Montrose, IA

Montrose Health Center

4-star overall rating with 3-star inspections with $49,309 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

400 South 7th Street, Montrose, IA

(319) 463-5438

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

38

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.84

Registered nurse staffing

LPN hours / resident day

0.29

Licensed practical nurse staffing

Aide hours / resident day

2.40

Nurse aide staffing

Weekend hours

2.91

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
94.0%
4.4 pts better
93.4%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.7%
1.2 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 8.8%
4.0%
4.8 pts worse
11.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.0%
4.9%
3.9 pts better
5.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.3%
20.6%
2.3 pts better
19.6%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.3%
19.8%
0.5 pts better
16.7%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 16.8%
18.5%
1.7 pts better
16.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.0%
18.3%
8.3 pts better
14.9%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.7%
1.2 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.4%
26.0%
1.6 pts better
19.8%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 12.8%
4.3%
8.5 pts worse
5.1%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
84.3%
15 pts better
81.7%
17.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 2.2%
13.1%
10.9 pts better
12.0%
9.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.3%
73.3%
24 pts better
79.7%
17.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.9%
21.3%
2.6 pts worse
23.9%
About the same
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-02 · Fire 2025-10-02

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-09-19 · Fire 2024-09-19

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2024-04-25 · Fire 2024-04-25

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-10-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-13

F · Potential for more than minimal harm 2025-10-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-02

F · Potential for more than minimal harm 2024-09-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-19

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-09-19

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-10-10

F · Potential for more than minimal harm 2024-09-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-04-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-18

F · Potential for more than minimal harm 2024-04-25

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-04-18

F · Potential for more than minimal harm 2024-04-25

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-04-18

F · Potential for more than minimal harm 2024-04-25

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-24

E · Potential for more than minimal harm 2024-04-25

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 2024-04-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-02

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-10-09

G · Actual harm 2024-09-19

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 2024-10-08

D · Potential for more than minimal harm 2024-09-19

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-19

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 2024-10-08

D · Potential for more than minimal harm 2024-09-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-08

J · Immediate jeopardy 2024-04-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-10

G · Actual harm 2024-04-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-10

G · Actual harm 2024-04-25

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-25

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 2024-05-10

D · Potential for more than minimal harm 2024-04-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-25

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 2024-05-10

D · Potential for more than minimal harm 2024-04-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-25

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-05-10

G · Actual harm 2023-05-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-31

Penalties and ownership

What sits behind the stars

$25,740 2024-09-19

Fine

Fine · fine $25,740

Fine

$17,339 2024-04-25

Fine

Fine · fine $17,339

Fine

$6,230 2023-05-24

Fine

Fine · fine $6,230

Fine

Ownership

Holtkamp, Mark

5% Or Greater Direct Ownership Interest · Individual

50% 2 facilities 2020-03-01
Kidwell, Kevin

5% Or Greater Direct Ownership Interest · Individual

50% 2 facilities 2020-03-01
Healthcare Of Iowa Inc

Operational/Managerial Control · Organization

0% 1 facilities 2020-03-01
Holtkamp, Mark

Corporate Director · Individual

0% 2 facilities 2020-03-01
Holtkamp, Mark

Corporate Officer · Individual

0% 2 facilities 2020-03-01
Kidwell, Kevin

Corporate Director · Individual

0% 2 facilities 2020-03-01
Lee County Bank

5% Or Greater Security Interest · Organization

0% 2 facilities 2020-03-01
Payne, David M

W-2 Managing Employee · Individual

0% 1 facilities 2020-03-01

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3-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Southeast Iowa Healthcare Center

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5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
5 / 5
Fines
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#3

Birkwood Village of Fort Madison

Fort Madison, IA

2-star overall rating with 2-star inspections with $3,145 in total fines with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$3,145

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