Monticello Nursing & Rehab Center

500 Pinehaven Drive · Monticello, IA · 52310 · 3194655415

75 certified beds For profit - Corporation Chain: Healthcare of Iowa

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 73
Serious harm & abuse 20% 100
Staffing 20% 66
Federal penalties 15% 80
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.650.55–0.75
Weekend hours / resident-day2.99≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $4,194

Inspection citations (19 in the current record)

  • Potential for harm · D March 25, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 25, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Potential for harm · D November 12, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 12, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 14, 2025 · Quality of Life and Care

  • Potential for harm · D November 4, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 14, 2024 · Resident Rights

  • Potential for harm · D November 4, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 14, 2024 · Resident Rights

  • Potential for harm · D November 4, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 4, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected November 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 4, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 22, 2023 · Resident Rights

  • Potential for harm · D November 30, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 30, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 30, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 30, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 30, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 30, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 22, 2023 · Quality of Life and Care

  • Potential for harm · E November 30, 2023

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 22, 2023 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
July 17, 2023Fine$4,194

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165279 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.