Nursing HomeInspections

Montrose Health Center

Nursing home in Montrose, IA

Medicare & Medicaid certified3★ overall (CMS)

Call (319) 463-5438Send a messageMap ↗

Public-record details

Address
400 South 7th Street, Montrose, IA 52639
Phone
(319) 463-5438
Listed under
For-profit
Medicare CCN
165304
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
44
Average residents per day
40
Ownership
For-profit, corporation
Legal business name
Montrose Health Center Operations LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165304. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 2, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 25, 2024 to Mar 26, 2026): 5 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 26, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 2, 2025Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 19, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 19, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 19, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 19, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		G
Actual harm, isolated
Apr 25, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 25, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 25, 2024Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration		D
Potential for more than minimal harm, isolated
Apr 25, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $43,079 in the last three years.

Sep 19, 2024Fine: $25,740
Apr 25, 2024Fine: $17,339

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.32 hours
Registered nurse (RN) time per resident per day
0.80 hours
Nurse aide time per resident per day
2.23 hours
Total nurse staffing on weekends
2.70 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.