Occupancy rate
68%
In line with Iowa averageMix 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.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Montezuma Specialty Care
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Montezuma Specialty Care
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
68.3%
Residents per day (avg)
32
Occupancy rate
68.3%
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 community
Home revenue
$5.3M
Operating deficit
-$136.7K
Voluntary non-profit community
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
In line with Iowa averageOccupied beds
28 / 41
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyPoweshiek
License Number790180
CMS Certification Number165295
Certification TypeFALSE
Montezuma Specialty Care is administrated by Mitchell Huff.
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Rehabilitation
Hospice Care
Email
[email protected]
Fax6416232297
Specific ProgramsSkilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours24 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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
April 10, 2025
21 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Montezuma Specialty Care
The most recent inspection on April 10, 2025 found the Montezuma Specialty Care Nursing Home in compliance with applicable health survey requirements and cited no deficiencies. Earlier inspections showed a mixed pattern, with prior reports noting deficiencies related to resident dignity and respect, dietary services, safe transport, and quality assurance programs. Substantiated complaints involved issues such as mistreatment, inadequate fall prevention, failure to report abuse allegations, and insufficient nursing coverage, but enforcement actions like fines or license suspensions were not listed in the available reports. Complaint investigations were often substantiated, particularly regarding resident rights and care, while some complaints were unsubstantiated. The facility appears to have addressed many prior deficiencies, as indicated by the clean findings in the most recent survey.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Oct 2024
Total health citations
13
Iowa average 21.7
Citations per inspection
3.25
Iowa average 4.11
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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 03, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 03, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 30, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Montezuma Specialty Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Montezuma
41
79.7%
+6%
3.79
-12%
0
13
3.3
1
32
-
$5.3M
$1.1M
21.5%
165295
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Montezuma Specialty Care
0.0 miles from city center
316 Meadow Lane Drive, Montezuma, IA 501711114
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
51
Employees
43
Contractors
8
Staff to resident ratio
1.70:1
15% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
17
Average shift
7.4 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
11,389
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.6%
519 contractor hours this quarter
Speech Language Pathologist: 2
Qualified Social Worker: 2
Physical Therapy Aide: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Medical Director: 1
Staff by category
| 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 |
19 Certified Nursing Assistant
% of Days
100%
4 Medication Aide/Technician
% of Days
98%
9 Registered Nurse
% of Days
84%
4 Licensed Practical Nurse
% of Days
81%
3 Clinical Nurse Specialist
% of Days
64%
1 Nurse Practitioner
% of Days
67%
1 Dental Services Staff
% of Days
59%
1 Dietitian
% of Days
64%
1 Administrator
% of Days
63%
2 Speech Language Pathologist
% of Days
59%
1 Physical Therapy Aide
% of Days
57%
1 Respiratory Therapy Technician
% of Days
33%
1 Physical Therapy Assistant
% of Days
23%
1 Medical Director
% of Days
3%
2 Qualified Social Worker
% of Days
9%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
30 residents
Residents by payment source
Medicare
3 residents (10%)
Medicaid
18 residents (60%)
Private pay or other
9 residents (30%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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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