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Nursing home report

Montrose Health Center

Montrose, IA · Medicare-certified · 44 beds

Needs attention
For-profit
Data as of July 1, 2026
3 of 5 overall

Montrose Health Center has a 3 out of 5 overall rating, with a 2-star health inspection rating, 4-star staffing, and 5-star quality measures. It was recently federally fined $25,740, has a recent federal penalty flag, and reported nurse staffing of 3.32 hours per resident per day, below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.3155 hrs/resident/day

Quality measures

Last inspection: March 26, 2026Penalties, last 24 months: $25,740recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3155.

Staffing detail

Registered nurses
0.80
Licensed practical nurses
0.29
Nurse aides
2.23
Weekend nursing
2.70

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 50%

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

25%14.8%Improving

Residents with a fall causing major injury

3.4%0%Improving

Residents with pressure ulcers (bedsores)

12.9%13.1%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%3.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12%0%Improving

Residents whose ability to walk got worse

8.9%

Long-stay residents on antianxiety or sleep medication

19.2%22.6%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

29.4%19.2%Improving

Residents with depressive symptoms

3.8%6.1%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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

97.3%

Short-stay residents given the pneumonia vaccine

100%97.6%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $25,740 was recorded.

  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $43,079 in total fines.

  • Federal fine

    Sep 19, 2024

    $25,740
  • Federal fine

    Apr 25, 2024

    $17,339

Operator & ownership

Recent ownership change · Mar 1, 2020

Now operated by Montrose Health Center Operations LLC, previously Montrose Health Center, INC..

Ownership
For profit - Corporation
Occupancy
40.4 residents on an average day (92% of 44 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.