The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
Monticello Nursing & Rehab Center
Monticello, IA · Medicare-certified · 75 beds
In good standing
For-profitChain member
4 of 5 overall
Monticello Nursing & Rehab Center in Monticello, IA has a 4-star overall rating, with 4-star health inspection and staffing scores but a lower 2-star quality measures rating. It reported 3.56 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent citations involved accident hazards, care planning, and professional standards of care.
Facility ratings
Health inspections
Staffing
3.5561 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5561.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.52
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19%Improving
Residents with a fall causing major injury
0.6%Worsening
Residents with pressure ulcers (bedsores)
10.5%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16%Improving
Residents whose ability to walk got worse
12.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.7%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.2%Improving
Residents with new or worsening incontinence
23%Improving
Residents with depressive symptoms
5.3%Improving
Long-stay residents given the seasonal flu vaccine
89.4%Steady
Long-stay residents given the pneumonia vaccine
92.4%Improving
Short-stay residents given the seasonal flu vaccine
68.3%Steady
Short-stay residents given the pneumonia vaccine
88.4%Improving
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,194 in total fines.
- $4,194
Federal fine
Jul 17, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HEALTHCARE OF IOWA · 6 homes · 3.7 stars avg
- Occupancy
- 48.1 residents on an average day (64% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.