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Stone Cottage Care Center

Nursing Home Facility

900 South Stone Street, Sigourney, IA 52591

Assisted Living Nursing Home Care Senior Living

Stone Cottage Care Center is a senior care community located in Sigourney, IA. It provides assisted living, nursing home care, and senior living for older adults in the Sigourney area. To learn more or schedule a tour, call (641) 622-2971.

Operated by Cedar View Holdings, which runs 7 communities in our directory.

Stone Cottage Care Center is licensed for 41 beds, about typical for the area, where senior care communities in Keokuk County average about 44 beds.

Federal reporting puts occupancy at about 81% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 19 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 54%.

The community is located in Keokuk County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 69 problems at Stone Cottage Care Center. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 41 came from investigating complaints by residents or families.

Medicare stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint. Corrected by November 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected May 2026, after a complaint. Corrected by June 27, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected May 2026, after a complaint. Corrected by June 27, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by June 27, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected May 2026, after a complaint. Corrected by June 27, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or get specialized rehabilitative services as required for a resident.

    Inspected May 2026, after a complaint. Corrected by June 27, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected December 2025, after a complaint. Corrected by January 3, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected December 2025, after a complaint. Corrected by January 3, 2026.

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  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected September 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected September 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected September 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected September 2025, after a complaint. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected September 2025. Corrected by September 26, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    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.

    Inspected September 2025. Corrected by September 26, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Stone Cottage Care Center offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 41
  • Occupancy 81%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 54%
  • Last health inspection September 2025

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