Montello Care Center

    251 Forest Ln, Montello, WI, 53949
    2.6 · 21 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Chronic neglect, filth, fatal sepsis

    I had a horrifying experience at Montello Care Center. Chronic understaffing and staff indifference led to neglect - soiled rooms and common areas, pungent urine/feces odors, dirt under beds, unbathed/unshaved residents, malfunctioning equipment, missed meds and hospice failures that contributed to a sepsis death. Repeated inspection failures, food-safety and infection-control concerns, and reports of investigations destroyed my trust, though a few rehab/therapy staff (Allan/Alan), some nurses and dietary were caring and helpful. I do not recommend this facility.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    2.62 · 21 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.4
    • Staff

      3.0
    • Meals

      3.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Strong, effective physical therapy (frequent praise for Allan/Alan)
    • Knowledgeable and communicative therapists
    • Caring, attentive nurses and CNAs (reported by multiple reviewers)
    • Friendly and professional staff interactions
    • Supportive social worker
    • Efficient rehabilitation with noticeable progress/speedy recovery
    • Respectful resident treatment (use of first names)
    • Helpful and engaged dietary/kitchen staff (per some reviews)
    • Good food/dining experience reported by some residents
    • Teamwork among staff during positive stays
    • First-class rehabilitation services cited in several reviews
    • Helpful, kind front-line staff during certain stays

    Cons

    • Pervasive urine and feces odors throughout facility
    • Unsanitary conditions and poor hygiene practices
    • Soiled common areas and soiled resident rooms
    • Residents unbathed, unkempt, not shaved, or with crusted facial debris
    • Staff indifference and careless supervision
    • Understaffing and chronic staff shortages
    • Malfunctioning or unsafe medical equipment
    • Lack of clean bedding and missing mattresses
    • Improper temperature control in rooms
    • Dirt and debris under beds and poor cleaning routines
    • Infection prevention and control concerns
    • Medication mismanagement and nurse not checking MAR
    • Poor communication and staff misinformation
    • Neglect during hospice care
    • Food safety violations and repeated inspection findings
    • Unsafe bed setups (e.g., pinched between wall and frame)
    • Residents left unfed or not monitored for days
    • Visitors forced to intervene for basic care
    • Reports of falls, injuries, and deaths (including sepsis concerns)
    • Allegations of investigations, embezzlement, and lawsuits
    • Unsupervised residents exposed to urine or other hazards
    • Instances of staff inattentiveness (e.g., nurse on phone, lazy staff)

    Summary review

    The reviews for Montello Care Center present a starkly mixed picture with a clear polarization between highly positive rehabilitation and individual staff encounters and numerous, serious complaints about basic hygiene, safety, and management. On the positive side, physical therapy—frequently credited to a therapist named Allan/Alan—receives consistent and emphatic praise. Multiple reviewers describe knowledgeable, communicative therapists who explain exercises, produce early measurable progress, and contribute to fast recoveries. Several reviewers also highlight caring, friendly, and professional front-line staff (nurses, CNAs, social worker, and some dietary/kitchen staff) and report respectful interactions, individualized attention (use of residents’ first names), and an overall supportive team dynamic during those positive stays. Dining and food quality are described favorably by some, and a number of reviewers explicitly recommend the facility for its rehabilitation services and certain staff members.

    Contrasting sharply with the positive reports are numerous, repeated allegations of serious deficiencies. The most common and alarming themes relate to sanitation and hygiene: pervasive urine and feces odors, soiled common areas and resident rooms, dirt under beds, lack of clean bedding, residents unbathed or not shaved, mouths with old food, and reports of urine/feces present on floors. These issues are tied to infection control concerns and food safety violations, and reviewers noted repeated inspection findings, suggesting systemic problems rather than isolated lapses. Cleaning routines and infection prevention are characterized as inadequate, with multiple reviewers explicitly expressing fear or disgust and stating they would not recommend the facility based on cleanliness.

    Safety, supervision, and clinical care concerns are also prominent. Reviewers report understaffing and poor staff availability, instances of staff indifference or inattentiveness (including a nurse observed on the phone), unsupervised residents exposed to urine, malfunctioning or unsafe medical equipment, missing mattresses, and unsafe bed placements (such as a bed pinched against the wall and frame). Medication management problems are cited (nurses not checking the Medication Administration Record/MAR, medication mismanagement), and there are allegations of neglect during hospice care—residents not fed for days, not monitored, or left in unsafe/unhygienic conditions. Some reviews escalate to adverse outcomes, mentioning falls, injuries, death, sepsis, and legal action or investigations. There are also serious allegations about management-level misconduct in some reviews (claims of embezzlement and requests for shutdown), which, if accurate, would reflect grave administrative failures.

    A clear pattern emerges of inconsistent quality: individual staff members or departments (notably rehab) can perform at a high level and elicit strong praise, while other shifts, units, or aspects of facility operation fail to meet basic standards. This variability suggests staffing instability, uneven training or supervision, and possible breakdowns in oversight and quality control. Where reviewers report positive experiences, they often single out specific employees by name and credit cohesive teamwork; where reviewers report negative experiences, the issues tend to be systemic (cleaning policies, infection control, medication administration, hospice procedures) and recurring across multiple comments.

    From a facilities and management perspective, the reviews point to operational problems beyond interpersonal care: repeated inspection failures, food safety violations, poor cleaning programs, and potential regulatory attention. These are not just comfort issues but carry clinical and legal implications (infection risk, medication errors, inadequate hospice care). The simultaneous presence of glowing rehabilitation outcomes and severe environmental or managerial issues raises the possibility that certain programs (like rehab) are well-staffed and managed, while long-term care, housekeeping, nursing oversight, and hospice services are understaffed or poorly supervised.

    In summary, Montello Care Center elicits strong praise for specific clinical services—most notably physical therapy—and for individual caregivers who provide compassionate, effective care. However, multiple reviews also document pervasive sanitation and hygiene failures, understaffing, clinical oversight problems (medication administration, hospice neglect), and even allegations of regulatory and legal problems. The overall sentiment is therefore highly mixed but weighted by many severe safety and cleanliness complaints that warrant attention. Prospective residents and families should weigh the facility’s excellent rehab reputation against repeated, serious concerns about cleanliness, supervision, medication management, and hospice care; review recent inspection reports, ask facility leadership about staffing ratios and infection-control practices, and, if possible, seek direct observation of the areas and services most frequently criticized.

    Location

    Map showing location of Montello Care Center

    About Montello Care Center

    Montello Care Center sits at 251 Forest Lane in Montello, Wisconsin, and serves as Marquette County's only skilled nursing provider, which is something worth remembering if someone's looking for specialized care in the area, and this place offers a range of services that includes skilled nursing care, long-term care with memory support, respite care, and hospice care, so if someone needs help recovering after a hospital stay or needs round-the-clock support due to frailty or memory issues, the center has 24-hour medical and non-medical care provided by licensed nurses, while rehabilitation therapy is available both for people needing short-term help getting back on their feet before going home and for those who'll stay longer, and all this happens in inviting surroundings designed to maximize comfort, with rooms and spaces that seem to focus on soothing and healing, and folks who stay here can join in daily activities, get meals through dining services, and may pick from various floor plans, and although there aren't exact details about specific amenities, the place is described as having amenities associated with the community, is handicap friendly, and has a photo gallery for those interested, with quiet hours set between 8:00pm and 8:00am daily but allows visitation at any time, so families can come when they wish, and the center accepts Medicare, most insurances, and private pay, and since it's a nonprofit 501(c)(3) organization that runs weekdays between 8:00am and 5:00pm for office hours, people who come here will find a caring staff in a soothing and comfortable setting aimed at helping residents feel their best.

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