The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Montello Care Center
Montello, WI · Medicare-certified · 50 beds
Needs attention
Non-profitChain member
1 of 5 overall
Montello Care Center (Montello, WI) has a 1 out of 5 overall rating, with a 1-star health inspection rating and recent federal penalty history. Staffing is 3 stars, and reported nurse staffing is 5.29 hours per resident per day, above the federal benchmark of 4.1; fines over the last 24 months totaled $148,211.
Facility ratings
Health inspections
Staffing
5.2901 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $148,211recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2901.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 1.12
- Nurse aides
- 3.55
- Weekend nursing
- 4.55
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.1%Steady
Residents with a fall causing major injury
1%Improving
Residents with pressure ulcers (bedsores)
10.3%Worsening
Residents with a urinary tract infection
8.2%Improving
Residents who lost too much weight
7.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
2.5%Steady
Short-stay residents newly given an antipsychotic
2.6%Steady
Residents with a long-term catheter
4.1%Worsening
Residents with new or worsening incontinence
21%Improving
Residents with depressive symptoms
6.2%Steady
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
88.7%Steady
Short-stay residents given the seasonal flu vaccine
90.2%Steady
Short-stay residents given the pneumonia vaccine
83.6%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited October 2025 — isolated incident, actual harm.
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F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,935 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $132,276 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $163,039 in total fines.
- $15,935
Federal fine
Oct 22, 2025
- $132,276
Federal fine
Apr 9, 2025
- $14,828
Federal fine
Jul 19, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WISCONSIN ILLINOIS SENIOR HOUSING, INC. · 7 homes · 1.9 stars avg
- Occupancy
- 28.4 residents on an average day (57% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.