Monticello Nursing & Rehab Center

500 Pinehaven Drive, Monticello, IA 52310 (opens Google Maps) · Jones County · (319) 465-5415· 75 certified beds · avg 47 residents/day · certified since May 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 →

3/5

Health inspection rating (on-site)

inspected Jan 8, 2026

Serious findings on record

Fines, last 3 years

3.83

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 21 inspection findings. Open the full record below to read every finding.

Jun 24, 2026D · Potential for more than minimal harm, isolated
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint F-0604
Jun 24, 2026D · Potential for more than minimal harm, isolated
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint F-0605
Mar 25, 2026D · Potential for more than minimal harm, isolated
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

View all 21 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.

Date	Severity	What the facility was cited for
Jun 24, 2026	D · Potential for more than minimal harm, isolated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604
Jun 24, 2026	D · Potential for more than minimal harm, isolated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint · F-0605
Mar 25, 2026	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 25, 2026	D · Potential for more than minimal harm, isolated	The 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
Nov 12, 2025	E · Potential for more than minimal harm, pattern	The 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
Nov 12, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Nov 4, 2024	D · Potential for more than minimal harm, isolated	The 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. · F-0550
Nov 4, 2024	D · Potential for more than minimal harm, isolated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Nov 4, 2024	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
Nov 4, 2024	D · Potential for more than minimal harm, isolated	The 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
Nov 4, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Nov 30, 2023	E · Potential for more than minimal harm, pattern	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
Nov 30, 2023	E · Potential for more than minimal harm, pattern	The 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
Nov 30, 2023	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Nov 30, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692

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)

2023

2024

2025

2026

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

Year	Citations	Worst severity that year
2023	10	E
2024	5	D
2025	2	E
2026	4	D

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)

3.83

4.37

3.95

Registered Nurse hours

0.84

0.85

0.69

Weekend total nurse staffing

2.68

3.86

3.50

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

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.83	4.37	3.95	bottom 27% in Iowa; top 47% in the U.S.
Registered Nurse hours	0.84	0.85	0.69	top 42% in Iowa; top 24% in the U.S.
Weekend total nurse staffing	2.68	3.86	3.50	bottom 2% in Iowa; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.51	0.48	bottom 19% in Iowa; bottom 34% in the U.S.
Total nursing staff turnover (%)	50.0	44.0	45.8	bottom 32% in Iowa; bottom 38% in the U.S.
RN turnover (%)	40.0	42.1	42.9	top 47% in Iowa; top 46% 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 3.17, RN 0.70, weekend 2.22.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.17 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Monticello Nursing & Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

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 →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
John R Grubb Family Trust	Organization	5% or Greater Direct Ownership Interest	12%	10/31/2004
John W Grubb Trust	Organization	5% or Greater Direct Ownership Interest	44%	12/31/2020
Kimberly D Grubb Trust	Organization	5% or Greater Direct Ownership Interest	44%	12/31/2020
Grubb, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Grubb, John	Individual	Trustee of the SNF	NOT APPLICABLE	12/31/2020
Grubb, John	Individual	ADP of the SNF	NOT APPLICABLE	01/14/2025
John R Grubb Family Trust	Organization	Trustee of the SNF	NOT APPLICABLE	10/31/2004
John R Grubb Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/14/2025
John W Grubb Trust	Organization	Trustee of the SNF	NOT APPLICABLE	12/31/2020
John W Grubb Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/14/2025
Kimberly D Grubb Trust	Organization	Trustee of the SNF	NOT APPLICABLE	12/31/2020
Kimberly D Grubb Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/14/2025
Shaffer, Claire	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
Shaffer, Claire	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024
Tubbs, Jamie	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Tubbs, Jamie	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2021
Weston, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/1997
Weston, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/01/1997

All 18 owning or managing parties CMS has on file are shown — none excluded.

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 is your policy on physical restraints, and what alternatives do you try first?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you coordinate and monitor care for residents who receive dialysis?"

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 50% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 18 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)

Facility	Distance	City	Overall	Inspection	Flags
Anamosa Care Center	9.6 mi	Anamosa, IA	★★★★★	4/5
Accura Healthcare of Cascade LLC	9.9 mi	Cascade, IA	★★☆☆☆	2/5	abuse
Mercyone Dyersville Senior Care	17.4 mi	Dyersville, IA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Monticello →

Facility data as of CMS processing date 2026-08-01. CCN 165279.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Monticello Nursing & Rehab Center

500 Pinehaven Drive, Monticello, IA 52310 · (319) 465-5415

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "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 50% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165279 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)