Show Inspection Reports
Total Health inspections
4
18% below Iowa average
Iowa average:
4.9
Last Health inspection on Nov 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Monticello Nursing & Rehab Center
Monticello Nursing & Rehab Center is a Nursing Home in Iowa
Monticello Nursing & Rehab… is a Nursing Home in Iowa
Monticello Nursing & Rehab Center
Monticello Nursing & Rehab Center is a Nursing Home in Iowa
Monticello Nursing & Rehab… is a Nursing Home in Iowa
Monticello Nursing & Rehab Center is a senior living community located in Monticello, Iowa. It offers a continuum of care including skilled nursing, rehabilitation, and assisted living services. The facility is dedicated to enriching the lives of its residents through compassionate care and a variety of lifestyle options.
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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
75
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
69%
Residents per day (avg)
50
Occupancy rate
69%
Residents per day (avg)
50
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
62% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
36% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
19 - 20 years
Finances and operations
Proprietary home
Other
Home revenue
$8.3M
Profit
$916.6K
Proprietary home
Other
Home revenue
$8,347,001.00
Profit
$916,591.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
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.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.4M
75-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy Rate
64%
Occupied Beds
48 of 75
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
Additional licensing details
License number:
530729
CMS Certification Number:
165279
Certification type:
FALSE
County:
Jones
Ownership & operating entity
Monticello Nursing & Rehab Center is administrated by Nickolas Gentzler.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
3194653205
Amenities & Lifestyle
Programs & Activities
Specific Programs
Long-Term Care, Pennington Square Assisted Living, Skilled Rehabilitation, Activities & News
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.
26 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:December 11, 2025
28 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%
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%
Monticello Nursing & Rehab Center
+15%
-2%
-9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 523102098
80
No
JOHN R GRUBB FAMILY TRUST
69.0%
$8,301,982.00
$2,567,453.00
30.9%
49.50
4.1897
1
26
2
+15%-2%-9%
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%
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%
Monticello Nursing & Rehab Center
Type of care:
SNF
AL
Community:
IA 523102098
Bed Count:
80
Pets Allowed:
No
Operator:
JOHN R GRUBB FAMILY TRUST
CCN:
165279
Occupancy:
69.0%
Home Revenue:
$8,301,982.00
Payroll Costs:
$2,567,453.00
Payroll %:
30.9%
Avg Residents/Day:
49.50
Overall Rating:
Adj Nurse Hours:
4.1897
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
26
Severe Citations:
2
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
-9%
-9%
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 Monticello Nursing & Rehab Center
Monticello, IA 523102098
Monticello, IA 523102098
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
158
Total Staff
52
Employees
106
Contractors
17,875
Total Hours (Quarter)
27
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 21 | 8.6 | Yes |
| Licensed Practical Nurse | 23 | 7.8 | Yes |
| Certified Nursing Assistant | 77 | 7.9 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.9hs shift avg
Nursing Staff ⓘ
121 staff
8hs shift avg
Physicians & Practitioners ⓘ
8 staff
7.4hs shift avg
Therapy Services ⓘ
18 staff
4.5hs shift avg
Activities & Recreation ⓘ
1 staff
4hs shift avg
Social Services ⓘ
5 staff
4hs shift avg
Dietary Services ⓘ
1 staff
6.2hs shift avg
Other Services ⓘ
1 staff
6.5hs shift avg
Contractor Analysis
26.5%
of total hours from contractors
4,729 contractor hours this quarter
Clinical Nurse Specialist: 7
Licensed Practical Nurse: 17
Certified Nursing Assistant: 44
Qualified Social Worker: 5
Speech Language Pathologist: 5
Registered Nurse: 12
Therapeutic Recreation Specialist: 1
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 3
Mental Health Service Worker: 1
Physical Therapy Aide: 1
Occupational Therapy Aide: 2
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 44 | 77 | 9,901 | 91 | 100% | 7.9 |
| Registered Nurse | 9 | 12 | 21 | 2,805 | 89 | 98% | 8.6 |
| Licensed Practical Nurse | 6 | 17 | 23 | 1,800 | 91 | 100% | 7.8 |
| Administrator | 2 | 0 | 2 | 472 | 59 | 65% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 405 | 65 | 71% | 6.2 |
| Clinical Nurse Specialist | 0 | 7 | 7 | 377 | 42 | 46% | 6.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 354 | 65 | 71% | 4.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 347 | 57 | 63% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 345 | 42 | 46% | 8.2 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 258 | 64 | 70% | 4 |
| Qualified Social Worker | 0 | 5 | 5 | 237 | 58 | 64% | 4 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 185 | 50 | 55% | 3.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 147 | 43 | 47% | 3.4 |
| Occupational Therapy Aide | 0 | 2 | 2 | 123 | 21 | 23% | 5.6 |
| Mental Health Service Worker | 0 | 1 | 1 | 97 | 15 | 16% | 6.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 6 | 7% | 3.6 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Health Inspection History
Total Health citations
26
20% above Iowa average
Iowa average:
21.7
6.5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
24 citations
Complaint investigations
3 citations
Breakdown of citations
Critical Health citations
1
67% above Iowa average
Iowa average:
0.6
Serious Health citations
1
11% above Iowa average
Iowa average:
0.9
Moderate Health citations
24
Minor Health citations
0
Citations history (last 3 years)
Abuse/Neglect moderate citation
Nov 12, 2025
Corrected
Quality of Care moderate citation
Nov 12, 2025
Corrected
Quality of Care moderate citation
Nov 04, 2024
Corrected
Quality of Care moderate citation
Nov 04, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Resident Census by Payment Source
50
Total Residents
Medicare
5
(10%)
ⓘ
Medicaid
25
(50%)
ⓘ
Private Pay/Other
20
(40%)
ⓘ
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
10.8
6% worse than Iowa average
Iowa average:
10.2
Functional decline score
18.9
12% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
22.6%
20% above Iowa average.
Walking Ability Worsened
14.1%
28% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.0%
24% below Iowa average.
Safety & clinical stability
Falls with Major Injury
1.2%
67% below Iowa average.
High Risk Residents with Pressure Ulcers
15.0%
243% above Iowa average.
Urinary Tract Infection
0.0%
100% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
4.4%
12% above Iowa average.
Antipsychotic Use
26.3%
38% above Iowa average.
Preventive care
Pneumococcal Vaccine
89.8%
5% below Iowa average.
Influenza Vaccine
89.4%
6% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
1.3%
74% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
75.5%
11% worse than Iowa average
Antipsychotic medication increase
2.4%
29% worse than Iowa average
Influenza Vaccine
68.3%
7% worse than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$4K
This home paid 91% less in fines than the state average.
Iowa average:
$48K
Number of Fines
1
This home received 41% fewer fines than the state average.
Iowa average:
1.7
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Jul 17, 2023
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Monticello Nursing & Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
69.0%
↓ 4.7pp vs 2022
Net Income
$916,591
↑ ~$1.0M vs 2022
Total Payroll
$4,053,795
↓ ~$279K vs 2022
Profit Margin
11.0%
↑ 12.6pp vs 2022
Loading trend charts...
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