Manor House Care Center
1212 South Stuart Street · Sigourney, IA · 52591 · 6416222142
55 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Actual harm · G May 15, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025
Ensure each resident receives an accurate assessment.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · E May 15, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · D May 15, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025
Provide and implement an infection prevention and control program.
Corrected June 5, 2025 · Infection Control
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Potential for harm · D July 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 17, 2024 · Quality of Life and Care
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Potential for harm · E July 18, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 17, 2024 · Infection Control
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Potential for harm · E July 13, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 13, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 12, 2023 · Resident Assessment and Care Planning
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No harm found · B July 13, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 12, 2023 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165325 · certified since May 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.