Montrose Health Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 10 Google reviews
Watch Montrose Health 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.
What this means for your family
While some families have had positive experiences with the facility's cleanliness and long-term staff, the recent reports of nursing neglect and unprofessional administrative behavior are concerning. We strongly advise families to conduct an in-person visit and specifically observe staff responsiveness before making a decision.
Google Reviews
Google Reviews
10 reviews on Google“Montrose Health Center receives highly polarized feedback, with recent reviews highlighting significant concerns regarding nursing responsiveness and administrative conduct. While some families have praised the facility for its cleanliness and long-tenured staff, others report serious lapses in medical care and unprofessional behavior from the management team.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Long-tenured staff members
- Professional and knowledgeable nursing care (cited in positive reviews)
Concerns
- Rude, condescending, and unprofessional administrative staff (mentioned by 2 reviewers)
- Nursing staff ignoring patient needs and requests (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 10 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1With your 5-star staffing rating, how do you ensure that the high level of care provided by your tenured nursing team is consistently felt by residents throughout their daily routine?
- 2I noticed there have been some recent challenges regarding communication; what specific steps is the leadership team taking to ensure families feel heard and updated about their loved one's care?
- 3Given the recent focus on improving medication management, could you walk me through the safety protocols and oversight currently in place for administering daily prescriptions?
- 4Since the facility is smaller with 44 residents, how do you foster a sense of community and keep residents engaged in meaningful daily activities?
- 5I see that administrative responsiveness is an area you are working on; what is the best way for family members to reach out if they have questions or need to discuss a concern?
- 6How does your nursing team coordinate with local hospitals or emergency services to ensure residents receive immediate attention if a medical situation arises?
Personalized based on this facility's data
Key Review Excerpts
“The administrative and nursing staff are professional, knowledgeable and friendly. The facility is very clean, the caregivers were always in my mom and dads rooms checking in and providing excellent care.”
“Administrative employees are a handful, and that is putting it nicely. They are rude, condescending, and belittling of guardians and court ordered care givers.”
“The nurses are okay, when they aren't ignoring your loved one for long periods of time. The amenities are all very old and out of date and need updating badly.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
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
This facility shows concerning patterns with families filing complaints about serious issues including resident abuse, medication errors, and inadequate treatment care. The most recurring problems involve care planning and assessment, fire safety systems, and basic quality of care including accident prevention and wound care. While all deficiencies show correction dates, the repeated issues across multiple surveys and complaint-driven inspections suggest ongoing care quality challenges that families should carefully consider.
Mar 26, 2026Complaint1
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.
Oct 2, 2025Routine3
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Sep 19, 2024Routine8
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
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
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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.
Apr 25, 2024Routine10
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Apr 25, 2024Complaint4
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.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Sep 19, 2024
$25,740
Fine
Apr 25, 2024
$17,339
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jun 11, 2026ComplaintClean
Fed violations: 0, State violations: 0
Apr 23, 2026ComplaintClean
Fed violations: 0, State violations: 0
Mar 26, 2026ComplaintClean
Fed violations: 1, State violations: 0
Dec 4, 2025InspectionClean
Fed violations: 0, State violations: 0
Oct 2, 2025InspectionClean
Fed violations: 1, State violations: 0
May 13, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 14, 2024InspectionClean
Fed violations: 0, State violations: 0
Sep 19, 2024InspectionClean
Fed violations: 4, State violations: 1
Ownership & Operations
Who Operates This Facility
Montrose Health Center
for profit
Ownership & Management
Owners
Holtkamp, Mark
Owner
Kidwell, Kevin
Owner
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
10 reviews from families & visitors
Official Website
Visit montrosehealthcenter.com
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.
Nearby Alternatives
River Hills Village in Keokuk
6.4 miNursing Home · Keokuk, IA
River Hills Village
6.4 miAssisted Living · Keokuk, IA
Birkwood Village of Fort Madison
7.2 miNursing Home · Fort Madison, IA
Mississippi Valley
7.3 miNursing Home · Keokuk, IA
Southeast Iowa Healthcare Center
7.3 miNursing Home · Keokuk, IA
Sunnybrook of Fort Madison
7.7 miMemory Care · Fort Madison, IA