Sigourney · 52591
Stone Cottage Care Center
900 South Stone Street
Sigourney, IA 52591
Manor House Care Center
⌖ Sigourney, IA · Keokuk County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds55
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Manor House Care Center
Manor House Care Center is a 55-bed for-profit nursing home in Sigourney, IA. Medicare rates it 3 out of 5 stars overall (average); the average in Iowa is 3.1. At its last full inspection (Jun 2026), inspectors found 5 problems, close to the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 38 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameManor House Care Center
LocationKeokuk County, Iowa
Phone(641) 622-2142
Address1212 South Stuart Street, Sigourney, IA 52591 · Keokuk County
CMS provider number165325
Ownership typeFor-profit (limited liability company)
Operating companyLegacy Healthcare · 95 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 1, 1997 (29 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
About average
- Health citations at last inspection5 (Jun 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 38 min a dayIowa average: 3 hr 49 minAbout average
Things to ask about
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- Registered nurse time per resident21 min a dayIowa average: 45 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 2.1%Better than average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.3%State average: 3.8%Better than average
- Pressure sores (bedsores)5.4%State average: 4.2%Worse than average
- Given antipsychotic drugs10.5%State average: 19.5%Better than average
- Hospital stays per 1,000 resident days2.5State average: 1.5Worse than average
Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 46% Medicaid
- 3% Medicare
- 51% Private pay, insurance and other
Beds in use, on average68%Iowa typical: 79%
Cost of care per resident day$285Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 7 times.
Overall rating3★
Health inspections3★
Staffing2★
Quality of care4★
Nurse hours per resident per day3.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 4 | 5 | 3.4 |
| Jan 2020 | 4 | 3 | 4 | 4 | 3.6 |
| Jan 2021 | 4 | 4 | 4 | 4 | 4.1 |
| Jan 2022 | 4 | 4 | 4 | 2 | 4.1 |
| Jan 2023 | 4 | 4 | 3 | 2 | 4.3 |
| Jan 2024 | 4 | 4 | 3 | 2 | 3.7 |
| Feb 2025 | 3 | 4 | 4 | 1 | 3.9 |
| Feb 2026 | 1 | 2 | 1 | 3 | – |
| Sep 2026 | 3 | 3 | 2 | 4 | 3.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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