Nursing homeActive

Monticello Nursing & Rehab Center

500 Pinehaven Drive, Monticello, IA 52310319465541575 certified beds · 47 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
21
0210
Penalties · 3 yrs
none on file
Last survey
2026-06-24
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-24Complaint020CMS-2567 (Care Compare)
2026-03-25Complaint020CMS-2567 (Care Compare)
2026-01-08Standard000CMS-2567 (Care Compare)
2025-11-12Complaint020CMS-2567 (Care Compare)
2024-11-04Standard050CMS-2567 (Care Compare)
2023-11-30Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-24Complaint survey · 2 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165279-20260624-F604
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165279-20260624-F605
2026-03-25Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165279-20260325-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 165279-20260325-F689
2025-11-12Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-14Record 165279-20251112-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-14Record 165279-20251112-F689
2024-11-04Standard survey · 5 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 165279-20241104-F550
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 165279-20241104-F582
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 165279-20241104-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 165279-20241104-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-14Record 165279-20241104-F698
2023-11-30Standard survey · 10 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F584
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F636
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F692
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 165279-20231130-F725

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.70
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.17
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.22
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover50%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover40%
Facility
Iowa
National
Iowa 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIowaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.8%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.1%3.8%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
17.5%19.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.9%17.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.6%4.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.5%20.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
John R Grubb Family Trust
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST12%
John W Grubb Trust
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST44%
Kimberly D Grubb Trust
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST44%
Shaffer, Claire
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tubbs, Jamie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Weston, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Grubb, John
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Grubb, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Grubb, John
Individual
ADP OF THE SNFNOT APPLICABLE
John R Grubb Family Trust
Organization
TRUSTEE OF THE SNFNOT APPLICABLE
John R Grubb Family Trust
Organization
ADP OF THE SNFNOT APPLICABLE
John W Grubb Trust
Organization
TRUSTEE OF THE SNFNOT APPLICABLE
John W Grubb Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Kimberly D Grubb Trust
Organization
TRUSTEE OF THE SNFNOT APPLICABLE
Kimberly D Grubb Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Shaffer, Claire
Individual
ADP OF THE SNFNOT APPLICABLE
Tubbs, Jamie
Individual
ADP OF THE SNFNOT APPLICABLE
Weston, Michael
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.

No county cost figures on file for Jones.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Anamosa Care Center
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9.9 mi2026-05-28041
MercyOne Dyersville Senior Care
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Mechanicsville Specialty Care
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01