Iowa › Keokuk County › Sigourney
Stone Cottage Care Center
900 South Stone 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.
Stone Cottage Care Center is a For-profit, limited liability company nursing home in Sigourney, Iowa, certified for 41 beds and caring for about 33 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 69 health deficiencies across the three most recent survey cycles (19, 14, 36 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 168.3 per 100 beds, more than the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $19K and 2 payment denials.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 53.8%.
Compared with county, state and nation
| Measure | This facility | Keokuk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 69 | 50 | 16 | 28.7 |
| Citations per 100 beds | 168.3 | 142.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | 53.8% | 70.4% | 41.9% | 45.8% |
| Fines listed | $18,682 | $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: 4 Sep 2025, 26 Sep 2024.
Severity mix: J ×1 G ×2 D ×46 E ×11 F ×8 C ×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 |
|---|---|---|---|---|---|
| 28 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Jun 2026 |
| 28 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 Jun 2026 |
| 28 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Jun 2026 |
| 28 May 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 27 Jun 2026 |
| 28 May 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 27 Jun 2026 |
| 23 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 3 Jan 2026 |
| 23 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 3 Jan 2026 |
| 5 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 30 Nov 2025 |
| 4 Sep 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Sep 2025 |
| 4 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Sep 2025 |
| 4 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Sep 2025 |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 26 Sep 2025 |
| 4 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 26 Sep 2025 |
| 4 Sep 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 26 Sep 2025 |
| 24 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 Apr 2025 |
| 31 Dec 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 13 Jan 2025 |
| 31 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 13 Jan 2025 |
| 26 Sep 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 18 Oct 2024 |
| 26 Sep 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 18 Oct 2024 |
| 26 Sep 2024 | 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 | 18 Oct 2024 |
| 26 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 18 Oct 2024 |
| 26 Sep 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard survey | 18 Oct 2024 |
| 22 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 15 Jun 2024 |
| 22 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 15 Jun 2024 |
| 25 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 20 Feb 2024 |
| 25 Jan 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 20 Feb 2024 |
| 25 Jan 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Feb 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Feb 2024 |
| 10 Jan 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 20 Feb 2024 |
| 10 Jan 2024 | F0926 | Have policies on smoking. | D | Complaint investigation | 20 Feb 2024 |
| 30 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 20 Feb 2024 |
| 30 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Feb 2024 |
| 25 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 16 Feb 2024 |
| 29 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0836 | 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. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | 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 | 30 Jul 2023 |
| 29 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 30 Jul 2023 |
| 29 Jun 2023 | F0758 | 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. | D | Standard survey | 30 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Nov 2025 | Payment denial | — | 29 days |
| 25 Sep 2023 | Payment denial | — | 112 days |
| 25 Sep 2023 | Fine | $18,682 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 53.8%, RNs —; 2 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 | 24.7% | 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 | 0.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.3% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.9% | 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: Stone Cottage Care Center Llc. Chain: Cedar View Holdings (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Amaranthine Holdings LLC | 5% or greater direct ownership interest | 100% | 01/01/2025 |
| Cedar View Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| Iowa 5784 LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2025 |
| 900 S Stone Street Propco LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Caresage Administrative Consulting, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Cedar View Holdings LLC | Adp of the snf | NOT APPLICABLE | 03/20/2025 |
| Clinical Consulting Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Jsj 2020 Fam Tr | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Jsj Property LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Summation Financial Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| The Bryn Mawr Trust Company of Delaware | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Manor House Care Center | Sigourney | 55 | 2 | 2 | 2 | 15 | 27.3 | — | 25 Jun 2026 |
| Harvest Acres Nursing and Rehab | Keota | 35 | 1 | 1 | 2 | 50 | 142.9 | $137K | 19 May 2026 |
All 3 facilities in Keokuk County
Questions and answers
How many deficiencies has Stone Cottage Care Center been cited for?
69 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Stone Cottage Care Center been fined?
Yes. CMS lists fines totalling $19K in the period covered, plus 2 payment denials.
How does staffing at Stone Cottage Care Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Stone Cottage Care Center?
It is part of the Cedar View Holdings chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Amaranthine Holdings LLC, Cedar View Holdings LLC and Iowa 5784 LLC. Individual owners and managers are not listed on this site.
When was Stone Cottage Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 4 Sep 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.