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Monticello Nursing & Rehab Center

All states › Iowa › Monticello › Monticello Nursing & Rehab Center

500 Pinehaven Drive Monticello, IA 52310 · Jones County

(319) 465-5415

Accepts Medicare Accepts Medicaid 75 certified beds For profit

CMS certification number 165279 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 21 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Nursing care per resident per day 3.86 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.77 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.33 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 100% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 100% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds75
Residents per day 47 About 63% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMay 1996
Legal business nameMONTICELLO NURSING HOME COMPANY

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Deficient, Provider has date of correction (Jul 21, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Complaint inspection · Deficient, Provider has date of correction (Jul 21, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 14, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Nov 14, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Past Non-Compliance (Nov 4, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Nov 14, 2024)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Dec 22, 2023)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Dec 22, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Dec 22, 2023)

Questions to ask on a tour of Monticello Nursing & Rehab Center

  1. CMS cited the home under its abuse and neglect rules on June 24, 2026. How are staff trained, and how are concerns reported?
  2. Nursing staff turnover was 100% a year. How many of the staff come from agencies?
  3. Several administrators left in the past year. What has changed for residents since then?
  4. 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?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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 monthOverallInspectionStaffingQuality
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.

  • 9.7 mi
    Jones Regional Medical Center Anamosa
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 56m for patients treated and sent home
  • 17.3 mi
    Mercy Medical Center-Dyersville Dyersville
    Emergency room
    Median ER visit 1h 45m for patients treated and sent home
  • 22.8 mi
    Regional Medical Center Manchester
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Anamosa Care Center Anamosa · 9.6 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 64 beds · Medicaid
Accura Healthcare of Cascade Cascade · 9.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 46 beds · Medicaid
MercyOne Dyersville Senior Care Dyersville · 17.4 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 40 beds · Medicaid
Good Neighbor Home Manchester · 21.9 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 112 beds · Medicaid
Mechanicsville Specialty Care Mechanicsville · 22.4 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 39 beds · Medicaid

More nursing homes near Monticello Nursing & Rehab Center ›   All nursing homes in Monticello ›

Compare Monticello Nursing & Rehab Center with the 3 closest homes side by side ›

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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.

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https://www.nursinghomesineachstate.com/iowa/monticello/monticello-nursing-and-rehab-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.