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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 174th out of 224 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 11% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 21m per day | ▼ 38% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 9m per day | ▼ 15% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 55m per day | ▼ 13% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 36m per day | ▲ 20% State avg: 30m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
36% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #222 / 226Payroll — state benchmarkedThis home is ranked 222nd out of 226 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Iowa average: 75.4%Montezuma Specialty Care is administrated by Mitchell Huff.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 29 | 27 | This facility has 7% more total deficiencies than a typical Iowa nursing home (29 vs. IA avg 27).↑ 7% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 4.8 | 4.5 | This facility has 7% more deficiencies per year than a typical Iowa nursing home (4.8 vs. IA avg 4.5).↑ 7% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 1.8 | This facility has deficiencies per inspection in line with the Iowa average (1.8 vs. IA avg 1.8).— At avg |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Oct 2024
Iowa average 21.7
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.
100% better than Iowa averageIowa average: 0.6
1
11% worse than Iowa averageIowa average: 0.9
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 03, 2024
Corrected
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.
Montezuma Specialty Care is located in Montezuma, Iowa.
Here are the financial assistance programs available to residents in Iowa.
0.0 miles from city center
Estimated distance in miles from Montezuma's city center to Montezuma Specialty Care's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
15% worse than Iowa averageIowa average ratio: 2.00:1
0% compared with Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Total hours from contractors
519 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
16% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
11.7%
41% better than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.0%
32% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.7%
88% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.1%
59% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
12.2%
215% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
28.2%
49% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.4%
7% better than Iowa averageIowa average: 85.1%
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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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 | +15% | +10% | 0 | 4 | 2.0 | - | 42 | 37 | City Of Akron | $4.7M | $2.1M | 45.1% | 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 | +52% | -12% | 0 | 13 | 3.3 | 1 | 32 | 49 | - | $5.3M | $1.1M | 21.4% | 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 | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | 50 | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 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 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | 76 | - | $7.1M | $3.0M | 42.3% | 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 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | 51 | Accura Healthcare Of The Heartland LLC | $2.1M | $1.0M | 46.7% | 165082 |
Historical financial and operational data for Montezuma Specialty Care based on CMS SNF Cost Reports.
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Montezuma Specialty Care has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, Montezuma Specialty Care's license number is 790180.
Montezuma Specialty Care's occupancy is 68%.
The team at Montezuma Specialty Care can be reached at [email protected].
Mitchell Huff is the administrator of Montezuma Specialty Care.
Montezuma Specialty Care has 41 beds.
Yes — there are 9 photos of Montezuma Specialty Care in the photo gallery on this page.
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