Monticello Nursing & Rehab Center
Strong Medicare quality ratings; families often praise caring and attentive nursing staff. Still worth an in-person visit.
based on 19 Google reviews

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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 detailsStrengths
- 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
Distribution · 20 analyzed
How They Respond to Reviews
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.”
“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.”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
4
measures
6
measures
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents whose walking got worse
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
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.
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, 2026Routine4
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Nov 12, 2025Complaint2
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
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 4, 2024Routine11
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nov 4, 2024Complaint1
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, 2023Routine15
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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.
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.
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
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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
Mar 25, 2026OtherClean
Fed violations: 2, State violations: 0
Mar 18, 2026OtherClean
Fed violations: 0, State violations: 0
Feb 12, 2026OtherClean
Fed violations: 7, State violations: 0
Jan 8, 2026InspectionClean
Fed violations: 0, State violations: 0
Dec 11, 2025OtherClean
Fed violations: 0, State violations: 0
Nov 12, 2025OtherClean
Fed violations: 2, State violations: 0
Sep 24, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jul 9, 2025ComplaintClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Monticello Nursing & Rehab Center
for profit
Chain Affiliation
Healthcare of Iowa
6 facilities nationwide
Chain avg rating: 3.8/5 · Rank 6 of 8
Ownership & Management
Owners
John R Grubb Family Trust
Owner · Organization
John W Grubb Trust
Owner · Organization
Kimberly D Grubb Trust
Owner · Organization
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 monticellocampus.com
Medicare data downloads
Original nursing home datasets
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