Total health inspections
12
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
Nursing Home in Iowa
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.
Stone Cottage Care Center
Nursing Home in Iowa
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.
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
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 227th out of 240 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 227th out of 240 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.
3h 18m per day
Rank #227 / 240Nurse hours — state benchmarkedThis home is ranked 227th out of 240 homes in Iowa.Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 240 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Iowa avg
-23%
Standout metric
LPN / LVN is +32% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 39% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▲ 32% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 57m per day | ▼ 23% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 57m per day | ▼ 12% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▼ 17% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
62.2%
Rank #208 / 246Occupancy rate — state benchmarkedThis home is ranked 208th out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
547 days
Occupancy rate
62.2%
Rank #208 / 246Occupancy rate — state benchmarkedThis home is ranked 208th out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
547 days
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
Privately-owned community
Home revenue
$2.6M
Operating loss
-$907.4K
Privately-owned community
Home revenue
$2.6M Rank #236 / 241Revenue — state benchmarkedThis home is ranked 236th out of 241 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 %.
Operating loss
-$907.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #224 / 241Payroll — state benchmarkedThis home is ranked 224th out of 241 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.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #224 / 241Payroll — state benchmarkedThis home is ranked 224th out of 241 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.
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
Rehabilitation Services
Short-Term Rehab
Short Term Rehabilitation
Specific ProgramsLong Term Care, Accommodations
Health Inspection History
Inspections
Total health citations
68
Rank #230 / 240Health citations — state benchmarkedThis home is ranked 230th out of 240 homes in Iowa.Shows this facility's total health deficiency citations benchmarked to the Iowa state average, with a ranking across all 240 IA SNFs. Lower citation counts earn a better rank.
Iowa average 21.7
Citations per inspection
5.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 68 citations resulted from standard inspections; 34 of 68 resulted from complaint investigations; and 6 of 68 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
Rank #110 / 139Severe citations — state benchmarkedThis home is ranked 110th out of 139 homes in Iowa.Shows citations where actual resident harm occurred, compared to the Iowa average and ranked across 139 SNFs statewide. Even a single severe citation is significant — lower is always better.
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
2 critical citations
2 serious citations
63 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 05, 2025
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 04, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 04, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 04, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 04, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 04, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 04, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Akron Care Center, INC |
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. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | - | City Of Akron | $4.7M | $2.1M | 45.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
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. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| Accura Healthcare of Spirit Lake |
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. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | - | $7.1M | $3.0M | 42.3% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
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. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | - | - | Accura Healthcare Of The Heartland Llc | $2.1M | $1.0M | 46.7% | 165082 | ||||
| Stone Cottage 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 | 41 | 62.2% | -18% | 3.30 | -27% | -23% | 2 | 68 | 5.7 | 4 | 25 | - | - | - | $2.6M | $1.6M | 60.7% | 165381 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
47
Employees
41
Contractors
6
Staff to resident ratio
1.52:1
24% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
12
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
8,495
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
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.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
18
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 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
0.8%
71 contractor hours this quarter
Medical Director: 2
Certified Nursing Assistant: 1
Occupational Therapy Aide: 1
Administrator: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
18 Certified Nursing Assistant
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
77%
1 Other Dietary Services Staff
% of Days
65%
1 Physical Therapy Aide
% of Days
71%
3 Administrator
% of Days
31%
4 Registered Nurse
% of Days
26%
1 Therapeutic Recreation Specialist
% of Days
22%
2 Respiratory Therapy Technician
% of Days
21%
1 Occupational Therapy Aide
% of Days
31%
1 Physical Therapy Assistant
% of Days
15%
1 Medication Aide/Technician
% of Days
2%
1 Occupational Therapy Assistant
% of Days
7%
2 Medical Director
% of Days
3%
1 Qualified Social Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31
Medicaid
19
61.3% of residents
Private pay or other
12
38.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
11% 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.
21.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
In line with 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
12.6%
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
33% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.4%
Percent of long-stay residents whose ability to move independently worsened
20.4%
In line with 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
30.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
14% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
10% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.9%
Percent of long-stay high risk residents with pressure ulcers
4.9%
12% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.6%
Percent of long-stay residents who lose too much weight
4.6%
8% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
24.3%
Percent of long-stay residents who received an antipsychotic medication
24.3%
28% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
13% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.6%
18% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.6%
33% worse than Iowa averageIowa average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
61% lower than Iowa averageIowa average: $48K
Number of fines
1 Rank #52 / 99Federal fines — state benchmarkedThis home is ranked 52nd out of 99 homes in Iowa.Shows this facility's CMS fine count alongside the Iowa average, and where it ranks among all 99 skilled nursing facilities in the state. Fewer fines mean a better rank.
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$19K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2023
$19K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 25, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
-$907.4K
↓ ~$173.5K vs 2022
Total Payroll
$1.8M
↓ ~$250.7K vs 2022
Profit Margin
-35.2%
↓ 10.2pp vs 2022
Loading trend charts...
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