Starfile

Starfile / Wisconsin

Montello Care Center

251 Forest Lane, Montello, WI 53949 · CCN 525657

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Corporation
Certified beds
50
Avg residents/day
28.6
Phone
6082972153

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-12-04299.89.5+19.2 worse
22024-07-31249.29.8+14.8 worse
32023-06-01118.39.3+2.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation9
Quality of life and care5
Resident assessment and care planning3
Resident rights3
Nutrition and dietary2
Pharmacy service3
Environmental2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)6.0567.2%
RN staffing (reported)0.8084.6%
Total nurse staffing (adjusted)6.45

Fines & penalties

Total fines
$218,328
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
WISCONSIN ILLINOIS SENIOR HOUSING, INC.
Facilities in chain
7
Chain avg overall
2.00 / 5

Inspection citations (64)2 immediate jeopardy1 actual harm

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  5. DF0610Respond appropriately to all alleged violations.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  6. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  7. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  9. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  11. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  12. DF0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  14. DF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  15. EF0908Keep all essential equipment working safely.2025-12-04 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-22 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  17. DF0610Respond appropriately to all alleged violations.2025-10-22 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  18. GF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-10-22 · Health · corrected 2025-11-10

    Actual harm

  19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-01 · Health · corrected 2025-08-22

    Potential for more than minimal harm

  20. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  23. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  24. DF0880Provide and implement an infection prevention and control program.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  25. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-12 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  26. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-09 · Health · corrected 2025-05-05

    Immediate jeopardy

  27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  28. DF0610Respond appropriately to all alleged violations.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  30. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-18 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-18 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  32. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  33. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-07-31 · Health · corrected 2024-09-16

    Potential for more than minimal harm

  34. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  36. EF0610Respond appropriately to all alleged violations.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  37. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  38. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  39. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  41. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  42. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  43. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  44. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  45. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  46. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  47. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  48. FF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  49. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  50. DF0610Respond appropriately to all alleged violations.2024-04-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  51. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  52. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  53. FF0880Provide and implement an infection prevention and control program.2024-04-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  54. DF0880Provide and implement an infection prevention and control program.2023-09-18 · Health · corrected 2023-10-18

    Potential for more than minimal harm

  55. JF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-07-19 · Health · corrected 2023-08-09

    Immediate jeopardy

  56. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-19 · Health · corrected 2023-08-09

    Potential for more than minimal harm

  57. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-01 · Health · corrected 2023-06-30

    Potential for minimal harm

  58. CF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-06-01 · Health · corrected 2023-06-30

    Potential for minimal harm

  59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  60. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  61. FF0880Provide and implement an infection prevention and control program.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  62. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  63. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  64. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CARRIAGE HEALTHCARE COMPANIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2001-02-15
SIEBEL, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2016-01-01
DUPONT, LORIIndividualCORPORATE DIRECTOR2016-01-01
GEHLER, MIRIAMIndividualCORPORATE DIRECTOR2016-01-01
GERLACH, KERIIndividualCORPORATE DIRECTOR2019-01-01
KERWIN, ANDREWIndividualCORPORATE DIRECTOR2016-01-01
KUMAR, RAJEEVIndividualCORPORATE DIRECTOR2012-04-24
LACKE (CARRIG), KARENIndividualCORPORATE DIRECTOR2016-01-01
LYNN, NICHOLASIndividualCORPORATE DIRECTOR2011-03-14
SHERMAN, STEPHANIEIndividualCORPORATE OFFICER2020-05-11
BURKE, DANAIndividualW-2 MANAGING EMPLOYEE2019-10-07

Other facilities in Montello

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.