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C
Below Standard

Montezuma Specialty Care

316 Meadow Lane Drive · Montezuma, IA 50171

6416235497 · Non profit - Corporation

41 beds33.6 residents46 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Montezuma Specialty Care receives an overall staffing grade of C (Below Standard). With 3.1585 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6464 HPRD, below the recommended 0.75. It is 0.74 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.18% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1585 HPRD — needs 0.32 more hours per resident per day.
⚠️RN staffing (0.6464 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1585hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.6464hrs/resident/day▼ 0.04
Recommended: 0.75
Weekend Drop-off
15.18%
3.3 weekday → 2.7993 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8099hrs/resident/day
Direct care aides
LPN HPRD
0.3496hrs/resident/day
Licensed practical nurses
Consistency
0.3803std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Poweshiek County Average-0.73 HPRD
3.89
03.16 HPRD
vs. Iowa State Average-0.66 HPRD
3.82
03.16 HPRD
vs. National Average-0.74 HPRD
3.90
03.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Montezuma Specialty Care ★
Montezuma · This facility
—
C
3.15850.6464★★★★☆
Northern Mahaska Specialty Care
Oskaloosa
19.4 mi
C
3.19650.4179★★☆☆☆
Stone Cottage Care Center
Sigourney
24.5 mi
C
3.17240.4577★☆☆☆☆
Manor House Care Center
Sigourney
24.7 mi
D
3.69590.3777★☆☆☆☆
Belle Plaine Specialty Care
Belle Plaine
25.8 mi
C
3.25640.7565★★★☆☆
Accura Healthcare of Knoxville, LLC
Knoxville
33.8 mi
B
3.70110.6026★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$0
Fines Assessed
Oct 3, 2024Health
3 deficiencies cited
▼
May 30, 2024Health
2 deficiencies cited
▼
May 9, 2024Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.