Occupancy rate
57%
16% lower than Indiana averageIndiana average: 68%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Monticello Healthcare
Nursing Home in Indiana
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.
Monticello Healthcare
Nursing Home in Indiana
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.
Monticello Medical Associates Inc. is a federally qualified health center serving the needs of the community for over 47 years. It provides comprehensive, patient-centered healthcare to improve the quality of life for patients and their families. The facility is committed to serving vulnerable and underserved communities in Wayne County, Kentucky.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 217th out of 275 homes in Indiana.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 217th out of 275 homes in Indiana.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 56m per day
vs Indiana avg
-17%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
116
Avg. Length of Stay
174 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Finances and operations
Governmental community
Home revenue
$10.2M
Surplus of revenue
$990.2K
Governmental community
Home revenue
$10.2M
Surplus of revenue
$990.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
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.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.2M
116-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
16% lower than Indiana averageOccupied beds
66 / 116
Average residents
70 per day
Facility TypeNursing Home (skilled Nursing Facility)
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025
License Number25-000072-1
CMS Certification Number155152
Monticello Healthcare is legally operated by Health And Hospital Corporation Of Marion County, and administrated by Christopher Schiavone.
Profit StatusOTHER
SNF (Skilled Nursing)
14 units
SNF/NF (Combined)
102 units
Total beds
116 units
Staffing
Key information about the people who lead and staff this community.
Medical DirectorJohn Thomas
Director of NursingERIN SNYDER
Fax(574) 583-9603
Specific ProgramsMonticello Medical Pharmacy, Covid Testing and Vaccines, Dexa Scans, Immunizations, Laboratory, Physicals and CDL Physicals, X-Ray
Operating HoursMonday-Friday: 8:00 am - 5:00 pm, Extended Hours: The First Tuesday of Every Month 8:00 am - 6:00 pm, Saturday and Sunday: Closed
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.
Inspection Overview
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
16 total visits · Indiana avg: 19
Ranked 157th of 388 in Indiana
9
Inspections
Indiana avg: 13
31% below Indiana avg
7
Visits with Citations
Indiana avg: 7
0% below Indiana avg
30
Citations Total
Indiana avg: 34
12% below Indiana avg Ranked 210th of 385
9
Visits without Citations
Indiana avg: 12
25% below Indiana avg
Show Inspection Reports
4 complaints
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Indiana average: 5 complaints
Latest inspection
Date
June 12, 2025
Plan Of Correction30 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Indiana average: 34 citations
30 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Indiana average: 36 deficiencies
Inspection Report Summary for Monticello Healthcare
The most recent inspection on June 12, 2025, found Monticello Healthcare in compliance with applicable regulations following a paper review and complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to resident care documentation, medication storage, food preparation, and life safety code issues such as smoke barrier doors and emergency preparedness. Complaint investigations were mostly unsubstantiated except for one related to medication storage practices that resulted in a citation. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility appears to have addressed some prior issues, but life safety and care-related deficiencies have recurred intermittently over time.
Health Inspection History
Inspections
Total health inspections
4
Indiana average 6
Last Health inspection on May 2025
Total health citations
15
Indiana average 25
Citations per inspection
3.75
Indiana average 4.12
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
0
100% better than Indiana averageIndiana average: 0.2
Serious Health citations
0
0
100% better than Indiana averageIndiana average: 0.6
0 critical citations
0 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 19, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 19, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 19, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 19, 2025
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 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 19, 2025
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 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 19, 2025
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 Indiana The information below is reported by the Indiana Department of Health, Division of Long Term Care.
Filter by care type
| Adams Woodcrest |
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. | Decatur | 143 | 67.1% | -3% | 3.69 | -10% | +7% | 0 | 2 | 2.0 | 0 | 108 | - | - | Adams County Memorial Hospital | $12.2M | $5.6M | 46.1% | 155747 | ||||
| Adams Heritage |
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. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | 0 | 2 | 1.0 | 0 | 39 | A+ | - | Adams County Memorial Hospital | $5.1M | $2.5M | 49.1% | 155729 | ||||
| Monticello Healthcare |
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. | Monticello | 116 | 64.7% | -7% | 2.94 | -27% | -15% | 0 | 15 | 3.8 | 0 | 71 | - | - | Schiavone, Christopher | $8.4M | $4.5M | 53.3% | 155152 | ||||
| Addison Pointe Health & Rehabilitation Center |
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. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | - | Dobben, Steven | $15.2M | $5.3M | 34.8% | 155805 | ||||
| Albany Health Care & Rehabilitation Center |
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. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | - | Troxwell, Melanie | $12.3M | $4.3M | 35% | 155432 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
116
Employees
108
Contractors
8
Staff to resident ratio
1.53:1
1526216% better than Indiana averageIndiana average ratio: 0.00:1
Avg staff/day
43
Average shift
7.2 hours
6% worse than Indiana averageIndiana average: 7.7 hours
Total staff hours (quarter)
28,316
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
50
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
0.3%
76 contractor hours this quarter
Occupational Therapy Assistant: 7
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 50 | 0 | 50 | 12,925 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 16 | 0 | 16 | 5,763 | 91 | 100% | 7.5 |
| Registered Nurse | 8 | 0 | 8 | 1,501 | 91 | 100% | 6.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,115 | 69 | 76% | 8.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,083 | 65 | 71% | 9 |
| Nurse Aide in Training | 2 | 0 | 2 | 627 | 66 | 73% | 7.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 593 | 66 | 73% | 5.8 |
| Medication Aide/Technician | 6 | 0 | 6 | 562 | 64 | 70% | 5.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 508 | 64 | 70% | 7.9 |
| Dietitian | 1 | 0 | 1 | 501 | 60 | 66% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 76 | 84% | 6.4 |
| Dental Services Staff | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 391 | 64 | 70% | 6.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 369 | 49 | 54% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 348 | 49 | 54% | 7.1 |
| Qualified Social Worker | 1 | 0 | 1 | 272 | 62 | 68% | 4.4 |
| Speech Language Pathologist | 2 | 0 | 2 | 144 | 37 | 41% | 3.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 86 | 10 | 11% | 7.8 |
| Medical Director | 0 | 1 | 1 | 45 | 13 | 14% | 3.5 |
| Occupational Therapy Assistant | 0 | 7 | 7 | 31 | 31 | 34% | 0.9 |
50 Certified Nursing Assistant
% of Days
100%
16 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
76%
2 RN Director of Nursing
% of Days
71%
2 Nurse Aide in Training
% of Days
73%
4 Other Dietary Services Staff
% of Days
73%
6 Medication Aide/Technician
% of Days
70%
1 Administrator
% of Days
70%
1 Mental Health Service Worker
% of Days
70%
1 Dietitian
% of Days
66%
1 Nurse Practitioner
% of Days
84%
1 Dental Services Staff
% of Days
63%
1 Physical Therapy Aide
% of Days
70%
3 Respiratory Therapy Technician
% of Days
54%
2 Physical Therapy Assistant
% of Days
54%
1 Qualified Social Worker
% of Days
68%
2 Speech Language Pathologist
% of Days
41%
2 Occupational Therapy Aide
% of Days
11%
1 Medical Director
% of Days
14%
7 Occupational Therapy Assistant
% of Days
34%
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.
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.
3.4
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 Indiana averageIndiana average: 8.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.2
46% better than Indiana averageIndiana average: 17.1
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
4.8%
Percent of long-stay residents whose need for help with daily activities has increased
4.8%
60% better than Indiana averageIndiana average: 12.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.3%
Percent of long-stay residents whose ability to move independently worsened
3.3%
77% better than Indiana averageIndiana average: 14.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
20% better than Indiana averageIndiana average: 24.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
5% better than Indiana averageIndiana average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.3%
Percent of long-stay high risk residents with pressure ulcers
3.3%
24% better than Indiana averageIndiana average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
37% better than Indiana averageIndiana average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.7%
Percent of long-stay residents who lose too much weight
1.7%
71% better than Indiana averageIndiana average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
88.6%
Percent of long-stay residents who have depressive symptoms
88.6%
267% worse than Indiana averageIndiana average: 24.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.9%
Percent of long-stay residents who received an antipsychotic medication
1.9%
84% better than Indiana averageIndiana average: 12.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
In line with Indiana averageIndiana average: 93.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
14% better than Indiana averageIndiana average: 81.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
85% worse than Indiana averageIndiana average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
12% better than Indiana averageIndiana average: 79.0%
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 Monticello Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
63.5%
↑ 2.1pp vs 2022
Net Income
$990.2K
↑ ~$2.0M vs 2022
Total Payroll
$5.2M
↑ ~$190.9K vs 2022
Profit Margin
11.8%
↑ 25.3pp vs 2022
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