Total staff
67
Employees
55
Contractors
12
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Manor House Care Center
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Manor House Care Center
Nursing Home · Iowa, IA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Manor House Care Center accepts Medicare, Medicaid, and private pay.
Manor House Care Center is located in Sigourney, Iowa. It offers independent and assisted living, hospice care, and rehabilitation services. The facility focuses on personalized care to enhance the quality of life for its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 80th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 80th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 28m per day
Rank #80 / 241Nurse hours — State benchmarkedThis home is ranked 80th out of 241 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
+4%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 59m per day | ▼ 11% State avg: 3h 21m per day · National avg: 3h 26m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
68.1%
Rank #195 / 401Occupancy rate — State benchmarkedThis home is ranked 195th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
128 days
Occupancy rate
68.1%
Rank #195 / 401Occupancy rate — State benchmarkedThis home is ranked 195th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
128 days
Walk Score: 45 / 100 Rank #262 / 528Walk Score — State benchmarkedThis home is ranked 262nd out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Rehabilitation Services
Short-Term Rehab
Specific ProgramsIndependent & Assisted Living, Rehab-to-home
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.49:1
27% worse than Iowa average
Avg staff/day
22
Average shift
7.6 hours
0% compared with Iowa average
Total staff hours (quarter)
15,334
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1.8%
282 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 2
Speech Language Pathologist: 2
Occupational Therapy Assistant: 2
Physical Therapy Aide: 1
Medical Director: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 8,439 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,674 | 92 | 100% | 8 |
| Registered Nurse | 8 | 0 | 8 | 1,020 | 86 | 93% | 8.1 |
| Medication Aide/Technician | 3 | 0 | 3 | 803 | 61 | 66% | 9.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 517 | 86 | 93% | 5.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 482 | 61 | 66% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 432 | 52 | 57% | 8.3 |
| Dental Services Staff | 1 | 0 | 1 | 173 | 22 | 24% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 78 | 36 | 39% | 2.2 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 70 | 16 | 17% | 4.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 49 | 25 | 27% | 2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 32 | 17 | 18% | 1.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 25 | 18 | 20% | 1.4 |
| Medical Director | 0 | 1 | 1 | 22 | 18 | 20% | 1.2 |
| Qualified Social Worker | 0 | 1 | 1 | 5 | 8 | 9% | 0.6 |
29 Certified Nursing Assistant
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
93%
3 Medication Aide/Technician
% of Days
66%
4 Other Dietary Services Staff
% of Days
93%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
66%
1 RN Director of Nursing
% of Days
57%
1 Dental Services Staff
% of Days
24%
1 Physical Therapy Aide
% of Days
39%
2 Occupational Therapy Assistant
% of Days
17%
2 Speech Language Pathologist
% of Days
27%
2 Respiratory Therapy Technician
% of Days
18%
3 Physical Therapy Assistant
% of Days
20%
1 Medical Director
% of Days
20%
1 Qualified Social Worker
% of Days
9%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
41% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
28% better than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.2%
Percent of long-stay residents whose need for help with daily activities has increased
10.2%
46% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.8%
Percent of long-stay residents whose ability to move independently worsened
7.8%
61% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.8%
10% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
60% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.6%
Percent of long-stay residents with a urinary tract infection
4.6%
85% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.2%
Percent of long-stay residents who lose too much weight
5.2%
In line with Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
79% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.2%
Percent of long-stay residents who received an antipsychotic medication
16.2%
15% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.53
Number of hospitalizations per 1,000 long-stay resident days.
2.53
71% worse than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.73
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.73
78% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.3%
11% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.6%
5% worse than Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.2%
18% worse than Iowa averageIowa average: 21.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.7%
27% worse than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
18% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
66% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45
Medicare
4
8.9% of residents
Medicaid
28
62.2% of residents
Private pay or other
13
28.9% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Manor House Care Center based on CMS SNF Cost Reports.
Occupancy Rate
68.1%
↑ 2.2pp vs 2022
Net Income
-$420.7K
↑ ~$646.8K vs 2022
Total Payroll
$3.5M
↑ ~$704.8K vs 2022
Profit Margin
-9.3%
↑ 17.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.7M
Operating loss
-$420.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.7M Rank #184 / 242Revenue — State benchmarkedThis home is ranked 184th out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$420.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #135 / 242Payroll — State benchmarkedThis home is ranked 135th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #135 / 242Payroll — State benchmarkedThis home is ranked 135th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.1M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Manor House Care Center
0.0 miles from city center
Estimated distance in miles from Sigourney's city center to Manor House Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Manor House Care Center
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Financial Assistance for
Nursing Home in Iowa
Manor House Care Center is located in Sigourney, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| Manor House Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sigourney | 72 | 68.1% | -10% | 4.47 | +2% | +4% | $0 | 14 | 4.7 | 1 | 43 | - | 45 | - | $4.7M | $3.5M | 74.9% | 165325 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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Frequently Asked Questions about Manor House Care Center
Is Manor House Care Center in a walkable area?
Manor House Care Center has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Manor House Care Center?
Manor House Care Center's occupancy is 68.1%.
Are there photos of Manor House Care Center?
Yes — there are 17 photos of Manor House Care Center in the photo gallery on this page.
What is the address of Manor House Care Center?
Manor House Care Center is located at 1212 South Stuart Street.
What is the phone number of Manor House Care Center?
(641) 622-2142 will put you in contact with the team at Manor House Care Center.
Is Manor House Care Center Medicare or Medicaid certified?
Yes — Manor House Care Center is a CMS-certified provider of Medicare and Medicaid.
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