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 Campus
Registered name: Monticello Nursing & Rehab Center
Monticello, IA · Medicare-certified · 75 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Monticello Campus (Monticello, IA) has an overall rating of 4 out of 5 stars, with 4 stars for health inspections and 3 stars each for staffing and quality measures. It reported 3.17 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included accident hazards/supervision, care plan timing, and meeting professional quality standards.
Facility ratings
Health inspections
Staffing
3.1731 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 3.1731.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.33
- Nurse aides
- 2.15
- Weekend nursing
- 2.22
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.2%16.7%Improving
Residents with a fall causing major injury
0%2.2%Worsening
Residents with pressure ulcers (bedsores)
16.4%2.8%Improving
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%19.5%Improving
Residents whose ability to walk got worse
11.8%11.4%No change
Long-stay residents on antianxiety or sleep medication
12.5%20.9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.9%0%Improving
Residents with new or worsening incontinence
17.3%37.4%Worsening
Residents with depressive symptoms
8.1%9.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.4%—
Long-stay residents given the pneumonia vaccine
88.6%95.6%Improving
Short-stay residents given the seasonal flu vaccine
—68.3%—
Short-stay residents given the pneumonia vaccine
87.2%95.8%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.
View the original federal record
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 · 3.5 stars avg
- Occupancy
- 47.1 residents on an average day (63% 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.