Montezuma Specialty Care: Staffing, Turnover, and Inspection Record
Montezuma Specialty Care is a 41-bed nonprofit nursing home in Montezuma, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.21 nurse aide hours per resident per day, 12% below the Iowa average of 2.51, and 51.6% nursing staff turnover (Iowa average 44.0%).
Montezuma Specialty Care
316 Meadow Lane DriveMontezuma, IA 50171
Poweshiek County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Montezuma Specialty Care, nurse aides logged 2.21 hours per resident per day, 12% below the Iowa average. With about 30 residents a day, that works out to roughly 67 aide hours a day, or about 8 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.21 | 2.51 | 2.32 |
| Licensed practical nurses | 0.26 | 0.56 | 0.86 |
| Registered nurses | 0.83 | 0.74 | 0.69 |
| All nursing staff | 3.30 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.08 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.6% of nursing staff at Montezuma Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 62.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Montezuma Specialty Care holds 3 of 5 overall; the Iowa average is 3.1.
About Montezuma Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Oct 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Montezuma Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Brooklyn Community Estates Brooklyn | 11.8 | 50 | 2.58 | 3.48 | 25.7% | 5 | None |
| St Francis Manor Grinnell | 14.1 | 78 | 3.25 | 4.85 | 27.6% | 5 | None |
| Mayflower Home Grinnell | 14.5 | 40 | 3.23 | 4.65 | 40.5% | 5 | None |
| Northern Mahaska Specialty Care Oskaloosa | 19.4 | 79 | 2.07 | 3.20 | 31.3% | 2 | $39,033 |
| Oskaloosa Care Center Oskaloosa | 20.7 | 83 | 2.56 | 3.66 | 62.6% | 1 | $45,354 |
| Crystal Heights Care Center Oskaloosa | 20.9 | 72 | 2.25 | 3.07 | 63.5% | 2 | $10,489 |
| The Cottages Pella | 22.6 | 100 | 2.63 | 4.18 | 50.0% | 1 | $52,060 |
| English Valley Nursing Care Center North English | 24.1 | 44 | 2.01 | 3.12 | — | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.