ElderGrade
F

33/100

Poor

Stone Cottage Care Center

900 South Stone Street, Sigourney, IA 52591

CMS 1/5 stars #2 of 3 in Keokuk County (641) 622-2971
Certified beds
41
Occupancy
81%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $18,682 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -10 for 57 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.98 total nurse hours per resident per day (national median 3.77)
  • 0.45 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 54% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

4/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $18,682 in federal fines across 1 action(s)
  • -4 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.80 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.45 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.57 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 53.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 69 citations

Last standard health inspection: September 4, 2025 (11 months ago).

D May 28, 2026 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0825 From a complaint

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

No actual harm, potential for more than minimal harm

D Dec 23, 2025 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Dec 23, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

G Nov 5, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

Who owns this home

Full record

Part of CEDAR VIEW HOLDINGS, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SEBBAG, GABRIEL Individual MANAGING CONTROL - GOVERNING BODY
CASE, JANELLE Individual OPERATIONAL/MANAGERIAL CONTROL
MILLER, DANIEL Individual OPERATIONAL/MANAGERIAL CONTROL
SEBBAG, GABRIEL Individual OPERATIONAL/MANAGERIAL CONTROL
GAMZEH, DAVID Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
GREATOREX, TINA Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
SCHIOWITZ, MARC Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
900 S STONE STREET PROPCO LLC Organization ADP OF THE SNF
CARESAGE ADMINISTRATIVE CONSULTING, LLC Organization ADP OF THE SNF
CEDAR VIEW HOLDINGS LLC Organization ADP OF THE SNF
CLINICAL CONSULTING SERVICES LLC Organization ADP OF THE SNF
JSJ 2020 FAMILY TR Organization ADP OF THE SNF

What families say

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Common questions about Stone Cottage Care Center

What is the ElderGrade for Stone Cottage Care Center? +

Stone Cottage Care Center holds an ElderGrade of F (33 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Stone Cottage Care Center? +

Residents receive an average of 3.80 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Stone Cottage Care Center been cited for harming residents? +

Yes. 3 of the 69 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Stone Cottage Care Center accept Medicaid? +

Yes, Stone Cottage Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.