Here are 3 Nursing Homes in Keokuk County, IA

Nurse hours

3.63 /day

Staff turnover

n/a

Serious cites

0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

Nurse hours

3.80 /day

Staff turnover

54%

Serious cites

0

Stone Cottage Care Center runs 41 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.80 hours per resident day, just under the national average, with weekends running about 6% thinner than weekdays. The bigger issue is consistency: turnover hits 53.8% against a 45.8% national rate, meaning nearly six in ten caregivers left over the year. Its inspection record shows 69 deficiencies, including three at harm or jeopardy level and seven tied to abuse, with one fine totaling $18,682 and a survey as recent as September 2025. State inspectors and quality measures both land at the bottom of CMS's five-star scale; staffing is the relative bright spot at three stars.

Nurse hours

3.47 /day

Staff turnover

70%

Serious cites

0

Harvest Acres runs thin on nurses, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level. That's a problem in a 35-bed building, where there's no cushion when someone calls in. Turnover sits at 70.4%, well above the 45.8% national figure, so the people around your family member keep changing. The inspection record is the harder read: 50 deficiencies, six serious enough to involve harm or jeopardy, three tied to abuse, and a $136,500 fine. The most recent inspection was in December 2025, so the record is current, not stale. A for-profit LLC operates it.