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C
Below Standard

Monticello Nursing & Rehab Center

500 Pinehaven Drive · Monticello, IA 52310

3194655415 · For profit - Individual

75 beds47.2 residents145 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very 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

Monticello Nursing & Rehab Center receives an overall staffing grade of C (Below Standard). With 3.3335 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.56 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.19% compared to weekdays. The facility uses a moderate level of agency staff (10.77% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3335 HPRD — needs 0.15 more hours per resident per day.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.3335hrs/resident/day▼ 0.56
CMS benchmark: 3.48
RN HPRD
0.7678hrs/resident/day▲ 0.08
Recommended: 0.75
Weekend Drop-off
22.19%
3.5565 weekday → 2.7672 weekend
⚠ Significant weekend reduction
Agency Staff
10.77%
14.52% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1984hrs/resident/day
Direct care aides
LPN HPRD
0.3593hrs/resident/day
Licensed practical nurses
Consistency
0.4358std 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. Jones County Average+0.01 HPRD
3.33
03.33 HPRD
vs. Iowa State Average-0.48 HPRD
3.82
03.33 HPRD
vs. National Average-0.56 HPRD
3.90
03.33 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
Monticello Nursing & Rehab Center ★
Monticello · This facility
—
C
3.33350.7678★★★☆☆
Anamosa Care Center
Anamosa
9.6 mi
C
3.31890.5736★★★★★
Mechanicsville Specialty Care
Mechanicsville
22.8 mi
B
3.50150.5662★★★★★
Silver Oak Nursing and Rehabilitation Center LLC
Marion
24.3 mi
C
3.44810.5018★☆☆☆☆
Hallmark Care Center
Mount Vernon
24.8 mi
C
3.72350.4801★★★☆☆
Cottage Grove Place
Cedar Rapids
28.1 mi
B
4.48760.6269★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
26
Total Deficiencies
$4,194
Fines Assessed
Nov 12, 2025Health
2 deficiencies cited
▼
Nov 4, 2024Health
5 deficiencies cited
▼
Nov 30, 2023Health
10 deficiencies cited
▼
Nov 3, 2022Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 17, 2023Fine
$4,194
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.