Montello Care Center
251 Forest Lane · Montello, WI · 53949 · 6082972153
50 certified beds Non profit - Corporation Chain: Wisconsin Illinois Senior Housing, Inc.
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $148,211 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$148,211 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 4.55 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 3 · $163,039 |
Inspection citations (64 in the current record)
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Potential for harm · D December 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D December 4, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D December 4, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 4, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D December 4, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 29, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 29, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2025
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected December 29, 2025 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 29, 2025 · Nutrition and Dietary
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Potential for harm · D December 4, 2025
Provide and implement an infection prevention and control program.
Corrected December 29, 2025 · Infection Control
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Potential for harm · E December 4, 2025
Keep all essential equipment working safely.
Corrected December 29, 2025 · Environmental
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Actual harm · G October 22, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 10, 2025 · Quality of Life and Care
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Potential for harm · D October 22, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 22, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 10, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
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Potential for harm · E June 12, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 10, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 22, 2025 | Fine | $15,935 |
| April 9, 2025 | Fine | $132,276 |
| July 19, 2023 | Fine | $14,828 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525657 · certified since July 31, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.