All states › Iowa › Monticello › Monticello Nursing & Rehab Center
500 Pinehaven Drive Monticello, IA 52310 · Jones County
CMS certification number 165279 · See this home on Medicare Care Compare
Is Monticello Nursing & Rehab Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Monticello Nursing & Rehab Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.86 hours per resident per day at Monticello Nursing & Rehab Center, about the same as the Iowa median of 3.76 (US median: 3.72). About 0.77 of those hours are from registered nurses. On weekends it falls to 3.33 hours, 14% below its all-week average. 100% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Monticello Nursing & Rehab Center: Medicare and Medicaid
Monticello Nursing & Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 8, 2026 and found 0 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Monticello Nursing & Rehab Center across 5 inspection dates, 7 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 21 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (7) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level E, November 12, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
June 24, 2026 · 2 citations · includes complaint inspection
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
March 25, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 12, 2025 · 2 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 4, 2024 · 5 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
November 30, 2023 · 10 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DHonor 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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
Questions to ask on a tour of Monticello Nursing & Rehab Center
- CMS cited the home under its abuse and neglect rules on June 24, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 100% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
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Location
Hospitals near Monticello Nursing & Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.7 mi
Jones Regional Medical Center AnamosaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 56m for patients treated and sent home
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17.3 mi
Mercy Medical Center-Dyersville DyersvilleEmergency roomMedian ER visit 1h 45m for patients treated and sent home
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22.8 mi
Regional Medical Center ManchesterEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 27m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Anamosa Care Center · Anamosa · 4 stars · 9.6 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.