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

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

0.84

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.29

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.53

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

2.91

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.01

CMS adjusted RN staffing hours

Adjusted total hours

4.26

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,987

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

Performance score

31.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9863

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.33

Baseline 19.40% · Performance 20.35% · Measure score 2.33 · Achievement 2.33 · Improvement 0

Healthcare-associated infections

0.98

Baseline 6.57% · Performance 7.54% · Measure score 0.98 · Achievement 0.98 · Improvement 0

Total nurse turnover

5.69

Baseline 47.50% · Performance 40.43% · Measure score 5.69 · Achievement 5.69 · Improvement 2.62

Adjusted total nurse staffing

3.44

Baseline 3.62 hours · Performance 4.06 hours · Measure score 3.44 · Achievement 3.44 · Improvement 1.51

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.57%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 8.96% · Lower 95% interval 5.95%
Discharge to community	59.3%	50.57% 8.7 pts better	No Different than the National Rate · Eligible stays 48 · Observed rate 62.5% · Lower 95% interval 48.57%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	96.3%	95.27% 1 pts better	Numerator 52 · Denominator 54
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 54
Discharge self-care score	55.56%	53.69% 1.9 pts better	Numerator 25 · Denominator 45
Discharge mobility score	46.67%	50.94% 4.3 pts worse	Numerator 21 · Denominator 45
Pressure ulcers or injuries, new or worsened	14.81%	2.29% 12.5 pts worse	Numerator 8 · Denominator 54 · Adjusted rate 12.45%
Healthcare-associated infections requiring hospitalization	7.54%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 4.53%
Staff COVID-19 vaccination coverage	5.08%	8.2% 3.1 pts worse	Numerator 3 · Denominator 59
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	60%	56.45% 3.5 pts better	Numerator 27 · Denominator 45
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	31.25%	25.2% 6.1 pts better	Numerator 10 · Denominator 32

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 · Q1 96.8% · Q2 96.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.4%
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 · 4Q avg 100.0%
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 · Q1 3.2% · Q2 0.0% · Q3 3.4% · Q4 3.0% · 4Q avg 2.5% · Used in QM five-star
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 · Q1 14.8% · Q2 10.7% · Q3 3.8% · Q4 6.1% · 4Q avg 8.8%
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 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
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 · Q1 19.2% · Q2 16.7% · Q3 19.2% · Q4 17.9% · 4Q avg 18.3%
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 · Q2 19.0% · Q3 23.8% · Q4 17.4% · 4Q avg 19.3% · 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	16.8%	18.5% 1.7 pts better	16.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.8% · Used in QM five-star
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 · Q1 16.7% · Q2 4.3% · Q3 12.0% · Q4 7.1% · 4Q avg 10.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · 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	24.4%	26.0% 1.6 pts better	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 17.9% · Q3 29.4% · Q4 22.1% · 4Q avg 24.4%
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 · Q1 8.6% · Q2 3.4% · Q3 12.9% · Q4 24.7% · 4Q avg 12.8% · Used in QM five-star
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 · Q1 97.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
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 · Adjusted 2.2% · Observed 2.2% · Expected 11.1% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
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 · 4Q avg 97.3%
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 · Adjusted 23.9% · Observed 21.7% · Expected 21.7% · Used in QM five-star

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