.4% · Q4 8.4% · 4Q avg 14.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.9%	84.3% 4.4 pts worse	81.7% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 65.0% · Q2 71.8% · Q3 87.2% · Q4 97.2% · 4Q avg 79.9%
Percentage of short-stay residents who had an outpatient emergency department visit	18.9%	13.1% 5.8 pts worse	12.0% 6.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 21.6% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.9% 0.7 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	68.3%	73.3% 5 pts worse	79.7% 11.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 68.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.7%	21.3% 5.4 pts worse	23.9% 2.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.7% · Observed 29.7% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-04 · Fire 2024-11-04

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

10 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-04

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-11-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-05

F · Potential for more than minimal harm 2024-11-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-11-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-11-04

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-11-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-12-01

E · Potential for more than minimal harm 2024-11-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-01

F · Potential for more than minimal harm 2023-11-30

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-12-28

F · Potential for more than minimal harm 2023-11-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-12-28

F · Potential for more than minimal harm 2023-11-30

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-12-10

F · Potential for more than minimal harm 2023-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-27

F · Potential for more than minimal harm 2023-11-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-08

F · Potential for more than minimal harm 2022-11-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-12-05

F · Potential for more than minimal harm 2022-11-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-12-05

F · Potential for more than minimal harm 2022-11-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-11-09

F · Potential for more than minimal harm 2022-11-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-11-08

E · Potential for more than minimal harm 2022-11-03

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-11-10

E · Potential for more than minimal harm 2022-11-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-12

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 2025-11-14

D · Potential for more than minimal harm 2025-11-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-14

D · Potential for more than minimal harm 2024-11-04

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 2024-11-14

D · Potential for more than minimal harm 2024-11-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-11-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-11-04

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 2024-11-14

D · Potential for more than minimal harm 2024-11-04

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-11-14

E · Potential for more than minimal harm 2023-11-30

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-11-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-11-30

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-12-22