Stone Cottage Care Center

900 South Stone Street, Sigourney, IA 52591 · (641) 622-2971
For profit - Limited Liability company · 41 certified beds

Stone Cottage Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 11 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $18,682 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on September 4, 2025 found 11 citations. What an inspection citation means

• 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.September 4, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a plan that describes the process for conducting QAPI and QAA activities.September 4, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 4, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 4, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.September 4, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 4, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.September 4, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.September 4, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.September 4, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 4, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 40 citations.

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 28, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 28, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 28, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 28, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.May 28, 2026 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.December 23, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 23, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 5, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 4, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.September 4, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.September 4, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 24, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 31, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.December 31, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.September 26, 2024 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 26, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 22, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 22, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 22, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 22, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.May 22, 2024 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.May 22, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesJanuary 25, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 25, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 25, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 25, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 25, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.January 25, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to organize and participate in resident/family groups in the facility.January 10, 2024 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to manage his or her financial affairs.January 10, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.January 10, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 10, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.January 10, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 10, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have policies on smoking.January 10, 2024 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 30, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 30, 2023 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 30, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $18,682September 25, 2023
• Medicare payment denial for 29 daysStarting December 5, 2025
• Medicare payment denial for 112 daysStarting October 31, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home