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Nursing HomeMedicaid

Montezuma Specialty Care

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

316 Meadow Lane Drive, Montezuma, IA 5017141 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 8 Google reviews

5
4
3
2
1
Montezuma Specialty Care Nursing Home in Montezuma, IA — Street View
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What this means for your family

This facility is highly regarded for its compassionate staff and active resident engagement, making it a strong candidate for those prioritizing a caring environment. Families should feel confident in the facility's communication and adherence to medical dietary needs, as these were highlighted as specific strengths by current residents and their families.

Google Reviews

Google Reviews

8 reviews on Google
Montezuma Specialty Care receives consistent praise for its compassionate and attentive staff who prioritize resident well-being and clear communication. Long-term residents and family members highlight the facility's active engagement through daily activities and high-quality, medically-tailored meal services.

Quality Themes

Tap a score for details
Food10.0Staff10.0CleanN/AActivities10.0Meds10.0MemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Active daily resident engagement programs
  • High-quality, medically-tailored meals
  • Strong leadership and communication

Rating Trends

Tap a year to see what changed

2345.02022(3)5.02023(1)5.02024(1)5.02025(3)

Distribution · 8 analyzed

5
8
4
0
3
0
2
0
1
0

How They Respond to Reviews

63%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1With 15 state violations noted over the past year, could you walk me through the steps the facility has taken to address those findings and improve oversight?
  • 2I noticed your staffing rating is a 3/5; how does your team manage the workload to ensure that the high level of attentive care mentioned by families is consistently maintained for all 41 residents?
  • 3It is great to see your leadership team actively engaging with families online; how do you utilize that same open communication style to keep us updated on our loved one's daily progress?
  • 4Since you have a strong focus on active daily engagement, could you share a few examples of the most popular activities residents are participating in this month?
  • 5Given your focus on medically-tailored meals, how do you handle dietary adjustments if a resident's health needs change suddenly?
  • 6In the event of a medical emergency, what is your specific protocol for coordinating with local hospitals and keeping family members informed in real-time?

Personalized based on this facility's data


Key Review Excerpts

The leadership and staff at this facility are exceptional and so compassionate. This team went above and beyond to make a quick move-in happen for a loved one who just needs some extra care.

Family member · 2025★★★★★

I have lived here almost 3 years, and I have received the best/ caring/ loving treatment possible. The food is well prepared, and the cooks cook your food according to your Doctors orders.

Long-term resident · 2024★★★★★

Great staff that truly cares about the residents and works hard to provide the best care possible. They also have a ton of fun daily activities for residents!

Family member · 2022★★★★★
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.67hrs
89%
Registered nurses for medical care
Total Nursing
3.10hrs
75%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
19.5%
IA
20.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
15.5%
IA
19.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
19.4%
IA
25.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
15.3%
IA
17.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.7%
Mixed vs Avgs
Here
9.7%
US
12.1%
IA
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
IA
4.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
81.8%
IA
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Near state avg (6.2)
7 complaint-triggered

Families have filed multiple complaints triggering serious deficiencies around resident rights, abuse reporting, and accident prevention that the facility has corrected. The facility shows a persistent pattern of fire safety and electrical system violations across all surveys, though these appear to be corrected each time. While no care quality issues remain uncorrected, the recurring safety deficiencies and complaint history warrant careful consideration.

Apr 23, 2026Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0914Potential for harm · WidespreadCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Apr 10, 2025Routine
8
0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0222Potential for harm · PatternCorrected

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.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Oct 3, 2024Complaint
3
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

May 30, 2024Routine
7
0353Potential for harm · Widespread

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0922Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

May 9, 2024Complaint
4
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
14deficiencies
May 26, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Apr 23, 2026Inspection
Clean

Fed violations: 4, State violations: 0

Apr 10, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Oct 18, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Oct 3, 2024Complaint
Clean

Fed violations: 3, State violations: 0

Jun 29, 2024Inspection
Clean

Fed violations: 0, State violations: 0

May 30, 2024Inspection
Clean

Fed violations: 2, State violations: 0

May 26, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Montezuma Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 17 of 43

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Beal, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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.

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