Nursing homeActive
Montrose Health Center
400 South 7th Street, Montrose, IA 52639319463543844 certified beds · 40 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
15
● 0● 11● 4
Penalties · 3 yrs
$43,079
2 fines
Last survey
2026-03-26
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 4
Quality 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-10-02 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-19 | Standard | 031 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Standard | 063 | CMS-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.
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 DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 165304-20260326-F725
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 165304-20251002-F693
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-08Record 165304-20240919-F689
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 165304-20240919-F640
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 2024-10-08Record 165304-20240919-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 165304-20240919-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-10Record 165304-20240425-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-10Record 165304-20240425-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-10Record 165304-20240425-F697
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 165304-20240425-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 165304-20240425-F641
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 2024-05-10Record 165304-20240425-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 165304-20240425-F690
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 165304-20240425-F760
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 165304-20240425-F940
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-19 | Civil money penalty | $25,740 | CMS · Penalties |
| 2024-04-25 | Civil money penalty | $17,339 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.80
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.32
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.70
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover44%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover50%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 15.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 6.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.5% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Holtkamp, Mark Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Kidwell, Kevin Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Healthcare Of Iowa Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holtkamp, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holtkamp, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kidwell, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lee County Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Payne, David M Individual | W-2 MANAGING EMPLOYEE | NOT 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 Lee.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| River Hills Village in Keokuk Keokuk | 6.4 mi | 2025-09-18 | 071 |
| Southeast Iowa Healthcare Center Keokuk | 7.3 mi | 2026-07-01 | 061 |
| Mississippi Valley Keokuk | 7.3 mi | 2026-05-21 | 093 |
| Birkwood Village of Fort Madison Fort Madison | 7.3 mi | 2026-04-16 | 0241 |
| West Point Care Center Inc West Point | 13.6 mi | 2026-05-07 | 081 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |