Montezuma Specialty Care

Nursing Home & Skilled Nursing · Montezuma, IA

CMS overall rating

316 Meadow Lane Drive, Montezuma, Ia 501711114 View map

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Montezuma Specialty Care accepts Medicare, Medicaid, and private pay.

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Montezuma Specialty Care accepts Medicare, Medicaid, and private pay.

Overview of Montezuma Specialty Care

Montezuma Specialty Care operates as a 41-bed governmental skilled nursing facility under the direction of administrator Mitchell Huff in Montezuma, Iowa. The property houses roughly 28 residents and manages billing through private pay, Medicare, and Medicaid. Resident stays average about eight months, though individual intervals vary by funding type, as Medicare recovery stays typically run one to two months, private-pay situations average six to seven months, and Medicaid placements last around two years.

The floor staff delivers an average of 3 hours and 47 minutes of direct care to each resident daily. Registered nurses, licensed practical nurses, and nurse aides balance this 24-hour clinical schedule to coordinate routine medical monitoring and physical therapy sessions. For out-of-town visitors, the local neighborhood scores a 49 out of 100 for walkability, indicating that a personal vehicle is useful for the majority of local trips and errands.

State safety records confirm regular monitoring of the building’s operational standards. The most recent health and safety survey conducted by state inspectors in April 2025 showed full compliance with regulatory care requirements and quality assurance practices.

Older adults can get in touch with the main office to check on current room openings, ask about the tailored rehabilitation schedules, or arrange a time to look around the facility.

Facility Direct Line (641) 623-5497

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 47m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	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.	40m per day	▼ 9% 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	▼ 40% 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 5m per day	▼ 18% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 48m per day	▼ 16% 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	▼ 33% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	30m per day	■ Avg State avg: 30m per day · National avg: 28m per day

Capacity and availability

243 days

41-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 49 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

68%

Lower than the Iowa average: 75.4%

Occupied beds

28 / 41

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationAugust 1, 2026 Expires in 18 days

CountyPoweshiek

License Number790180

CMS Certification Number165295

Certification TypeFALSE

Montezuma Specialty Care is administered by Mitchell Huff.

Rehabilitation Services

24-Hour Staffing

Email montezumaadministrator@careinitiatives.org

Fax6416232297

Pets not allowed

Operating Hours24 hours a day, seven days a week

Since 2020 · 6 years of data 29 deficiencies 16 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection April 10, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (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

Inspections State inspections evaluate whether the facility meets health and safety standards.	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 had 7% more total inspections than the Iowa average (16 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 7% more

Inspection Reports Summary 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 no deficiencies and confirmed compliance with all health survey requirements.
The October 3, 2024 complaint investigation substantiated multiple failures in resident dignity, staff behavior, and lack of effective Quality Assurance and Performance Improvement (QAPI) activities.
The May 2024 inspections identified two deficiencies involving failure to provide ordered nutrition and unsafe wheelchair transport, both addressed through accepted Plans of Correction.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Oct 2024

Total health citations

State average N/A

Citations per inspection

3.25

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

12 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 48

Employees 39

Contractors 9

Staff to resident ratio 1.60 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 6.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 10,865

Nursing staff breakdown

8.1 hours

9.8 hours

7.3 hours

Contractor staffing

479 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	19	0	19	4,929	92	100%	7.3
Medication Aide/Technician	3	0	3	1,374	90	98%	8
Licensed Practical Nurse	2	0	2	1,032	80	87%	9.8
Registered Nurse	5	0	5	790	71	77%	8.1
Clinical Nurse Specialist	5	0	5	778	72	78%	7.6
Nurse Practitioner	1	0	1	448	56	61%	8
Dietitian	1	0	1	430	59	64%	7.3
Dental Services Staff	1	0	1	387	53	58%	7.3
Administrator	1	0	1	216	54	59%	4
Speech Language Pathologist	0	2	2	148	53	58%	2.8
Physical Therapy Aide	0	1	1	124	53	58%	2.3
Physical Therapy Assistant	0	3	3	69	22	24%	3.1
Respiratory Therapy Technician	0	1	1	67	29	32%	2.3
Medical Director	0	1	1	45	3	3%	15
Qualified Social Worker	0	1	1	25	21	23%	1.2
RN Director of Nursing	1	0	1	5	1	1%	4.5

19 Certified Nursing Assistant

% of Days 100%

3 Medication Aide/Technician

% of Days 98%

2 Licensed Practical Nurse

% of Days 87%

5 Registered Nurse

% of Days 77%

5 Clinical Nurse Specialist

% of Days 78%

1 Nurse Practitioner

% of Days 61%

1 Dietitian

% of Days 64%

1 Dental Services Staff

% of Days 58%

1 Administrator

% of Days 59%

2 Speech Language Pathologist

% of Days 58%

1 Physical Therapy Aide

% of Days 58%

3 Physical Therapy Assistant

% of Days 24%

1 Respiratory Therapy Technician

% of Days 32%

1 Medical Director

% of Days 3%

1 Qualified Social Worker

% of Days 23%

1 RN Director of Nursing

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.5

37% better than State average

State average: 10.2

Functional decline score 16.7

23% better than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 15.8%

16% better than State average

State average: 18.8%

Walking Ability Worsened 11.7%

41% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 22.5%

14% better than State average

State average: 26.2%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 3.0%

32% better than State average

State average: 4.4%

Urinary Tract Infection 4.7%

88% worse than State average

State average: 2.5%

Lost Too Much Weight 2.1%

59% better than State average

State average: 5.0%

Depressive Symptoms 12.2%

215% worse than State average

State average: 3.9%

Antipsychotic Use 28.2%

49% worse than State average

State average: 19.0%

Pneumococcal Vaccine 97.2%

In line with State average

State average: 94.4%

Influenza Vaccine 93.6%

In line with State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 91.4%

7% better than State average

State average: 85.1%

Antipsychotic medication increase 2.6%

43% worse than State average

State average: 1.8%

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

Total residents 30

Medicare

10% of residents

Medicaid

60% of residents

Private pay or other

30% of residents

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.

Financial Trends

Historical financial and operational data for Montezuma Specialty Care from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 79.7% ↑ 18.8pp vs 2022

Net Patient Income -$87.9K ↑ ~$496.5K vs 2022

Payroll Costs $1.3M ↑ ~$190.9K vs 2022

Operating Margin -2.9% ↑ 24.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	76.9%	66.8%	56.2%	56.7%	61.5%	71.3%	68.6%	72.9%	61.6%	50.2%	43.2%	60.9%	79.7%
Beds	49	49	49	49	49	49	41	41	41	41	41	41	41
Net Income	$94,180	$53,337	-$134,587	-$342,689	-$135,907	$102,844	$88,462	-$308,337	-$123,607	-$57,943	-$379,712	-$595,494	-$136,671
Gross Revenue	$2,326,230	$1,994,586	$1,747,036	$1,780,764	$2,106,997	$2,510,795	$2,338,932	$2,328,828	$1,993,365	$1,843,983	$1,900,805	$3,089,312	$5,287,347
Operating Expenses	$2,042,210	$1,930,635	$1,795,504	$1,918,340	$2,016,359	$2,162,577	$2,023,007	$2,140,922	$1,787,985	$1,911,298	$1,887,788	$2,734,809	$3,163,366
Net Patient Income	$82,571	$63,951	-$143,656	-$347,365	-$140,995	$100,003	$84,524	-$318,557	-$119,017	-$404,045	-$390,806	-$584,436	-$87,927
Net Patient Revenue	$2,124,781	$1,994,586	$1,651,848	$1,570,975	$1,875,364	$2,262,580	$2,107,531	$1,822,365	$1,668,968	$1,507,253	$1,496,982	$2,150,373	$3,075,439
Payroll Costs	$1,141,268	$1,100,473	$1,051,706	$1,163,181	$1,215,940	$1,260,913	$1,160,540	$1,139,356	$1,048,758	$1,089,020	$1,113,922	$1,121,136	$1,312,037
Operating Margin %	3.9%	3.2%	-8.7%	-22.1%	-7.5%	4.4%	4.0%	-17.5%	-7.1%	-26.8%	-26.1%	-27.2%	-2.9%
Medicare %	5.6%	3.7%	7.3%	5.1%	5.4%	4.0%	4.3%	4.5%	2.3%	4.1%	7.9%	9.6%	6.4%
Medicaid %	57.3%	47.9%	64.9%	66.9%	54.6%	56.7%	59.1%	63.3%	76.3%	73.6%	64.8%	58.1%	64.5%
Private %	37.1%	48.4%	27.8%	28.0%	40.0%	39.3%	36.5%	32.2%	21.4%	22.4%	27.3%	32.4%	29.2%
Net Patient Revenue/Day	$154	$167	$164	$155	$170	$177	$179	$167	$181	$200	$231	$236	$258
Cost/Day	$148	$161	$179	$189	$183	$169	$172	$196	$194	$254	$292	$300	$265
Avg Length of Stay	320.0 days	374.3 days	193.1 days	235.9 days	333.5 days	365.5 days	250.2 days	294.9 days	263.6 days	327.5 days	208.6 days	162.8 days	243.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.1M

Net patient income

-$87.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.1M

Net patient income

-$87.9K

Other income

$8.9K

Payroll costs

$1.3M 42.7% of net patient revenue

Other operating costs

$1.9M

Total costs

$3.2M

TYPE OF STAY

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.

New residents most often arrive under private pay (40% of admissions), and a typical private pay stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 36%

Private pay 40%

Medicaid 23%

Coverage residents most often leave under.

Medicare 35%

Private pay 43%

Medicaid 22%

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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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
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Montezuma Specialty Care	NH SNF	Montezuma	-	41	-	49	-

Nursing Home Explorer

Is Montezuma Specialty Care in a walkable area?

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.

What is the license number of Montezuma Specialty Care?

According to IA state health department records, Montezuma Specialty Care's license number is 790180.

When does Montezuma Specialty Care's license expire?

According to IA state health department records, Montezuma Specialty Care's license expires on August 1, 2026.

What is the occupancy rate at Montezuma Specialty Care?

Montezuma Specialty Care's occupancy is 68%.

Are pets allowed at Montezuma Specialty Care?

No, Montezuma Specialty Care has a no-pet policy.

What is the best email address for Montezuma Specialty Care?

The team at Montezuma Specialty Care can be reached at MontezumaAdministrator@careinitiatives.org.

Does Montezuma Specialty Care operate as a for-profit or non-profit?

Montezuma Specialty Care is registered as a non-profit in IA.

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Montezuma Specialty Care

Overview of Montezuma Specialty Care

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Montezuma Specialty Care

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

19 Certified Nursing Assistant

3 Medication Aide/Technician

2 Licensed Practical Nurse

5 Registered Nurse

5 Clinical Nurse Specialist

1 Nurse Practitioner

1 Dietitian

1 Dental Services Staff

1 Administrator

2 Speech Language Pathologist

1 Physical Therapy Aide

3 Physical Therapy Assistant

1 Respiratory Therapy Technician

1 Medical Director

1 Qualified Social Worker

1 RN Director of Nursing

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Montezuma Specialty Care

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