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Nursing HomeMedicaid

Monticello Nursing & Rehab Center

Strong Medicare quality ratings; families often praise caring and attentive nursing staff. Still worth an in-person visit.

500 Pinehaven Drive, Monticello, IA 5231075 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 19 Google reviews

5
4
3
2
1
Monticello Nursing & Rehab Center Nursing Home in Monticello, IA — Street View
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What this means for your family

Recent feedback suggests a positive shift in staff engagement and care quality. However, because of the serious nature of past allegations regarding basic needs, we recommend conducting an unscheduled visit to observe daily care routines firsthand.

Google Reviews

Google Reviews

19 reviews on Google
Monticello Nursing & Rehab Center receives polarized feedback, with recent reviews highlighting a compassionate and attentive staff, while older, more critical reviews raise serious concerns regarding basic care standards like nutrition and hygiene. Potential families should be aware that the majority of positive feedback consists of brief, non-specific ratings, whereas the negative feedback provides specific allegations of neglect.

Quality Themes

Tap a score for details
Food0.0Staff8.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Caring and attentive nursing staff
  • Supportive team environment
  • Professional approach to resident needs

Concerns

  • Neglect of basic daily needs including feeding, bathing, and dressing

Rating Trends

Tap a year to see what changed

2343.02018(4)5.02019(1)4.32021(6)1.02022(1)5.02024(1)5.02025(6)4.02026(1)

Distribution · 20 analyzed

5
15
4
1
3
0
2
0
1
4

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed that the facility has a strong reputation for a supportive and professional nursing team; how do you ensure that this high level of attention is consistently applied to daily personal care tasks like bathing and dressing?
  • 2Since dining is an area where you are looking to improve, could you walk me through how you currently manage mealtime assistance for residents who need extra help with feeding?
  • 3With your staffing rating being a strong point, how do you deploy your team to ensure that residents receive prompt responses when they need assistance with basic daily needs?
  • 4I saw that you actively engage with feedback online; how do you use that family input to make tangible changes to the quality of life here at Monticello?
  • 5Given the recent focus on health inspections, what specific steps has the leadership team taken to address the cited deficiencies and improve the overall care environment?
  • 6What protocols do you have in place to ensure that residents receive immediate, high-quality medical attention during an emergency, especially during overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The staff truly care about the residents—not just in the way they meet their needs, but in how they take the time to connect, listen, and bring a little extra joy to their day.

Family member · 2025★★★★★

The team here truly cares about the residents and supports each other like family. They are incredibly professional, compassionate, and attentive to every need, both medically and emotionally.

Family member · 2025★★★★★

Worst place ever they tell you what you want to hear wouldn't send my worst enemy here what place lets someone go all day without eating and don't even bother get them up or dressed or even bathed if you care about your loved one don't send them here

Family member · 2022☆☆☆☆
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
58%
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 · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

6

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.4%
Worse than Avg
Here
89.4%
US
95.5%
IA
95.3%
Jones
98.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.3%
Mixed vs Avgs
Here
5.3%
US
12.1%
IA
4.1%
Jones
1.2%

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

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
5.3%
IA
4.9%
Jones
7.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
15.3%
IA
17.5%
Jones
19.2%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.5%
Worse than Avg
Here
10.5%
US
4.9%
IA
4.3%
Jones
5.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility92.4%
Worse than Avg
Here
92.4%
US
93.4%
IA
93.9%
Jones
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.3%
Worse than Avg
Here
68.3%
US
79.8%
IA
73.3%
Jones
79.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.4%
Mixed vs Avgs
Here
88.4%
US
81.8%
IA
84.1%
Jones
89.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Jones
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Near state avg (6.2)
5 complaint-triggered
$4,194 in fines

Monticello Nursing & Rehab Center shows recurring problems with accident prevention appearing across multiple surveys, including recent complaint investigations where families filed reports about resident safety and abuse protection. The facility has consistent issues with fire safety systems, care planning, and maintaining adequate nursing staffing levels, though all deficiencies show correction dates indicating efforts to address problems.

Mar 25, 2026Complaint
2
0600Potential for harm · IsolatedResolved (past non-compliance)

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.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 8, 2026Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Nov 12, 2025Complaint
2
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0600Potential for harm · IsolatedCorrected

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.

Nov 4, 2024Routine
11
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0657Potential for harm · IsolatedResolved (past non-compliance)

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Nov 4, 2024Complaint
1
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.

Nov 30, 2023Routine
15
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0657Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Federal Penalties

Fine

Jul 17, 2023

$4,194

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
11deficiencies
Mar 25, 2026Other
Clean

Fed violations: 2, State violations: 0

Mar 18, 2026Other
Clean

Fed violations: 0, State violations: 0

Feb 12, 2026Other
Clean

Fed violations: 7, State violations: 0

Jan 8, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Dec 11, 2025Other
Clean

Fed violations: 0, State violations: 0

Nov 12, 2025Other
Clean

Fed violations: 2, State violations: 0

Sep 24, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 9, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monticello Nursing & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Healthcare of Iowa

Chain Size

6 facilities nationwide

Chain avg rating: 3.8/5 · Rank 6 of 8

Ownership & Management

Owners

John R Grubb Family Trust

Owner · Organization

12%

John W Grubb Trust

Owner · Organization

44%

Kimberly D Grubb Trust

Owner · Organization

44%

Key personnel

Grubb, JohnOfficer / DirectorShaffer, ClaireManagerTubbs, JamieManagerWeston, MichaelManagerJohn R Grubb Family TrustTrustee of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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