Show Inspection Reports
Total health inspections
4
Iowa average 4.9
Last Health inspection on Oct 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Montezuma Specialty Care
Nursing Home
Montezuma Specialty Care
Nursing Home
Montezuma Specialty Care is a skilled nursing and long-term care community located in Montezuma, Iowa. It provides compassionate, individualized care for residents and focuses on their family's wellbeing. The facility is licensed to care for up to 41 residents, offering various services including skilled nursing, rehabilitation, and hospice care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
41
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.7%
Residents per day (avg)
32
Occupancy rate
79.7%
Residents per day (avg)
32
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
40% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$5.3M
Operating deficit
-$136.7K
Voluntary non-profit home
Other
Home revenue
$5,296,251.00
Operating deficit
$-136,671.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.4M
41-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy Rate
68%
Occupied Beds
28 of 41
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
Additional licensing details
License number:
790180
CMS Certification Number:
165295
Certification type:
FALSE
County:
Poweshiek
Ownership & operating entity
Montezuma Specialty Care is administrated by Mitchell Huff.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
6416232297
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours
24 hours a day, seven days a week
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
16 visits/inspections
Latest inspection
Date:April 10, 2025
21 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Montezuma Specialty Care
+52%
-12%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 501711114
41
No
-
79.7%
$5,287,347.00
$1,135,323.00
21.5%
32.20
3.7859
-
13
1
+52%-12%+6%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Montezuma Specialty Care
Type of care:
SNF
AL
Community:
IA 501711114
Bed Count:
41
Pets Allowed:
No
CCN:
165295
Occupancy:
79.7%
Home Revenue:
$5,287,347.00
Payroll Costs:
$1,135,323.00
Payroll %:
21.5%
Avg Residents/Day:
32.20
Overall Rating:
Adj Nurse Hours:
3.7859
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
Severe Citations:
1
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+6%
+6%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Montezuma Specialty Care
Montezuma, IA 501711114
Montezuma, IA 501711114
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
51
Total Staff
43
Employees
8
Contractors
11,389
Total Hours (Quarter)
17
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.2 | No |
| Licensed Practical Nurse | 4 | 9.7 | No |
| Certified Nursing Assistant | 19 | 7.4 | No |
Staff by Category
Administration ⓘ
2 staff
4.5hs shift avg
Nursing Staff ⓘ
36 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.3hs shift avg
Therapy Services ⓘ
5 staff
3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
0.8hs shift avg
Dietary Services ⓘ
1 staff
7.2hs shift avg
Other Services ⓘ
1 staff
8.3hs shift avg
Contractor Analysis
4.6%
of total hours from contractors
519 contractor hours this quarter
Speech Language Pathologist: 2
Physical Therapy Aide: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Qualified Social Worker: 2
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 0 | 19 | 5,608 | 91 | 100% | 7.4 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,146 | 89 | 98% | 9.6 |
| Registered Nurse | 9 | 0 | 9 | 1,075 | 76 | 84% | 8.2 |
| Licensed Practical Nurse | 4 | 0 | 4 | 937 | 74 | 81% | 9.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 522 | 58 | 64% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 450 | 54 | 59% | 8.3 |
| Dietitian | 1 | 0 | 1 | 416 | 58 | 64% | 7.2 |
| Administrator | 1 | 0 | 1 | 228 | 57 | 63% | 4 |
| Speech Language Pathologist | 0 | 2 | 2 | 174 | 54 | 59% | 3.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 143 | 52 | 57% | 2.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 82 | 30 | 33% | 2.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 72 | 21 | 23% | 3.4 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Qualified Social Worker | 0 | 2 | 2 | 7 | 8 | 9% | 0.9 |
Health Inspection History
Inspections
Total health citations
13
Citations per inspection
3.25
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
2 of 13 citations resulted from standard inspections; and 11 of 13 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
12 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Oct 03, 2024
Corrected
Administration moderate citation
Oct 03, 2024
Corrected
Resident Rights moderate citation
Oct 03, 2024
Corrected
Quality of Care moderate citation
May 30, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Care Initiatives
Resident Census by Payment Source
30
Total Residents
Medicare
3
(10%)
ⓘ
Medicaid
18
(60%)
ⓘ
Private Pay/Other
9
(30%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
37% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
23% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
16% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.7%
Percent of long-stay residents whose ability to move independently worsened
11.7%
41% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
14% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
32% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.7%
Percent of long-stay residents with a urinary tract infection
4.7%
88% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.1%
Percent of long-stay residents who lose too much weight
2.1%
59% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.2%
Percent of long-stay residents who have depressive symptoms
12.2%
215% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.2%
Percent of long-stay residents who received an antipsychotic medication
28.2%
49% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
7% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
43% worse than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Montezuma Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
79.7%
↑ 18.8pp vs 2022
Net Income
-$136,671
↑ ~$459K vs 2022
Total Payroll
$1,990,425
↑ ~$332K vs 2022
Profit Margin
-2.6%
↑ 16.7pp vs 2022
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