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C
Below Standard

Stone Cottage Care Center

900 South Stone Street · Sigourney, IA 52591

6416222971 · For profit - Limited Liability company

41 beds28.6 residents43 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Stone Cottage Care Center receives an overall staffing grade of C (Below Standard). With 3.1724 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4577 HPRD, below the recommended 0.75. It is 0.72 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.87% compared to weekdays. The facility has low agency staff usage (0.4% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1724 HPRD — needs 0.31 more hours per resident per day.
⚠️RN staffing (0.4577 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.4%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1724hrs/resident/day▼ 0.72
CMS benchmark: 3.48
RN HPRD
0.4577hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
16.87%
3.3312 weekday → 2.7692 weekend
Agency Staff
0.4%
0.95% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9059hrs/resident/day
Direct care aides
LPN HPRD
0.7691hrs/resident/day
Licensed practical nurses
Consistency
0.3828std 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+0.06 HPRD
3.11
03.17 HPRD
vs. Iowa State Average-0.64 HPRD
3.82
03.17 HPRD
vs. National Average-0.72 HPRD
3.90
03.17 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

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

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
64
Total Deficiencies
$18,682
Fines Assessed
Dec 23, 2025Health
2 deficiencies cited
▼
Nov 5, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 4, 2025Health
11 deficiencies cited
▼
Mar 24, 2025Health
1 deficiency cited
▼
Dec 31, 2024Health
2 deficiencies cited
▼
Sep 26, 2024Health
11 deficiencies cited
▼
May 22, 2024Health
7 deficiencies cited
▼
Jan 25, 2024Health
6 deficiencies cited
▼
Jan 10, 2024Health
7 deficiencies cited
▼
Nov 30, 2023Health
3 deficiencies cited· Includes actual harm
▼
Sep 25, 2023Health
1 deficiency cited· Includes actual harm
▼
Jun 29, 2023Health
12 deficiencies cited
▼

Penalty History

Sep 25, 2023Fine
$18,682
Sep 25, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · 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.