Federal inspection record · CMS data as of October 1, 2026
Montrose Health Center
400 South 7th Street, Montrose, IA · (319) 463-5438
- Certified beds
- 44
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1996
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Montrose Health Center carries 40.75 inspection points. That is fewer than 43% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care3D
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Administration1D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2025-10-02
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2024-09-19
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-04-25
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 30 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$43,079 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-19 | Fine | $25,740 |
| 2024-04-25 | Fine | $17,339 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts worse | 6.1% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts better | 20.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts better | 16.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.7 pts better | 6.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.4 pts better | 4.2% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better | 19.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9.6 pts worse | 13.7% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.6 pts better | 98.6% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 7.7% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.2 pts better | 97.6% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 15.9% | 20.7% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Holtkamp, Mark | 5% Or Greater Direct Ownership Interest · Individual | 50% | 2 facilities |
| Kidwell, Kevin | 5% Or Greater Direct Ownership Interest · Individual | 50% | 2 facilities |
| Healthcare Of Iowa Inc | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Holtkamp, Mark | Corporate Director · Individual | 0% | 2 facilities |
| Holtkamp, Mark | Corporate Officer · Individual | 0% | 2 facilities |
| Kidwell, Kevin | Corporate Director · Individual | 0% | 2 facilities |
| Lee County Bank | 5% Or Greater Security Interest · Organization | 0% | 2 facilities |
| Payne, David M | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
River Hills Village in Keokuk
Keokuk, IA · Unlimited Development, Inc.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 17 min
- Fines
- $0
-
Southeast Iowa Healthcare Center
Keokuk, IA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 51 min
- Fines
- $16,572
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Birkwood Village of Fort Madison
Fort Madison, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0