Monticello Healthcare
Nursing Home & Assisted Living · Monticello, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Monticello Healthcare

Nursing Home & Assisted Living · Monticello, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Monticello Healthcare accepts Medicare, Medicaid, and private pay.

Inspection History

In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.

Since 2011 · 15 years of data 48 deficiencies 4 complaints 16 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

7 points below the Indiana average for assisted living residences (83/100)

Rank #241 / 384 in Indiana Inspection Score — State benchmarked This home is ranked 241st out of 384 homes in Indiana. Shows this facility's inspection score compared to the Indiana average among 384 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 76 out of 100. Letter grade C. 7 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Indiana state average
Overall vs. IN average 4 Worse Metrics worse than Indiana average:
• Total deficiencies (33% above)
• Deficiencies per year (33% above)
• Deficiencies per inspection (58% above)
• Inspection deficiency rate (19% above)
2 At Avg Metrics at Indiana average:
• Inspections with deficiencies (at IN avg)
• Complaints per year (at IN avg)
3 Better Metrics better than Indiana average:
• Total visits (16% below)
• Inspections (31% below)
• Total complaints (20% below)
Latest Inspection June 12, 2025 Plan Of Correction

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4836 This facility has 33% more total deficiencies than a typical Indiana assisted living residence (48 vs. IN avg 36).↑ 33% worse Rank #232 / 386 Total deficiencies — State benchmarked This home is ranked 232nd out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Info Average deficiencies per year since 2011. 3.22.4 This facility has 33% more deficiencies per year than a typical Indiana assisted living residence (3.2 vs. IN avg 2.4).↑ 33% worse
Deficiencies per inspection Info Average deficiencies per inspection. 31.9 This facility has 58% more deficiencies per inspection than a typical Indiana assisted living residence (3 vs. IN avg 1.9).↑ 58% worse Rank #307 / 386 Deficiencies per inspection — State benchmarked This home is ranked 307th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

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

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 1619 This facility has 16% fewer total visits than a typical Indiana assisted living residence (16 vs. IN avg 19).↓ 16% better
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 77 This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 44%37% This facility has 7 percentage points higher inspection deficiency rate than a typical Indiana assisted living residence (44% vs. IN avg 37%).↑ 7% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 913 This facility has 31% fewer inspections than a typical Indiana assisted living residence (9 vs. IN avg 13).↓ 31% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 45 This facility has 20% fewer total complaints than a typical Indiana assisted living residence (4 vs. IN avg 5).↓ 20% better Rank #140 / 352 Total complaints — State benchmarked This home is ranked 140th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Complaints per year Info Average complaints per year since 2011. 0.30.3 This facility has complaints per year in line with the Indiana average (0.3 vs. IN avg 0.3).— At avg

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

  • The most recent inspection on June 12, 2025, found Monticello Healthcare in full compliance with recertification and complaint investigation requirements.
  • The May 19, 2025 survey cited six deficiencies including inaccurate insulin assessments, failure to monitor skin discolorations, oxygen therapy errors, and improper pureed food preparation.
  • Life Safety Code surveys in 2024 and 2025 found recurring door latch and smoke barrier issues, with one corridor door failing to resist smoke passage as of June 11, 2025.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on May 2025

Total health citations
15 Rank #77 / 292Health citations — State benchmarkedThis home is ranked 77th out of 292 homes in Indiana. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.75 Rank #136 / 292Citations per inspection — State benchmarkedThis home is ranked 136th out of 292 homes in Indiana. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 15 citations resulted from standard inspections; 1 of 15 resulted from complaint investigations; and 3 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Nutrition moderate citation May 19, 2025
Corrected

Pharmacy moderate citation May 19, 2025
Corrected

Quality of Care moderate citation May 19, 2025
Corrected

Quality of Care moderate citation May 19, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 112
Employees 106
Contractors 6
Staff to resident ratio 1.47 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 43
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 29,435

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 15 LPN Staff are full-time employees. No contractors work on this role. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 42 CNA Staff are full-time employees. No contractors work on this role. 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.2%

74 contractor hours this quarter

Occupational Therapy Assistant: 5 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4204214,43392100%7.7
Licensed Practical Nurse150155,71992100%8
Registered Nurse100101,85792100%6.7
RN Director of Nursing2021,1897683%8.8
Clinical Nurse Specialist3039426672%8.5
Other Dietary Services Staff5057077076%6.4
Dietitian1015226267%8.4
Administrator1014966267%8
Medication Aide/Technician5054875459%6.3
Mental Health Service Worker1014856166%8
Dental Services Staff1014725964%8
Nurse Practitioner1014646470%7.3
Nurse Aide in Training2023874751%6.9
Physical Therapy Aide1012815762%4.9
Physical Therapy Assistant4042653437%7.4
Speech Language Pathologist5052655054%5.3
Qualified Social Worker3032004953%4.1
Occupational Therapy Aide1011041314%8
Respiratory Therapy Technician303874043%2.2
Medical Director011441617%2.8
Occupational Therapy Assistant055302830%1
42 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 83%
3 Clinical Nurse Specialist
% of Days 72%
5 Other Dietary Services Staff
% of Days 76%
1 Dietitian
% of Days 67%
1 Administrator
% of Days 67%
5 Medication Aide/Technician
% of Days 59%
1 Mental Health Service Worker
% of Days 66%
1 Dental Services Staff
% of Days 64%
1 Nurse Practitioner
% of Days 70%
2 Nurse Aide in Training
% of Days 51%
1 Physical Therapy Aide
% of Days 62%
4 Physical Therapy Assistant
% of Days 37%
5 Speech Language Pathologist
% of Days 54%
3 Qualified Social Worker
% of Days 53%
1 Occupational Therapy Aide
% of Days 14%
3 Respiratory Therapy Technician
% of Days 43%
1 Medical Director
% of Days 17%
5 Occupational Therapy Assistant
% of Days 30%

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

No penalties in the past 3 years

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

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.4
58% better than State average

State average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.2
46% better than State average

State average: 17.1

Long-stay resident measures
Significantly above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.8%
60% better than State average

State average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 3.3%
77% better than State average

State average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.5%
20% better than State average

State average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
5% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.3%
24% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
37% better than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.7%
71% better than State average

State average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 88.6%
267% worse than State average

State average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.9%
84% better than State average

State average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
In line with State average

State average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.26
21% better than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.02
36% worse than State average

State average: 1.48

Short-stay resident measures
Significantly above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.8%
14% better than State average

State average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
85% worse than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 88.6%
12% better than State average

State average: 79.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 13.4%
40% better than State average

State average: 22.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 3.0%
71% better than State average

State average: 10.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 51.6%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.5%
In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

36% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 76
Medicare
3
3.9% of residents
Medicaid
61
80.3% of residents
Private pay or other
12
15.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

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

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$777.8K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.7M Rank #170 / 294Revenue — State benchmarkedThis home is ranked 170th out of 294 homes in Indiana. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$777.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.8M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #151 / 294Payroll — State benchmarkedThis home is ranked 151st out of 294 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.2M 59.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #120 / 294Payroll % — State benchmarkedThis home is ranked 120th out of 294 homes in Indiana. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.5M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (38% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
121 total

Coverage residents most often arrive under.

Medicare 26%
Private pay 38%
Medicaid 36%
Discharges
154 total

Coverage residents most often leave under.

Medicare 21%
Private pay 35%
Medicaid 44%

Places of interest near Monticello Healthcare

Address 0.0 miles from city center Info Estimated distance in miles from Monticello's city center to Monticello Healthcare's address, calculated via Google Maps.

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Frequently Asked Questions about Monticello Healthcare

Who is the Director of Nursing at Monticello Healthcare?

Erin Snyder is the Director of Nursing at Monticello Healthcare.

Who is the owner of Monticello Healthcare?

Monticello Healthcare is legally operated by Health And Hospital Corporation Of Marion County, and administered by Christopher Schiavone.

Is Monticello Healthcare in a walkable area?

Monticello Healthcare has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Monticello Healthcare?

According to IN state health department records, Monticello Healthcare's license number is 25-000072-1.

When does Monticello Healthcare's license expire?

According to IN state health department records, Monticello Healthcare's license expires on December 31, 2026.

What is the occupancy rate at Monticello Healthcare?

Monticello Healthcare's occupancy is 57%.

Does Monticello Healthcare operate as a for-profit or non-profit?

Monticello Healthcare is registered as a non-profit in IN.

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