Montrose Health Center
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$49,309
Outcome
Montrose Health Center in Montrose, IA was fined $49,309 by CMS across 3 separate penalties following 15 deficiency citations identified during federal surveys.
Details
Montrose Health Center (Montrose, IA) — $49,309 in CMS Fines
Outcome: Montrose Health Center in Montrose, IA was fined $49,309 by CMS across 3 separate penalties following 15 deficiency citations identified during federal surveys.
Deficiency areas cited:
- 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.
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Ensure each resident receives an accurate assessment.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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