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Nursing homeFAID #4225

Montrose Health Center

400 SOUTH 7TH STREET, MONTROSE, IA, 52639
(319) 463-5438
44 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
44
CMS facility ID
165304
Care type
Nursing home
County
Lee
Facility name
Montrose Health Center
Street address
400 SOUTH 7TH STREET
City / state / ZIP
Montrose, IA 52639
Phone
(319) 463-5438

Montrose Health Center is a Medicare/Medicaid-certified skilled nursing facility in Montrose, Iowa. It is licensed for 44 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 1 senior care facility in Montrose and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Montrose Health Center 26 times across 8 inspections in the last three years, and CMS has imposed $43,079 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Registered owners & officers

Holtkamp, Mark
Direct owner · Director · Officer — 50% stake — since 2020
Kidwell, Kevin
Direct owner · Director — 50% stake — since 2020
Healthcare of Iowa Inc
Operational control — since 2020
Lee County Bank
Security-interest holder — since 2020
Payne, David M
Managing employee — since 2020

Regulatory standing

Licensed / certified since
1996-11-01
CMS overall rating
3 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$43,079 total
Last standard inspection
2025-10-02
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$333 per day (≈ $10,120/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 11% Medicare · 26% private/other
Occupancy
81% (fiscal year 2023)
Vs. state median
3% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
44
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-03-26Health inspectionComplaint-triggered1 citation
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-04-22
2025-10-02Health inspection1 citation
F-0693
D · No harm found
Ensure 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.
Corrected 2025-10-09
5 earlier / fire-safety inspections (24 citations)
2024-09-19Health inspection4 citations
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-08
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-08
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-08
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-08
2024-04-25Health inspectionComplaint-triggered9 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-10
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-10
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-10
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-10
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-10
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-10
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-05-10
F-0940
D · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-05-10
2025-10-02Fire-safety inspection2 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-13
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-10-02
2024-09-19Fire-safety inspection4 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-10-04
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-30
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-10-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
2024-04-25Fire-safety inspection5 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-19
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-18
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-04-18
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-18
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-24

Federal penalties

2024-09-19Fine$25,740
2024-04-25Fine$17,339
Total fines$43,079
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165304.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 26 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered