All citations for Montowese Center for Health & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Montowese Center for Health & Rehabilitation

Last standard health inspection on record

May 12, 2026

Showing 1 to 25 of 77 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2022).

  2. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (January 14, 2025).

  3. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

  4. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  6. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 22, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 9, 2025).

  7. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  8. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  9. No harm, with potential for more than minimal harm

    Provide 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0711, Nursing and Physician Services Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  13. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0882, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  14. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2024).

  15. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 3, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 3, 2024).

  17. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

  18. No harm, with potential for more than minimal harm

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0772, Administration Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2022).

  20. No harm, with potential for more than minimal harm

    Honor 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  21. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  22. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (April 17, 2026).

  23. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  24. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

  25. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.