Total Health inspections
12
145% above Iowa average
Iowa average:
4.9
Last Health inspection on Nov 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Stone Cottage Care Center
Stone Cottage Care Center is a Nursing Home in Iowa
Stone Cottage Care Center is a Nursing Home in Iowa
Stone Cottage Care Center
Stone Cottage Care Center is a Nursing Home in Iowa
Stone Cottage Care Center is a Nursing Home in Iowa
Stone Cottage Care Center is located in Sigourney, Iowa. It provides exceptional, personalized care in a close-knit community. Services include short-term rehabilitation, long-term care, and assisted living.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
41
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.2%
Residents per day (avg)
25
Occupancy rate
62.2%
Residents per day (avg)
25
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
50% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
15% of new residents, often for short stays.
Typical stay
2 years
Medicaid
35% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Other
Home revenue
$2.6M
Operating loss
-$907.4K
Proprietary home
Other
Home revenue
$2,575,916.00
Operating loss
$-907,422.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.5M
About this community
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short Term Rehabilitation, Long Term Care, Assisted Living, Accommodations
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Stone Cottage Care Center
-27%
-23%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 525910000
41
No
-
62.2%
$2,575,900.00
$1,563,809.00
60.7%
24.90
3.3011
2
68
4
-27%-23%-18%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%
Stone Cottage Care Center
Type of care:
SNF
AL
Community:
IA 525910000
Bed Count:
41
Pets Allowed:
No
CCN:
165381
Occupancy:
62.2%
Home Revenue:
$2,575,900.00
Payroll Costs:
$1,563,809.00
Payroll %:
60.7%
Avg Residents/Day:
24.90
Overall Rating:
Adj Nurse Hours:
3.3011
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
68
Severe Citations:
4
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
-18%
-18%Places of interest near Stone Cottage Care Center
Sigourney, IA 525910000
Sigourney, IA 525910000
Calculate Travel Distance to Stone Cottage Care Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
47
Total Staff
41
Employees
6
Contractors
8,495
Total Hours (Quarter)
12
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 8.1 | No |
| Licensed Practical Nurse | 5 | 10.3 | No |
| Certified Nursing Assistant | 18 | 7.7 | Yes |
Staff by Category
Administration ⓘ
5 staff
7.4hs shift avg
Nursing Staff ⓘ
28 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.6hs shift avg
Therapy Services ⓘ
6 staff
3.3hs shift avg
Activities & Recreation ⓘ
1 staff
2.3hs shift avg
Social Services ⓘ
1 staff
1.2hs shift avg
Dietary Services ⓘ
1 staff
7.5hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
0.8%
of total hours from contractors
71 contractor hours this quarter
Certified Nursing Assistant: 1
Occupational Therapy Aide: 1
Administrator: 1
Occupational Therapy Assistant: 1
Medical Director: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 17 | 1 | 18 | 4,335 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,074 | 91 | 100% | 10.3 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 698 | 70 | 77% | 7.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 442 | 59 | 65% | 7.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 311 | 65 | 71% | 4.8 |
| Administrator | 2 | 1 | 3 | 232 | 28 | 31% | 8 |
| Registered Nurse | 4 | 0 | 4 | 210 | 24 | 26% | 8.1 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 46 | 20 | 22% | 2.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 43 | 19 | 21% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 40 | 28 | 31% | 1.4 |
| Physical Therapy Assistant | 1 | 0 | 1 | 32 | 14 | 15% | 2.3 |
| Medication Aide/Technician | 1 | 0 | 1 | 15 | 2 | 2% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 6 | 7% | 1.6 |
| Medical Director | 0 | 2 | 2 | 6 | 3 | 3% | 2 |
| Qualified Social Worker | 1 | 0 | 1 | 4 | 3 | 3% | 1.2 |
Health Inspection History
Total Health citations
68
213% above Iowa average
Iowa average:
21.7
5.67 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
34 citations
Complaint investigations
40 citations
Breakdown of citations
Critical Health citations
2
233% above Iowa average
Iowa average:
0.6
Serious Health citations
2
122% above Iowa average
Iowa average:
0.9
Moderate Health citations
63
Minor Health citations
1
Citations history (last 3 years)
Quality of Care serious citation
Nov 05, 2025
Administration moderate citation
Sep 04, 2025
Corrected
Infection Control moderate citation
Sep 04, 2025
Corrected
Nursing Services moderate citation
Sep 04, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Care Sage- PropCo LLC
Resident Census by Payment Source
31
Total Residents
Medicaid
19
(61.3%)
ⓘ
Private Pay/Other
12
(38.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
9.2
11% better than Iowa average
Iowa average:
10.2
Functional decline score
21.0
Near Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
12.6%
33% below Iowa average.
Walking Ability Worsened
20.4%
4% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
30.0%
14% above Iowa average.
Safety & clinical stability
Falls with Major Injury
3.3%
10% below Iowa average.
High Risk Residents with Pressure Ulcers
4.9%
12% above Iowa average.
Urinary Tract Infection
0.0%
100% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below Iowa average.
Antipsychotic Use
24.3%
28% above Iowa average.
Preventive care
Pneumococcal Vaccine
82.6%
13% below Iowa average.
Influenza Vaccine
78.6%
18% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
4.6%
8% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
56.6%
33% worse than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$19K
This home paid 61% less in fines than the state average.
Iowa average:
$48K
Number of Fines
1
This home received 41% fewer fines than the state average.
Iowa average:
1.7
Payment Denials
1
This home had 88% more payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Sep 25, 2023
$19K
Payment Denial
Sep 25, 2023
112 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Stone Cottage Care Center based on CMS SNF Cost Reports.
Occupancy Rate
62.2%
↑ 3.6pp vs 2022
Net Income
-$907,422
↓ ~$174K vs 2022
Total Payroll
$1,811,770
↓ ~$251K vs 2022
Profit Margin
-35.2%
↓ 10.2pp vs 2022
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