The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
Montezuma Specialty Care
Montezuma, IA · Medicare-certified · 41 beds
In good standing
Non-profitChain member
4 of 5 overall
Montezuma Specialty Care in Montezuma, IA has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality measures ratings and 3-star staffing. Reported nurse staffing is 3.10 hours per resident day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0952 hrs/resident/day
Quality measures
Last inspection: April 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0952.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.34
- Nurse aides
- 2.09
- Weekend nursing
- 2.80
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.5%Steady
Residents with a fall causing major injury
2.6%Worsening
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
3.6%Improving
Residents who lost too much weight
3.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.5%Worsening
Residents whose ability to walk got worse
11.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
37.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.2%Improving
Residents with new or worsening incontinence
28.2%Worsening
Residents with depressive symptoms
9.7%Improving
Long-stay residents given the seasonal flu vaccine
93.5%Steady
Long-stay residents given the pneumonia vaccine
91.2%Worsening
Short-stay residents given the pneumonia vaccine
94.1%Steady
What the inspectors found
The home failed to run its operations effectively and efficiently using its available resources. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: E
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited May 2024 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 32.8 residents on an average day (80% of 41 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.