Nursing homeFAID #4289
Stone Cottage Care Center
900 SOUTH STONE STREET, SIGOURNEY, IA, 52591
(641) 622-2971
41 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
41
CMS facility ID
165381
Care type
Nursing home
County
Keokuk
Facility name
Stone Cottage Care Center
Street address
900 SOUTH STONE STREET
City / state / ZIP
Sigourney, IA 52591
Phone
(641) 622-2971
About this facility — Stone Cottage Care Center
Stone Cottage Care Center is a Medicare/Medicaid-certified skilled nursing facility in Sigourney, Iowa. It is licensed for 41 beds — below the median for skilled nursing facilities in Iowa (57 beds).
It is one of 7 senior care facilities in Sigourney and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Stone Cottage Care Center 96 times across 18 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $18,682 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Cedar View Holdings
Ownership type
For profit - Limited Liability company
Registered owners & officers
Amaranthine Holdings Llc
Direct owner — 100% stake — since 2025
900 S Stone Street Propco Llc
Additional disclosable party — since 2025
Caresage Administrative Consulting, Llc
Additional disclosable party — since 2025
Case, Janelle
Operational control · Additional disclosable party — since 2025
Cedar View Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Clinical Consulting Services Llc
Additional disclosable party — since 2025
Gamzeh, David
Owner of a disclosable party — since 2025
Greatorex, Tina
Owner of a disclosable party — since 2025
Iowa 5784 Llc
Indirect owner — since 2025
Jsj 2020 Fam Tr
Additional disclosable party — since 2025
Jsj Property Llc
Additional disclosable party — since 2025
Miller, Daniel
Operational control · Additional disclosable party — since 2025
Samara Fam Tr
Additional disclosable party — since 2025
Samara Family Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Schiowitz, Marc
Owner of a disclosable party — since 2025
Sebbag, Gabriel
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2025
Summation Financial Services Llc
Additional disclosable party — since 2025
The Bryn Mawr Trust Company of Delaware
Additional disclosable party — since 2025
Regulatory standing
Licensed / certified since
1998-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$18,682 total
Last standard inspection
2025-09-04
Nurse staffing
3.8 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$277 per day (≈ $8,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
71% Medicaid · 3% Medicare · 26% private/other
Occupancy
62% (fiscal year 2023)
Vs. state median
19% below the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
41
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-28Health inspectionComplaint-triggered5 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-27
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-06-27
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-27
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-06-27
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2026-06-27
2025-12-23Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-03
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-03
14 earlier / fire-safety inspections (89 citations)
2025-11-05Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-30
2025-09-04Health inspectionComplaint-triggered11 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-26
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-26
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-26
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-09-26
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-26
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-09-26
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-09-26
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-09-26
F-0887
D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-09-26
2025-03-24Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-02
2024-12-31Health inspectionComplaint-triggered2 citations
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-01-13
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-13
2024-09-26Health inspectionComplaint-triggered11 citations
F-0606
D · No harm foundFrom a complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-10-18
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-18
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-18
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-18
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-18
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-10-18
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-10-18
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-18
F-0865
C · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-10-18
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-10-18
F-0887
D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-10-18
2024-05-22Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-15
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-15
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-15
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-06-15
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-15
F-0741
D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-06-15
F-0867
D · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-06-15
2024-01-25Health inspectionComplaint-triggered6 citations
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-02-16
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-16
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-16
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-20
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-02-20
2024-01-10Health inspectionComplaint-triggered7 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-20
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-02-20
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-02-20
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-20
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-02-20
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-20
F-0926
D · No harm foundFrom a complaint
Have policies on smoking.
Corrected 2024-02-20
2023-11-30Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-06
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-20
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
2023-09-25Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
2023-06-29Health inspection12 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-30
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-07-30
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-30
F-0610
E · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-07-30
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-07-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-30
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2023-07-30
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-07-30
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-30
F-0836
E · No harm found
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-07-30
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-07-30
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-07-30
2025-09-04Fire-safety inspection6 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-06
K-0232
E · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-09-05
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-10-04
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-10-04
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-30
2024-09-26Fire-safety inspection9 citations
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2024-11-01
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-11-01
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-03
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-03
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-11-01
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-03
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-10-03
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-17
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-01
2023-06-29Fire-safety inspection12 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-10
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-07-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-29
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-07-10
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-29
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-07-10
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-29
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-24
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-29
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-14
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-07-28
Federal penalties
2023-09-25Fine$18,682
2025-11-05Medicare payment denial — 29 days
2023-09-25Medicare payment denial — 112 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165381.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 96 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered