Stone Cottage Care Center
900 South Stone Street · Sigourney, IA · 52591 · 6416222971
41 certified beds For profit - Limited Liability company Chain: Cedar View Holdings
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 1 · $18,682 |
Inspection citations (64 in the current record)
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Potential for harm · D December 23, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 3, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 3, 2026 · Nursing and Physician Services
-
Actual harm · G November 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 30, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 26, 2025 · Nursing and Physician Services
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Potential for harm · D September 4, 2025
Ensure that residents are free from significant medication errors.
Corrected September 26, 2025 · Pharmacy Service
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Potential for harm · F September 4, 2025
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.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · F September 4, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 26, 2025 · Administration
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Potential for harm · D September 4, 2025
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.
Corrected September 26, 2025 · Infection Control
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Potential for harm · D September 4, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D September 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 26, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 2, 2025 · Resident Rights
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Potential for harm · D December 31, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · D December 31, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · D September 26, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · F September 26, 2024
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.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · D September 26, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 18, 2024 · Infection Control
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Potential for harm · D September 26, 2024
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.
Corrected October 18, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 5, 2025 | Payment Denial | 29 days |
| September 25, 2023 | Fine | $18,682 |
| September 25, 2023 | Payment Denial | 112 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165381 · certified since January 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.