Iowa ›Montezuma

Montezuma Specialty Care

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316 Meadow Lane Drive, Montezuma, IA 50171 (opens Google Maps) · Poweshiek County · (641) 219-4330· 41 certified beds · avg 30 residents/day · certified since Oct 1, 1996 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

3/5
Health inspection rating (on-site)
inspected Apr 23, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.80
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  2. D · Potential for more than minimal harm, isolated

    The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. F-0657

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695

View all 13 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 23, 2026F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Apr 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Apr 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Oct 3, 2024E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Oct 3, 2024E · Potential for more than minimal harm, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Oct 3, 2024E · Potential for more than minimal harm, patternThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
May 30, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
May 30, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
May 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
May 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
May 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 9
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202490E
202640F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.80
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.96
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.54
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.804.373.95bottom 24% in Iowa; top 48% in the U.S.
Registered Nurse hours0.960.850.69top 31% in Iowa; top 18% in the U.S.
Weekend total nurse staffing3.543.863.50bottom 38% in Iowa; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)0.670.510.48top 18% in Iowa; top 18% in the U.S.
Total nursing staff turnover (%)51.644.045.8bottom 28% in Iowa; bottom 33% in the U.S.
RN turnover (%)62.542.142.9bottom 22% in Iowa; bottom 19% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.30, RN 0.83, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.30 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Montezuma Specialty Care. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Care InitiativesOrganization5% or Greater Direct Ownership Interest100%07/01/2000
Baedke, CharissaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Beal, MichaelIndividualCorporate DirectorNOT APPLICABLE06/01/2020
Beal, MichaelIndividualCorporate OfficerNOT APPLICABLE06/01/2020
Beal, MichaelIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE08/19/2025
Bowen, LaneIndividualCorporate DirectorNOT APPLICABLE01/01/2021
Carothers, Mary JaneIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Childs, KevinIndividualCorporate DirectorNOT APPLICABLE04/01/2023
Computershare Corporate Trust Company, NaOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/01/2025
Computershare Corporate Trust Company, NaOrganizationADP of the SNFNOT APPLICABLE08/11/2025
Corless, PeterIndividualCorporate DirectorNOT APPLICABLE01/01/2025
Dixon, DavidIndividualCorporate OfficerNOT APPLICABLE06/01/2016
Drake, EmilyIndividualCorporate OfficerNOT APPLICABLE01/04/2023
Gijima, DesireIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Gijima, DesireIndividualADP of the SNFNOT APPLICABLE08/11/2025
Gilyard, TanyaIndividualCorporate OfficerNOT APPLICABLE05/23/2025
Huff, MitchellIndividualOperational/Managerial ControlNOT APPLICABLE04/24/2024
Huff, MitchellIndividualADP of the SNFNOT APPLICABLE08/11/2025
Krein, KeithIndividualCorporate DirectorNOT APPLICABLE06/29/2022
Kuhn, JeramyIndividualCorporate OfficerNOT APPLICABLE06/25/2008

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Care Initiatives — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "What were the findings behind this administration citation, and what has leadership changed since?"
  • "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Brooklyn Community Estates11.8 miBrooklyn, IA★★★★★5/5
St Francis Manor14.1 miGrinnell, IA★★★★★5/5
Mayflower Home14.5 miGrinnell, IA★★★★★4/5
Northern Mahaska Specialty Care19.4 miOskaloosa, IA★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Montezuma →

Facility data as of CMS processing date 2026-08-01. CCN 165295.

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