Nursing Home · Montello, WI
251 Forest Lane, Montello, WI 53949
Medicare overall rating
1 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
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Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 50 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
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Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
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Your next step
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Medicare rates this facility 1 out of 5 overall. The latest standard survey recorded 25 findings, above the WI average of 9.8. Review the inspection findings, ask which corrective actions are complete, and discuss the support your family member would receive.
Montello Care Center receives highly polarized feedback, with a clear divide between successful short-term rehabilitation patients and families of long-term or hospice residents. While the physical therapy department is consistently praised for its effectiveness and staff expertise, multiple families have reported severe concerns regarding cleanliness, neglect, and inadequate staffing levels.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Reviews are split between high praise for rehab therapists and significant complaints about nursing staff availability and neglect.
Families report difficulty getting accurate information and slow responses to concerns.
Multiple reviewers reported pungent odors, soiled linens on floors, and visible debris.
Reviewers reported receiving misinformation about medication status and lack of follow-through.
A reviewer noted significant difficulty obtaining a refund after a resident's passing.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
This facility actively engages with reviewer feedback.
Key Review Excerpts
“My therapist, Allan, was very patient and explained why each exercise was needed to regain full motion/strength. My sessions were productive and my surgeon was thrilled w/my early progress”
“Nursing and care staff were difficult to find. Very pungent odor of urine everywhere. His room had several washcloths covered in urine and feces directly on the floor.”
“Some of the staff did not monitor my father at night, plus didn't follow up with my mother's instructions. My father fell out of bed and had lacerations on his face and leg.”
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who got a urinary tract infection
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Montello Care Center has persistent issues with abuse/neglect reporting and investigations, with families filing numerous complaints triggering 30 of 95 total deficiencies. The facility repeatedly struggles with infection control, medication management, and maintaining safe environments. While all violations show correction dates, the pattern of recurring problems—especially around resident protection and pharmacy services—suggests ongoing operational challenges that warrant careful consideration during your visit.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Environmental Deficiencies
Keep all essential equipment working safely.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Oct 22, 2025
$10,358
Fine
Apr 9, 2025
$132,276
Montello Care Center
nonprofit
Wisconsin Illinois Senior Housing, INC.
7 facilities nationwide
Chain avg rating: 2.0/5 · Rank 7 of 7 (Lowest rating)
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with the state licensing agency. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit montellocarecenter.org
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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