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 51 to 75 of 76 citations

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

    Keep complete, dated laboratory records in the resident's record.

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

    Health citation F-0775, Administration Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

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

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

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

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

    Health citation F-0776, Administration Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

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

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

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

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

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

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of May 23, 2024. Found during a complaint inspection.

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

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

  8. 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 March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

  9. 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 March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

  11. 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 December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2023).

  13. 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 November 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 9, 2023).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of November 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 9, 2023).

  15. 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 October 24, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  16. 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 August 16, 2022. Found during a standard inspection.

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

  17. 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 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

    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 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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning 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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, 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).

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

    Implement 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

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

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

    Ensure 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 16, 2022. Found during a standard inspection.

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

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

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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

    Health citation F-0836, 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).

  24. No harm, with potential for minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, 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 minimal harm

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services 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.