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Nursing Home

Montrose Health Center INC

Overview of Montrose Health Center INC
Montrose Health Center is a respected nursing home in Montrose, IA. It provides skilled nursing, long-term care, respite care, and hospice services. The facility focuses on quality care and fostering a welcoming environment for its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
Iowa average: 3.2/5
Health Inspection Info 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.
2/5
Iowa average: 2.9/5
Staffing Info 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.
5/5
Iowa average: 3.7/5
Quality Measures Info 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.
5/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 41m per day

This home provides 6% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 44

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 81.8%
Residents per day (avg) 34
Occupancy rate
81.8%
Residents per day (avg)
34

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

73% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

13% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Profit
$356.0K
Privately-owned community Operated by a business corporation.
Home revenue
$4,549,787.00
Profit
$356,031.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
37.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
Total costs $4.2M
Bed community size
44-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
37 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
82%
In line with Iowa average
Occupied beds
36 / 44
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
Issuance May 18, 1988
County: Lee

Additional licensing details

License number: 560835
CMS Certification Number: 165304
Certification type: FALSE

Ownership & operating entity

Montrose Health Center INC is administrated by Mallory Orton.

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing
Long-Term Care
Respite Care
Hospice Care

Contact Information

Fax: 3194635439

Amenities & Lifestyle

Physical Therapy
Occupational Therapy
Speech Therapy
Restorative Nursing
Exercise Class
Wound Care Nurse
24-hour Nursing Care
Assistance with ADL’s
Podiatry Service
In-House X-Ray Services
Private Rooms
Semi-Private Rooms
Resident Activities
Live Music
Crafts
Scenic Rides
Resident Council
Pet Therapy
Religious Services
Clean
Home-Like Environment
Low Employee Turnover
Local Ownership

Programs & Activities

Specific Programs
Skilled Nursing, Long-Term Care, Respite Care, Hospice Care
Contact Montrose Health Center INC

Inspection History

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.

18 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:December 4, 2025

31 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Montrose Health Center INC

The most recent inspection on December 4, 2025, found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to resident care, including medication administration, care planning, and ensuring resident safety from abuse and accident hazards. Several complaint investigations were substantiated, particularly involving failure to assess and intervene for changes in resident conditions and inadequate infection control during the COVID-19 outbreak. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made improvements over time, correcting prior deficiencies and maintaining compliance in the latest survey.

Health Inspection History

Inspections
Total health inspections 4

Iowa average 4.9


Last Health inspection on Oct 2025

Total health citations 15

Iowa average 21.7

Citations per inspection
3.75

Iowa average 4.11


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

10 of 15 citations resulted from standard inspections; 1 of 15 resulted from complaint investigations; and 4 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
67% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 4
344% worse than Iowa average

Iowa average: 0.9

1 critical citation More info Iowa average: 0.6

4 serious citations More info Iowa average: 0.9

10 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 02, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 19, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 19, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 19, 2024
Corrected

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

5 facilities compared · CMS & IA Dept. of Health data · Updated Mar 2026

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
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
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
46
80.5%
+7%
5.85
-40%
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Montrose Health 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.

Montrose
46
81.3%
+8%
4.68
-4%
+9%
3
15
5
34
Payne, David M
$4,5M
$1,7M
37.5%
165304
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
1
65
-
$7,1M
$3,0M
42.7%
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
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082

Places of interest near Montrose Health Center INC

Address Montrose, IA 526390248

Address Montrose, IA 526390248

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 54
Employees 51
Contractors 3
Staff to resident ratio 1.50:1
25% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 19
Average shift 7.1 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 12,313
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.2%

26 contractor hours this quarter

Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant280286,94791100%7.1
Registered Nurse6061,70591100%9.8
Clinical Nurse Specialist2028776369%7.6
Licensed Practical Nurse3037406673%7.9
Administrator1014766066%7.9
Medication Aide/Technician2024646167%7.6
Nurse Practitioner1014565763%8
Physical Therapy Aide1013215459%6
Qualified Social Worker2021272730%4.4
Speech Language Pathologist202942426%3.8
Respiratory Therapy Technician101581213%4.8
Physical Therapy Assistant20221910%2.4
Occupational Therapy Assistant0111255%2.4
Medical Director011889%1
Occupational Therapy Aide011611%6
28 Certified Nursing Assistant
% of Days 100%
6 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 69%
3 Licensed Practical Nurse
% of Days 73%
1 Administrator
% of Days 66%
2 Medication Aide/Technician
% of Days 67%
1 Nurse Practitioner
% of Days 63%
1 Physical Therapy Aide
% of Days 59%
2 Qualified Social Worker
% of Days 30%
2 Speech Language Pathologist
% of Days 26%
1 Respiratory Therapy Technician
% of Days 13%
2 Physical Therapy Assistant
% of Days 10%
1 Occupational Therapy Assistant
% of Days 5%
1 Medical Director
% of Days 9%
1 Occupational Therapy Aide
% of Days 1%

Facility Characteristics

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

Total census
36 residents
Residents by payment source
Medicare
4 residents (11.1%)
Medicaid
24 residents (66.7%)
Private pay or other
8 residents (22.2%)
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.

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. 9.6
6% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.9
12% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.3%
24% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.1%
In line with Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.2%
15% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.4%
33% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.3%
89% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.9%
42% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.8%
204% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.7%
12% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
In line with Iowa average

Iowa average: 94.4%

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

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
16% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
33% better than Iowa average

Iowa average: 73.3%

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 (Data as of Jan 2026)

Total fines amount $49K
In line with Iowa average

Iowa average: $48K

Number of fines 3
77% more fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $49K
Iowa average $48K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 19, 2024
$26K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 25, 2024
$17K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 24, 2023
$6K

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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