Iowa › Keokuk County › Sigourney
Manor House Care Center
1212 South Stuart Street, Sigourney, IA 52591
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Manor House Care Center is a For-profit, limited liability company nursing home in Sigourney, Iowa, certified for 55 beds and caring for about 42 residents a day.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (10, 2, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.3 per 100 beds, about the same as the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the Iowa median of 3.7.
Compared with county, state and nation
| Measure | This facility | Keokuk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 50 | 16 | 28.7 |
| Citations per 100 beds | 27.3 | 142.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | — | 70.4% | 41.9% | 45.8% |
| Fines listed | $0 | $18,682 | $0 | — |
County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2025, 18 Jul 2024.
Severity mix: G ×1 D ×9 E ×4 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 21 Jul 2026 |
| 15 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 5 Jun 2025 |
| 15 May 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 5 Jun 2025 |
| 15 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jun 2025 |
| 18 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 17 Aug 2024 |
| 18 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Aug 2024 |
| 13 Jul 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 12 Aug 2023 |
| 13 Jul 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Aug 2023 |
| 13 Jul 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | Standard survey | 12 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.7% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.5% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Sigourney Ia Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Cascade Capital Partners LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Ccg Gorgona LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Gorgona Sub Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
| Mn8 Rh Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/15/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Keokuk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Harvest Acres Nursing and Rehab | Keota | 35 | 1 | 1 | 2 | 50 | 142.9 | $137K | 19 May 2026 |
| Stone Cottage Care Center | Sigourney | 41 | 1 | 1 | 3 | 69 | 168.3 | $19K | 28 May 2026 |
All 3 facilities in Keokuk County
Questions and answers
How many deficiencies has Manor House Care Center been cited for?
15 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Manor House Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Manor House Care Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Manor House Care Center?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Manor House Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 15 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.