Cura Of Monticello

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 46 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 67 beds and averages 62.6 residents a day — about 93% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.38 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.42 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.68 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.01 hrs/resident/day on weekends vs 4.53 on weekdays — 12% thinner on weekends. RN hours go from 1.56 to 1.07 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2025-04-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, that facility failed to comprehensively assess and implement interventions for 1 of 2 residents (R26) reviewed for pressure ulcers. R26 developed pressure ulcers after splint placement for ankle fracture resulting in actual harm when the facility did not clarify orders for monitoring or when to remove the splint. Findings include: R26's significant change Minimum Data Set (MDS) dated [DATE], indicated R26 was cognitively intact and received extensive assistance to complete activities of daily living (ADL's) including dressing, grooming and bathing, R26 required extensive assistance of two staff with transfers and toileting. R26's care plan, also indicated a self-care deficit related to weakness, unsteady balance, impaired cognition, tends to fatigue easily, and history of knee buckling. The care plan dated 2/5/25, directed staff to provide extensive assistance of two staff with transfers and toileting. Progress note dated 3/12/2025 at 5:59 p.m., indicated at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-15 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents' comprehensive care plans were updated to include Enhanced Barrier Precautions (EBP) interventions for 3 of 3 residents reviewed (R11, R14, and R28) who met criteria for EBP. Furthermore, based on observation, interview and document review, the facility failed to ensure resident care plans and TASK sheets contained information for 1 of 1 resident (R1) in the sample who received oxygen. Findings include: R11R11's quarterly Minimum Data Set (MDS) dated [DATE], identified R11 had intact cognition and required assistance with activities of daily living (ADLs). R11's diagnoses included chronic systolic congestive heart failure (a condition in which the heart has a reduced ability to pump blood effectively), hypertension (persistently elevated blood pressure), arthritis (inflammation of joints causing pain and stiffness), depression (a mood disorder causing persistent sadness and loss of interest), atrial fibrillation (an irregular and often…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were provided care in a manner that promoted dignity and respect by failing to offer and perform routine grooming services, specifically shaving, for 2 of 2 residents (R14 and R28) reviewed for personal hygiene. In addition, the facility failed to ensure a catheter bag containing urine was concealed from public view for 1 of 1 residents (R20) reviewed with a catheter.Findings included: R14 R14's annual Minimum Data Set (MDS) dated [DATE], identified R14 had intact cognition and required assistance with activities of daily living (ADLs). R14's diagnoses included arthritis (joint inflammation causing pain and stiffness), osteoporosis (decreased bone density increasing fracture risk), anxiety disorder (persistent excessive worry and fear), depression (mood disorder causing persistent sadness and loss of interest), chronic obstructive pulmonary disease (COPD) (chronic lung disease causing airflow limitation), respiratory…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-15 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident was assessed, as scheduled, for the ability to safely self-administer a prescribed nebulizer treatment for 1 of 1 resident reviewed (R14). Specifically, the facility failed to complete required assessments to determine the resident's continued ability to self-administer nebulizer treatments in accordance with facility policy and professional standards of practice. This deficient practice resulted in the potential for improper medication administration, missed or ineffective treatments, and respiratory compromise.Findings included:R14's annual Minimum Data Set (MDS) dated [DATE] identified R14 had intact cognition and required assistance with activities of daily living (ADLs). R14's diagnoses included chronic obstructive pulmonary disease [COPD] (chronic lung disease causing airflow limitation), respiratory failure (inability of the lungs to adequately exchange oxygen and carbon dioxide), dysphasia (difficulty with swallowing and/or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident was informed of the medications being administered at the time of administration in accordance with the resident's expressed preferences and right to make informed choices for 1 of 1 resident (R11) reviewed. Specifically, the facility failed to verbally identify medications prior to administration for a resident who was blind and had requested to be informed of all medications received. Findings include:R11's quarterly Minimum Data Set (MDS) dated [DATE], identified R11 had intact cognition and required assistance with activities of daily living (ADLs). R11's diagnoses included chronic systolic (congestive) heart failure (reduced heart pumping ability), hypertension (high blood pressure), arthritis (joint inflammation and pain), depression (mood disorder), atrial fibrillation (irregular heart rhythm), pain in the right and left hands, blindness in the right and left eyes, category 3 (severe visual impairment), pressure ulcer, stage 2…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the resident's representative was notified after a fall for 1 of 1 resident (R11) reviewed for notification of change. Findings include:R11's quarterly Minimum Data Set (MDS) dated [DATE], identified R11 had intact cognition and required assistance with activities of daily living (ADLs). R11's diagnoses included chronic systolic (congestive) heart failure (reduced heart pumping ability), hypertension (high blood pressure), arthritis (joint inflammation and pain), depression (mood disorder), atrial fibrillation (irregular heart rhythm), pain in the right and left hands, blindness in the right and left eyes, category 3 (severe visual impairment), pressure ulcer, stage 2 (partial-thickness skin loss), congenital glaucoma (increased eye pressure from birth), and Barrett's esophagus without dysplasia (abnormal esophageal lining without precancerous changes). The MDS also identified R11 was blind and at risk for falls.R11's electronic medical record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure accurate reporting of an alleged violation involving resident neglect for 1 of 1 incident reviewed involving (R11). Specifically, the facility reported inaccurate information related to a resident fall with injury, which did not accurately reflect the circumstances and outcome of the accident. This deficient practice resulted in the potential for delayed or inappropriate oversight, failure to ensure resident protection, and noncompliance with federal reporting requirements.Findings include:R11's annual Minimum Data Set (MDS) dated [DATE], identified R11 had intact cognition, was blind, and required assistance with activities of daily living (ADLs). R11's diagnoses included chronic systolic (congestive) heart failure (reduced heart pumping ability), hypertension (high blood pressure), arthritis (joint inflammation and pain), depression (mood disorder), atrial fibrillation (irregular heart rhythm), pain in the right and left hands, blindness in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Office of the Ombudsman for Long-Term Care was notified of a resident's transfer to the hospital and subsequent discharge from the facility for 2 of 2 residents (R70 and R72) reviewed as a closed record.Findings include: R70 R70's admission Minimum Data Set (MDS) dated [DATE], identified R70's cognition was not assessed and R70 required assistance with activities of daily living (ADLs). R70's diagnoses included traumatic subdural hemorrhage with loss of consciousness, status unknown (bleeding between the brain and skull caused by trauma, potentially affecting neurological function), hypertension (chronic elevated blood pressure increasing cardiovascular risk), and heart failure (a condition in which the heart is unable to pump blood effectively to meet the body's needs). Record review revealed R70 was transferred to the hospital on [DATE], and was later discharged from the facility on 11/24/25. Review R70's complete medical record, facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Brief Interview for Mental Status (BIMS) assessment was completed and accurately coded for a quarterly and/or admission Minimum Data Set (MDS) assessment for 2 of 2 residents reviewed (R28 and R20). In addition, the facility failed to ensure a physical restraint assessment was completed for 1 of 1 resident reviewed (R8) for accuracy of assessment. R28 R28's quarterly MDS dated [DATE], identified cognition was coded as not assessed. R28 required assistance with activities of daily living (ADLs). R28's diagnoses included progressive neurological conditions (disorders affecting the brain and nervous system that worsen over time), Parkinson's disease with dyskinesia with fluctuations (a movement disorder causing tremors, rigidity, and involuntary movements that vary in severity), hypertension (chronically elevated blood pressure), non-Alzheimer's dementia (decline in memory, thinking, and reasoning not caused by Alzheimer's disease), anxiety…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure weekly skin assessments were completed as scheduled for 1 of 1 residents (R14) reviewed for completion of skin assessments. Furthermore, based on observation, interview and document review, the facility failed to ensure residents care plans were implemented for 1 of 1 resident (R41) in the sample who received occupational therapy orders for positioning. Findings included: R14 R14's annual Minimum Data Set (MDS) dated [DATE], identified R14 had intact cognition and required assistance with activities of daily living (ADLs). R14's diagnoses included arthritis (joint inflammation resulting in pain and stiffness), osteoporosis (decreased bone density with increased fracture risk), anxiety disorder (persistent excessive worry and fear), depression (mood disorder characterized by persistent sadness and loss of interest), displaced bimalleolar fracture of the right lower leg (fractures involving both ankle bones with displacement), complex regional…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the resident was provided adequate supervision and assistive devices to prevent avoidable accidents for 1 of 4 residents reviewed (R11) for accidents. Findings include:R11's annual Minimum Data Set (MDS) dated [DATE], identified R11 had intact cognition, was blind, and required assistance with activities of daily living (ADLs). R11's diagnoses included chronic systolic (congestive) heart failure (reduced heart pumping ability), hypertension (high blood pressure), arthritis (joint inflammation and pain), depression (mood disorder), atrial fibrillation (irregular heart rhythm), pain in the right and left hands, blindness in the right and left eyes, category 3 (severe visual impairment), a stage 2 pressure ulcer (partial-thickness skin loss), congenital glaucoma (increased eye pressure from birth), and Barrett's esophagus without dysplasia (abnormal esophageal lining without precancerous changes). The MDS further identified R11…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2025-05-10 for 17 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in MN