nursing home in Montezuma, IA
Montezuma Specialty Care
316 Meadow Lane Drive, Montezuma, IA 50171 · (641) 219-4330
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Montezuma Specialty Care at a glance
Montezuma Specialty Care is a 41-bed non-profit nursing home in Montezuma, Iowa (Poweshiek County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.3 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (April 23, 2026) found 4 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.6% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 41
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Care Initiatives
- Medicare-certified since
- October 1, 1996
- Resident/family council
- Resident
- County
- Poweshiek County
- CMS Certification Number
- 165295
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.30 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.21 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.08 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.6% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 31 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 41 | 65 | 107 | |
| Average residents per day | 30 | 52 | 86 | |
| Occupancy | 73.9% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 27.4% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.6% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.3% | 17.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 12.9% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.3% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9.2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.7% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.9% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 93.5% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.5% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.9% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 23, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected May 4, 2026 |
| April 23, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected May 6, 2026 |
| April 23, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 15, 2026 |
| April 23, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 23, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 10, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 10, 2025 |
| April 10, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected April 15, 2025 |
| April 10, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 15, 2025 |
| April 10, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected April 15, 2025 |
| April 10, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 28, 2025 |
| April 10, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected April 10, 2025 |
| April 10, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected April 14, 2025 |
| April 10, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 15, 2025 |
| October 3, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected October 18, 2024 |
| October 3, 2024 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | E Potential harm, pattern | Corrected October 18, 2024 |
| October 3, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 18, 2024 |
| May 30, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 5, 2024 |
| May 30, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 5, 2024 |
| May 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 9, 2024 |
| May 30, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected June 6, 2024 |
| May 30, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected June 5, 2024 |
| May 30, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 29, 2024 |
| May 30, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 29, 2024 |
| May 9, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 26, 2024 |
| May 9, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 26, 2024 |
| May 9, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 26, 2024 |
| May 9, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 26, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARE INITIATIVES Organization | 5% or greater direct ownership interest | 100% | 07/01/2000 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | adp of the snf | NOT APPLICABLE | 08/11/2025 |
| GIJIMA, DESIRE Individual | adp of the snf | NOT APPLICABLE | 08/11/2025 |
| HUFF, MITCHELL Individual | adp of the snf | NOT APPLICABLE | 08/11/2025 |
| BEAL, MICHAEL Individual | corporate director | NOT APPLICABLE | 06/01/2020 |
| BOWEN, LANE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| CAROTHERS, MARY JANE Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| CHILDS, KEVIN Individual | corporate director | NOT APPLICABLE | 04/01/2023 |
| CORLESS, PETER Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| KREIN, KEITH Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| RUST, ELIZABETH Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| STURM, DENISE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| UPMEYER, LINDA Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| BEAL, MICHAEL Individual | corporate officer | NOT APPLICABLE | 06/01/2020 |
| DIXON, DAVID Individual | corporate officer | NOT APPLICABLE | 06/01/2016 |
| DRAKE, EMILY Individual | corporate officer | NOT APPLICABLE | 01/04/2023 |
| GILYARD, TANYA Individual | corporate officer | NOT APPLICABLE | 05/23/2025 |
| KUHN, JERAMY Individual | corporate officer | NOT APPLICABLE | 06/25/2008 |
| MCDYER, JESSICA Individual | corporate officer | NOT APPLICABLE | 02/22/2023 |
| VOLM, JOHANNA Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| BEAL, MICHAEL Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/19/2025 |
| BAEDKE, CHARISSA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| GIJIMA, DESIRE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| HUFF, MITCHELL Individual | operational/managerial control | NOT APPLICABLE | 04/24/2024 |
Other nursing homes near Montezuma Specialty Care
Brooklyn Community Estates
406 North Street, Brooklyn, IA 52211 · 11.8 mi
For-profit · 50 beds
- CMS high performer
★★★★★5Much above averageSt Francis Manor
2021 Fourth Avenue, Grinnell, IA 50112 · 14.1 mi
Non-profit · 78 beds
- CMS high performer
★★★★★5Much above average- ★★★★★5Much above average
Northern Mahaska Specialty Care
2401 Crestview Drive, Oskaloosa, IA 52577 · 19.4 mi
Non-profit · 79 beds · Part of Care Initiatives
★★★★★3Average- ★★★★★1Much below average
Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA 52577 · 20.9 mi
For-profit · 72 beds · Part of The Ensign Group
★★★★★3Average
Frequently asked questions
What is Montezuma Specialty Care's rating?
Montezuma Specialty Care has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Montezuma Specialty Care receive?
Its most recent standard health inspection found 4 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Montezuma Specialty Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Montezuma Specialty Care?
It is non profit - corporation and part of Care Initiatives. The ownership section on this page lists the owners and managers reported to CMS.
Where is Montezuma Specialty Care and how do I contact it?
Montezuma Specialty Care is at 316 Meadow Lane Drive, Montezuma, IA 50171. Phone: (641) 219-4330.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.