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D
Poor

Manor House Care Center

1212 South Stuart Street · Sigourney, IA 52591

6416222142 · For profit - Limited Liability company

55 beds41.2 residents65 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Manor House Care Center receives an overall staffing grade of D (Poor). With 3.6959 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3777 HPRD, below the recommended 0.75. It is 0.21 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.71% compared to weekdays. The facility has low agency staff usage (0.02% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.3777 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0.02%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6959hrs/resident/day▼ 0.21
CMS benchmark: 3.48
RN HPRD
0.3777hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
24.71%
3.9767 weekday → 2.994 weekend
⚠ Significant weekend reduction
Agency Staff
0.02%
0.2% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.3307hrs/resident/day
Direct care aides
LPN HPRD
0.748hrs/resident/day
Licensed practical nurses
Consistency
0.5535std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Keokuk County Average+0.28 HPRD
3.42
03.70 HPRD
vs. Iowa State Average-0.12 HPRD
3.82
03.70 HPRD
vs. National Average-0.21 HPRD
3.91
03.70 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q2 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Manor House Care Center ★
Sigourney · This facility
—
D
3.69590.3777★☆☆☆☆
Stone Cottage Care Center
Sigourney
0.2 mi
C
3.17240.4577★☆☆☆☆
Harvest Acres Nursing and Rehab
Keota
13.7 mi
C
3.0540.6501★☆☆☆☆
Parkview Manor
Wellman
21.9 mi
C
3.54020.4375★☆☆☆☆
Northern Mahaska Specialty Care
Oskaloosa
22.7 mi
C
3.19650.4179★★☆☆☆
Montezuma Specialty Care
Montezuma
24.7 mi
C
3.15850.6464★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$0
Fines Assessed
May 15, 2025Health
9 deficiencies cited· Includes actual harm
▼
Jul 18, 2024Health
2 deficiencies cited
▼
Jul 13, 2023Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q2 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.