Nursing home report
Sigourney, IA · Medicare-certified · 41 beds
Stone Cottage Care Center in Sigourney, IA has a 1 out of 5 overall rating, with 1-star health inspection and quality measures scores and a 2-star staffing rating. It has the lowest overall rating, no fines in the last 24 months, and reported nurse staffing of 3.30 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.3018 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3018.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited September 2025 — widespread issue, potential for harm.
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited September 2025 — widespread issue, potential for harm.
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
Health inspection found 1 health deficiency.
Health inspection found 11 health deficiencies.
On record with Medicare: 1 fine · $18,682 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Nov 5, 2025
Medicare/Medicaid payment denial
Sep 25, 2023
Federal fine
Sep 25, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
