72.3/100
Above average
500 Pinehaven Drive, Monticello, IA 52310
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
$4,194 in federal fines
CMS has fined this facility across 1 penalty action(s).
Weekend staffing drops 30%
Care hours fall sharply on Saturdays and Sundays compared with weekdays.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: January 8, 2026 (7 months ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of HEALTHCARE OF IOWA, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| GRUBB, JOHN | Individual | CORPORATE OFFICER | — |
| SHAFFER, CLAIRE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TUBBS, JAMIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WESTON, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| JOHN R GRUBB FAMILY TRUST | Organization | TRUSTEE OF THE SNF | — |
| JOHN W GRUBB TRUST | Organization | TRUSTEE OF THE SNF | — |
| KIMBERLY D GRUBB TRUST | Organization | TRUSTEE OF THE SNF | — |
| GRUBB, JOHN | Individual | TRUSTEE OF THE SNF | — |
| JOHN R GRUBB FAMILY TRUST | Organization | ADP OF THE SNF | — |
| JOHN W GRUBB TRUST | Organization | ADP OF THE SNF | — |
| KIMBERLY D GRUBB TRUST | Organization | ADP OF THE SNF | — |
| GRUBB, JOHN | Individual | ADP OF THE SNF | — |
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Monticello Nursing & Rehab Center holds an ElderGrade of B (72.3 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.17 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 19 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Monticello Nursing & Rehab Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.