Montrose Health Center
400 South 7th Street · Montrose, IA · 52639 · 3194635438
44 certified beds For profit - Corporation
Why this verdict
- 3 citations involved actual harm to residents.
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $43,079 |
Inspection citations (15 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 22, 2026 · Nursing and Physician Services
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Potential for harm · D October 2, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 9, 2025 · Quality of Life and Care
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Actual harm · G September 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 8, 2024 · Quality of Life and Care
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Potential for harm · D September 19, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 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 October 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 8, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J April 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 10, 2024 · Quality of Life and Care
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Actual harm · G April 25, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 10, 2024 · Quality of Life and Care
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Actual harm · G April 25, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Ensure each resident receives an accurate assessment.
Corrected May 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected May 10, 2024 · Administration
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Potential for harm · E April 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 25, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 10, 2024 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 19, 2024 | Fine | $25,740 |
| April 25, 2024 | Fine | $17,339 |
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 165304 · certified since November 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.