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.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-04 | 29 | 9.8 | 9.5 | +19.2 worse |
| 2 | 2024-07-31 | 24 | 9.2 | 9.8 | +14.8 worse |
| 3 | 2023-06-01 | 11 | 8.3 | 9.3 | +2.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 9 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.05 | 67.2% |
| RN staffing (reported) | 0.80 | 84.6% |
| 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-12-04 · Health · corrected 2025-12-29
Potential for more than minimal harm
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-12-04 · Health · corrected 2025-12-29
Potential for more than minimal harm
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-12-04 · Health · corrected 2025-12-29
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2025-12-29
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2025-12-04 · Health · corrected 2025-12-29
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2025-10-22 · Health · corrected 2025-11-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-06-12 · Health · corrected 2025-07-10
Potential for more than minimal harm
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-04-09 · Health · corrected 2025-05-05
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2024-07-31 · Health · corrected 2024-08-26
Potential for more than minimal harm
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-31 · Health · corrected 2024-08-26
Potential for more than minimal harm
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-07-31 · Health · corrected 2024-08-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-08-26
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2024-04-09 · Health · corrected 2024-05-09
Potential for more than minimal harm
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-04-09 · Health · corrected 2024-05-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-18 · Health · corrected 2023-10-18
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2023-06-01 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARRIAGE HEALTHCARE COMPANIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-02-15 |
| SIEBEL, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| DUPONT, LORI | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| GEHLER, MIRIAM | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| GERLACH, KERI | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| KERWIN, ANDREW | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| KUMAR, RAJEEV | Individual | CORPORATE DIRECTOR | — | 2012-04-24 |
| LACKE (CARRIG), KAREN | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| LYNN, NICHOLAS | Individual | CORPORATE DIRECTOR | — | 2011-03-14 |
| SHERMAN, STEPHANIE | Individual | CORPORATE OFFICER | — | 2020-05-11 |
| BURKE, DANA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-10-07 |
Other facilities in Montello
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.