Monticello Nursing & Rehab Center

Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Monticello, IA

CMS overall rating

500 Pinehaven Drive, Monticello, Ia 523102098 View map

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Monticello Nursing & Rehab Center accepts Medicare, Medicaid, and private pay.

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Monticello Nursing & Rehab Center accepts Medicare, Medicaid, and private pay.

Overview of Monticello Nursing & Rehab Center

Located in Monticello, Iowa, Monticello Nursing & Rehab Center is a skilled nursing and rehabilitation facility. The 75-bed community is in a highly walkable area, so many local services and amenities are within walking distance. Medicare, Medicaid, and private pay are accepted, giving families different options for covering both rehabilitation and long-term care.

The facility has an occupancy rate of 64%, and residents stay an average of 214 days, including those recovering from surgery, illness, and injury, and receiving longer-term care. Rehabilitation services are a major part of daily operations. Skilled nursing care is available alongside structured rehabilitation programs. Daily nurse staffing averages 4 hours and 11 minutes per resident. Nurse aides provide about 2 hours and 31 minutes of care each day.

Pennington Square Assisted Living is affiliated with the facility, so families have another option when care needs change over time. Respite care is also available for those who need to stay temporarily. These services are best during care transitions or when a caregiver needs time away from daily responsibilities.

State inspections have documented findings related to resident supervision and care protocols. The facility was able to address these concerns through follow-up corrections. It also has ongoing improvements to safety and care coordination procedures.

Facility Direct Line (319) 465-5415

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

4h 11m per day

vs avg

4 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.	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.	23m per day	▼ 32% 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 31m per day	■ Avg 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 59m per day	▼ 11% 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.	2m per day	■ Avg 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.	18m per day	▼ 40% State avg: 30m per day · National avg: 28m per day

Capacity and availability

214 days

75-bed community

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

Walk Score: 74 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

64%

Lower than the Iowa average: 75.4%

Occupied beds

48 / 75

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationNovember 1, 2026

CountyJones

License Number530729

CMS Certification Number165279

Certification TypeFALSE

Monticello Nursing & Rehab Center is administered by Nickolas Gentzler.

Rehabilitation Services

Respite Care

Short-Term Rehab

Email ngentzler@monticellocampus.com

Fax3194653205

Pets not allowed

Long-Term Nursing Care

Since 2020 · 6 years of data 55 deficiencies 26 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 December 11, 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.	55	27	This facility has 104% more total deficiencies than a typical Iowa assisted living residence (55 vs. IA avg 27).↑ 104% worse
Deficiencies per year Average deficiencies per year since 2020.	9.2	4.5	This facility has 104% more deficiencies per year than a typical Iowa assisted living residence (9.2 vs. IA avg 4.5).↑ 104% worse
Deficiencies per inspection Average deficiencies per inspection.	2.1	1.8	This facility has 17% more deficiencies per inspection than a typical Iowa assisted living residence (2.1 vs. IA avg 1.8).↑ 17% worse

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.	26	15	This facility has had 73% more total inspections than the Iowa average (26 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 73% more

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

The December 11, 2025 plan of correction confirmed substantial compliance with no deficiencies and certification effective November 14, 2025.
The November 12, 2025 complaint investigation substantiated failures to prevent multiple resident-to-resident physical and sexual abuse incidents, citing inadequate supervision and intervention with two deficiencies.
The November 4, 2024 annual inspection found six deficiencies including failure to complete smoking assessments, maintain dignity with catheter care, and ensure dialysis communication records.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

6.5

State average N/A

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

23 of 26 citations resulted from standard inspections; 2 of 26 resulted from complaint investigations; and 1 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 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

1 critical citation State average: N/A

1 serious citation State average: N/A

24 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Abuse/Neglect moderate citation Nov 12, 2025

Corrected

Quality of Care moderate citation Nov 12, 2025

Corrected

Quality of Care moderate citation Nov 04, 2024

Corrected

Quality of Care moderate citation Nov 04, 2024

Corrected

Total staff 172

Employees 49

Contractors 123

Staff to resident ratio 3.44 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,090

Nursing staff breakdown

8.8 hours

8.6 hours

118

7.4 hours

Contractor staffing

4,773 contractor hours this quarter

Certified Nursing Assistant: 87 Licensed Practical Nurse: 9 Registered Nurse: 7 Clinical Nurse Specialist: 4 Speech Language Pathologist: 3 Occupational Therapy Aide: 3 Qualified Social Worker: 2 Respiratory Therapy Technician: 2 Physical Therapy Aide: 1 Therapeutic Recreation Specialist: 1 Physical Therapy Assistant: 1 Mental Health Service Worker: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	31	87	118	11,046	92	100%	7.4
Registered Nurse	7	7	14	2,232	91	99%	8.8
Licensed Practical Nurse	6	9	15	1,701	90	98%	8.6
Nurse Practitioner	1	0	1	496	62	67%	8
Administrator	1	0	1	484	61	66%	7.9
Other Dietary Services Staff	1	0	1	452	70	76%	6.5
Physical Therapy Aide	0	1	1	316	60	65%	5.3
Speech Language Pathologist	0	3	3	249	57	62%	4.3
Therapeutic Recreation Specialist	0	1	1	226	60	65%	3.8
Qualified Social Worker	0	2	2	183	54	59%	3.4
Clinical Nurse Specialist	1	4	5	157	22	24%	6.3
Respiratory Therapy Technician	0	2	2	146	43	47%	3.4
Medication Aide/Technician	1	0	1	108	27	29%	4
Occupational Therapy Aide	0	3	3	98	18	20%	5.2
Physical Therapy Assistant	0	1	1	90	31	34%	2.9
Mental Health Service Worker	0	1	1	85	14	15%	6.1
Occupational Therapy Assistant	0	1	1	21	6	7%	3.6
Medical Director	0	1	1	1	1	1%	0.5

118 Certified Nursing Assistant

% of Days 100%

14 Registered Nurse

% of Days 99%

15 Licensed Practical Nurse

% of Days 98%

1 Nurse Practitioner

% of Days 67%

1 Administrator

% of Days 66%

1 Other Dietary Services Staff

% of Days 76%

1 Physical Therapy Aide

% of Days 65%

3 Speech Language Pathologist

% of Days 62%

1 Therapeutic Recreation Specialist

% of Days 65%

2 Qualified Social Worker

% of Days 59%

5 Clinical Nurse Specialist

% of Days 24%

2 Respiratory Therapy Technician

% of Days 47%

1 Medication Aide/Technician

% of Days 29%

3 Occupational Therapy Aide

% of Days 20%

1 Physical Therapy Assistant

% of Days 34%

1 Mental Health Service Worker

% of Days 15%

1 Occupational Therapy Assistant

% of Days 7%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $4K

91% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $4K

State average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 17, 2023 · $4K

Civil Money Penalty Jul 17, 2023

$4K

Last updated: Jan 2026

High-risk clinical events score 10.8

6% worse than State average

State average: 10.2

Functional decline score 18.9

12% better than State average

State average: 21.6

Long-stay resident measures

Below average State avg: 3.3

Need for Help with Daily Activities Increased 22.6%

20% worse than State average

State average: 18.8%

Walking Ability Worsened 14.1%

28% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 20.0%

24% better than State average

State average: 26.2%

Falls with Major Injury 1.2%

67% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 15.0%

243% worse than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.5%

Lost Too Much Weight 1.3%

74% better than State average

State average: 5.0%

Depressive Symptoms 4.4%

12% worse than State average

State average: 3.9%

Antipsychotic Use 26.3%

38% worse than State average

State average: 19.0%

Pneumococcal Vaccine 89.8%

5% worse than State average

State average: 94.4%

Influenza Vaccine 89.4%

6% worse than State average

State average: 95.3%

Hospitalizations per 1,000 days 3.42

131% worse than State average

State average: 1.48

ED visits per 1,000 days 2.17

In line with State average

State average: 2.09

Short-stay resident measures

Significantly below average State avg: 2.6

Pneumococcal Vaccine 75.5%

11% worse than State average

State average: 85.1%

Antipsychotic medication increase 2.4%

29% worse than State average

State average: 1.8%

Influenza Vaccine 68.3%

7% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay 26.7%

25% worse than State average

State average: 21.3%

Emergency department visits 18.9%

44% worse than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 61.8%

15% better than State average

State average: 53.7%

Successful return to home or community 37.8%

25% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

62% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

36% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 19 - 20 years

Total residents 50

Medicare

10% of residents

Medicaid

50% of residents

Private pay or other

40% 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 Monticello Nursing & Rehab Center from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 69.0% ↓ 4.7pp vs 2022

Net Patient Income $871.6K ↑ ~$1.0M vs 2022

Payroll Costs $2.9M ↑ ~$21.4K vs 2022

Operating Margin 11.9% ↑ 14.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	70.9%	66.0%	67.6%	70.9%	79.7%	71.0%	75.4%	69.7%	68.0%	81.5%	69.2%	73.7%	69.0%
Beds	115	115	115	115	115	115	100	100	100	80	80	80	80
Net Income	$821,246	$647,749	$776,873	$789,286	$917,601	$627,146	$311,487	$644,224	$727,240	$1,268,761	$1,258,466	-$108,641	$916,591
Gross Revenue	$5,904,131	$5,784,455	$6,118,899	$6,524,925	$7,376,213	$7,133,515	$6,781,786	$6,707,040	$6,716,751	$7,475,139	$6,619,566	$7,097,801	$8,301,982
Operating Expenses	$4,472,984	$4,562,261	$4,628,167	$5,000,953	$5,615,568	$5,617,748	$5,612,271	$5,258,256	$5,183,605	$5,912,782	$5,182,259	$6,210,284	$6,434,394
Net Patient Income	$761,945	$591,819	$760,834	$733,471	$866,766	$579,994	$270,407	$593,491	$680,442	$597,643	$475,509	-$153,947	$871,572
Net Patient Revenue	$5,234,929	$5,154,080	$5,389,001	$5,734,424	$6,482,334	$6,197,742	$5,882,678	$5,851,747	$5,864,047	$6,510,425	$5,657,768	$6,056,337	$7,305,966
Payroll Costs	$2,568,907	$2,665,837	$2,538,122	$2,864,168	$3,215,815	$3,240,262	$3,292,882	$3,140,200	$3,073,411	$3,305,054	$2,671,762	$2,846,818	$2,868,192
Operating Margin %	14.6%	11.5%	14.1%	12.8%	13.4%	9.4%	4.6%	10.1%	11.6%	9.2%	8.4%	-2.5%	11.9%
Medicare %	6.7%	7.0%	7.4%	5.8%	5.6%	6.1%	5.2%	5.1%	5.4%	9.3%	9.3%	9.1%	6.3%
Medicaid %	41.1%	52.7%	56.6%	58.4%	56.9%	50.0%	51.4%	54.1%	54.8%	54.9%	54.1%	57.7%	62.4%
Private %	52.2%	40.3%	36.0%	35.8%	37.4%	43.9%	43.4%	40.8%	39.8%	35.7%	36.7%	33.2%	31.3%
Net Patient Revenue/Day	$176	$185	$190	$193	$194	$207	$214	$230	$236	$273	$280	$282	$363
Cost/Day	$150	$164	$163	$168	$168	$188	$204	$207	$209	$248	$256	$289	$320
Avg Length of Stay	259.0 days	283.6 days	262.8 days	367.5 days	355.7 days	332.2 days	299.0 days	299.1 days	248.0 days	182.2 days	160.4 days	157.0 days	214.2 days

Finances and operations

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

Net patient revenue

$7.3M

Net patient income

$871.6K

For-profit Individual

Net patient revenue

$7.3M

Net patient income

$871.6K

Other income

$45.0K

Payroll costs

$2.9M 39.3% of net patient revenue

Other operating costs

$3.6M

Total costs

$6.4M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 23 days.

Coverage residents most often arrive under.

Medicare 62%

Private pay 36%

Medicaid 2%

Coverage residents most often leave under.

Medicare 50%

Private pay 30%

Medicaid 20%

0.0 miles from city center Estimated distance in miles from Monticello's city center to Monticello Nursing & Rehab Center'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
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Monticello Nursing & Rehab Center	NH AL RC SNF	Monticello	-	75	-	74	-

Nursing Home Explorer

Is Monticello Nursing & Rehab Center in a walkable area?

Monticello Nursing & Rehab Center has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Monticello Nursing & Rehab Center?

According to IA state health department records, Monticello Nursing & Rehab Center's license number is 530729.

When does Monticello Nursing & Rehab Center's license expire?

According to IA state health department records, Monticello Nursing & Rehab Center's license expires on November 1, 2026.

What is the occupancy rate at Monticello Nursing & Rehab Center?

Monticello Nursing & Rehab Center's occupancy is 64%.

Are pets allowed at Monticello Nursing & Rehab Center?

No, Monticello Nursing & Rehab Center has a no-pet policy.

What is the best email address for Monticello Nursing & Rehab Center?

The team at Monticello Nursing & Rehab Center can be reached at ngentzler@monticellocampus.com.

Does Monticello Nursing & Rehab Center operate as a for-profit or non-profit?

Monticello Nursing & Rehab Center is registered as a for-profit in IA.

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Monticello Nursing & Rehab Center

Overview of Monticello Nursing & Rehab Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Monticello Nursing & Rehab Center

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 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

118 Certified Nursing Assistant

14 Registered Nurse

15 Licensed Practical Nurse

1 Nurse Practitioner

1 Administrator

1 Other Dietary Services Staff

1 Physical Therapy Aide

3 Speech Language Pathologist

1 Therapeutic Recreation Specialist

2 Qualified Social Worker

5 Clinical Nurse Specialist

2 Respiratory Therapy Technician

1 Medication Aide/Technician

3 Occupational Therapy Aide

1 Physical Therapy Assistant

1 Mental Health Service Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Mostly short-term rehab stays

Admissions

Discharges

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