Montello Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
Watch Montello Care Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (29 vs median 7)
- High staff turnover (67%)
- High RN turnover (85%)
Bottom 25% in WI · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain · $218,328 in fines · Abuse citation
What this means for your family
This facility's physical therapy department is highly regarded for post-surgery recovery, but families should be extremely cautious regarding long-term care. Given the recurring reports of poor hygiene and staffing shortages, we strongly recommend requesting a tour that includes resident rooms and common areas, and checking the most recent state inspection reports for documented deficiencies.
Google Reviews
Google Reviews
19 reviews on Google“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.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy department
- Friendly and supportive rehab staff
- Professional and attentive care during short-term stays
Concerns
- Inadequate staffing levels leading to neglect (mentioned by 5 reviewers)
- Poor facility cleanliness and hygiene issues (mentioned by 3 reviewers)
- Lack of communication and misinformation regarding medical status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We noticed your team is very responsive to feedback from families; how do you typically share updates with us regarding changes in a resident's medical status?
- 2The physical therapy department comes highly recommended, so could you tell us more about how the rehab staff works with residents during their stay?
- 3What specific steps are being taken to ensure the facility remains clean and hygienic for all residents?
- 4How does the nursing team manage medication schedules to ensure everything is handled accurately and on time?
- 5Could you describe what a typical day of social activities and engagement looks like for the residents here?
- 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating care?
Personalized based on this facility's data
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
5
measures
7
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with pressure sores (bedsores)
Residents needing more daily help over time
Residents who got a urinary tract infection
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Dec 4, 2025Routine24
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.
Dec 4, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 22, 2025Complaint3
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.
Aug 1, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 12, 2025Complaint6
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 9, 2025Complaint8
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal Penalties
Fine
Oct 22, 2025
$15,935
Fine
Apr 9, 2025
$132,276
Fine
Jul 19, 2023
$14,828
Ownership & Operations
Who Operates This Facility
Montello Care Center
nonprofit
Chain Affiliation
Wisconsin Illinois Senior Housing, INC.
7 facilities nationwide
Chain avg rating: 2.0/5 · Rank 7 of 7 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
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. 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.
Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.